/taking-hormone-supplement
Remifemin® — Information Guide
Learn about Remifemin dosage, side effects, and cost. Educational information about this dietary supplement for informed conversations with your provider.
Not medical advice. Speak with a healthcare professional before using any medication.
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Updated Feb, 15
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Contact UsInformation sourced from manufacturer labeling and publicly available references including NIH Office of Dietary Supplements.
How to Take Remifemin
Remifemin® is an OTC supplement containing black cohosh (Cimicifuga racemosa) extract, marketed for relief of menopausal symptoms such as hot flashes and sleep disturbances. It is one of the more extensively studied herbal supplements for menopausal support. This page is educational only.
What Patients Should Know
- Black cohosh in Remifemin® has been studied in clinical trials for hot flash relief, with some studies showing modest benefit.
- Remifemin® is not FDA-approved as a treatment for menopausal symptoms and is not equivalent to prescription hormone therapy.
- Its mechanism is not fully understood; it is not believed to have direct estrogenic activity, though this is still debated.
- Patients with liver conditions should consult a prescriber before use, as rare hepatotoxicity has been reported with high-dose black cohosh.
- Patients on prescription HRT or other hormonal therapies should inform their prescriber before adding Remifemin®.
Side Effects to Discuss with Your Prescriber
- Mild digestive upset
- Headache
- Breast tenderness (occasional)
- Dizziness
When to Seek Urgent Care
- Signs of liver problems: yellowing of skin or eyes, dark urine, upper right abdominal pain
- Signs of allergic reaction
BRAND NAME NOTICE
References to Remifemin® are provided for educational and search-reference purposes only. Voshell's Pharmacy does not claim equivalence or relationship to this commercial product.
Bottom Line
Remifemin® is an OTC black cohosh supplement with some clinical evidence for modest hot flash relief. It is not a substitute for prescription hormone therapy. Prescribers should be informed of its use.
Got questions? We have answers
Does Remifemin® work for hot flashes?
Some clinical studies have found modest hot flash relief with black cohosh-containing supplements. Results vary. Patients with significant hot flashes should discuss clinically validated options with their prescriber.
Is Remifemin® safe to use with HRT?
Patients on prescription HRT should inform their prescriber before adding Remifemin® or any black cohosh product. Interactions with prescribed hormonal therapies should be reviewed individually.
Is Remifemin® FDA-approved?
Remifemin® is an OTC dietary supplement, not an FDA-approved medication. Patients seeking evidence-based menopause treatment should consult a prescriber.
About Voshell's Pharmacy
Voshell's Pharmacy is a compounding pharmacy and a prescriber-collaboration partner. We prepare patient-specific, individualized medications tailored to each patient's unique needs. Our compounded preparations are formulated pursuant to a valid prescription and are not commercially manufactured drugs.
Therapy selection should always be determined by a licensed prescriber. Voshell's Pharmacy does not diagnose conditions, recommend specific therapies, or choose treatments on behalf of patients.
Talk to Your Prescriber About Compounding
Ask your prescriber whether a compounded option is appropriate for you. Contact Voshell's Pharmacy for customized compounding support.
