NEW LABELLING REQUIREMENT FOR BLACK COHOSH

This is an Australian initiative only. But since black cohosh is widely used in Canada and United States for relief of menopause symptoms, consumers must pay heed to warning. "Warning: Black Cohosh may harm the liver in some individuals. Use under the supervision of a healthcare professional". There were 47 cases of liver reactions worldwide. In Australia, 4 patients were hospitalised, including 2 who required liver transplantation. There is sufficient evidence of a casual assocation hbetween Black Cohosh and serious hepatitis. However, considering the widespread use of Black Cohosh, the incidence of liver reaction appears to be very low.