title: Black cohosh: a cause of abnormal postmenopausal liver function tests.
abstract: The health scares restricting the use of hormone replacement therapy have made women tend to opt for 'natural' remedies that are generally perceived as safe. Unfortunately, there is lack of definite opinion on the safety of herbal remedies. Black cohosh is commonly used for postmenopausal symptoms. We present two cases of liver toxicity related to this and recommend close monitoring of women on this herbal preparation.
authors.affiliation: Locum Consultant Gastroenterologist, Prince Phillip Hospital, Llanelli, Carmarthenshire, UK.
authors.forename: D
authors.initials: D
authors.lastname: Joy
authors.forename: J
authors.initials: J
authors.lastname: Joy
authors.forename: P
authors.initials: P
authors.lastname: Duane
mesh_terms: D031885:Cimicifuga / Q000737:chemistry*; D000529:Complementary Therapies; D005260:Female; D019584:Hot Flashes / Q000188:drug therapy*; D006801:Humans; D008099:Liver / Q000187:drug effects* / Q000502:physiology; D008111:Liver Function Tests; D008875:Middle Aged; D008517:Phytotherapy / Q000009:adverse effects; D010936:Plant Extracts / Q000009:adverse effects* / Q000627:therapeutic use*; D017698:Postmenopause; D012449:Safety
chemical_list: D010936:Plant Extracts