Black Cohosh for Hot Flashes and Night Sweats? (Dosage Info)

Table of Contents

What is the recommended dosage of Black Cohosh for Hot Flashes?

The recommended dosage of black cohosh for hot flashes is 40-80 mg of a standardized extract daily. Another study found that you should take 20 mg of black cohosh daily for 8 weeks for fewer and less severe hot flashes.

It is important to note that black cohosh should not be used for longer than six months, and pregnant or breastfeeding women should not use it as it is not considered safe.

Black cohosh is a popular natural remedy for hot flashes and other symptoms of menopause. Studies have shown that it can effectively reduce the frequency and severity of hot flashes in postmenopausal women.

Can Black Cohosh be used for treating Night Sweats?

Studies show that night sweats in postmenopausal women can be alleviated by using Black cohosh, a traditional herbal supplement commonly used to relieve menopausal symptoms.

The active compounds in black cohosh, called triterpene glycosides, are thought to mimic the effects of estrogen in the body, which can help to alleviate the symptoms of menopause. The recommended dosage of black cohosh for night sweats is 40-80 mg of a standardized extract daily.

Black cohosh has been shown to have a good safety profile when taken at the recommended dosage and for the recommended duration. Some studies have reported mild side effects such as stomach upset, headaches, and dizziness, but these are generally considered rare and mild.

In the video below, Dr. Meschino explains the studies showing the efficacy of black cohosh in the management of menopausal symptoms and other female health problems.

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What is the recommended dosage for Black Cohosh for Menopause symptoms?

The typical recommended dosage for black cohosh for menopause symptoms is 40-80 mg per day of a standardized extract. It is typically taken for 6-12 weeks at a time, with a break of a few weeks in between. The dosage may also depend on the form used:

In tablet form

  • 20 to 80 mg once or twice daily for 12 weeks (and up to 6 months).
  • 40 to 160 mg daily, with an average dose of 40 mg/day.

Effects generally begin after 2 weeks of treatment, with maximum effects usually occurring within 8 weeks.

Teas or Powders

  • 1-2 g three times daily (for less easily absorbed forms).

Liquid or tinctures

  • 0.4-2 milliliters of a 60% ethanol mixture. 
  • 40 drops of herb mixture taken orally once or twice daily for up to 24 weeks.

Dried herb form

The British Herbal Compendium recommends taking 40-200 mg, spread out in 3 equal daily doses.


  • More than 900 mg a day of black cohosh is considered an overdose.
  • Don’t take black cohosh for more than six months at a time.

It is important to note that black cohosh should not be combined with hormone replacement therapy without consulting a healthcare professional.

Can Black Cohosh be used to induce your Period?

Black cohosh is traditionally used to induce periods and regulate menstrual cycles. It is believed to work by affecting the levels of estrogen and other hormones in the body. Some studies have found that taking black cohosh supplements may help to reduce menstrual cramps and other symptoms of PMS. Further studies are required to establish the efficacy of this method for inducing periods.

It is considered safe for most people when used in recommended doses, but it can interact with certain medications and should not be used by pregnant or breastfeeding women. It is important to consult with a doctor before using this herb, especially if you have any underlying health conditions or are taking any medications. 

It is not recommended for women diagnosed with breast cancer, as it may increase the risk of recurrence. It is also not recommended for women with endometriosis, as it may exacerbate symptoms.

In summary, Black cohosh is an herb that may effectively reduce menstrual cramps and symptoms of PMS. It should be used under medical supervision and with caution.

Does Black Cohosh help alleviate Hot Flashes?

Studies have shown that using Black Cohosh may help alleviate hot flashes, particularly in postmenopausal women. For example, one study published in the Journal of Women’s Health found that a combination of Black Cohosh and red clover significantly reduced the frequency of hot flashes by more than half. Another study published in the Journal of Alternative and Complementary Medicine found that Black Cohosh was as effective as hormone replacement therapy in reducing hot flashes. 

While the studies suggest that Black Cohosh may be effective in treating hot flashes, it is vital to note that more investigation is needed to confirm its effectiveness. 

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This article makes use of information from the U.S. National Library of Medicine under the terms of the Creative Commons Attribution 4.0 International License.

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Black Cohosh for Hot Flashes and Night Sweats? (Dosage Info)
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