The roots and underground stems of the black cohosh have been used as an herbal remedy for headaches, bronchitis, diarrhea, labor induction and menopause symptoms. The safe dose of black cohosh varies according to the type and purpose it is used for, and due to a lack of safety information, it may not be safe during pregnancy at all. During the last month of your pregnancy, it is especially important to follow your doctor's recommendations so that you do not go into labor too early.
Dangers
The American Pregnancy Association states that black cohosh is not safe for use when it is taken orally before full term. Black cohosh can have hormonal effects that cause uterine stimulation. If you are just entering the last month of your pregnancy and are not ready to deliver your baby, taking black cohosh can result in preterm birth and low birth weight.
Considerations
MayoClinic.com states that the safety of black cohosh during pregnancy has not been established. This is due to a lack of safety information and safety evaluation process. Black cohosh supplements are not strictly regulated by the U.S. Food and Drug Administration, so it is up to you and your doctor to determine if any black cohosh supplement you use is safe or effective.
Safe Dose
If your doctor recommends that you take black cohosh during the last month of your pregnancy, the safe dose may vary according to the type of black cohosh that you consume. MayoClinic.com states that 40 mg to 200 mg of dried black cohosh stems has been used in divided doses, and the amount varies for tinctures and tablets. Be sure to take only the amount that your doctor specifies.
Warnings
High doses of black cohosh can cause dizziness, headaches, sweating and vision problems. If you accidentally take too much black cohosh, call your doctor or seek emergency care as soon as possible.
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