Rizomes and roots are used. It contains saponids, phytoestrogens, and other substances. Attributed effect: estrogenic stimulation. Indications according to Commission E of German Ministry of Health: pre-menstrual dysmenorrhea, menopause. Maximal daily dose: 40 mg of drug equivalent. Do not use it for longer than 6 months Estrogen-agonist may decrease breast milk production and alter its composition.
CAS Number: 84776-26-1
Black cohosh (Cimicifuga racemosa, formerly Actaea racemosa) root was thought to have mild estrogenic activity based on its triterpene content, which is standardized based on 27-deoxyactein. However, recent studies have found no estrogenic activity. It is primarily used for postmenopausal symptoms and has been used to promote labor. Currently, it has no specific uses during breastfeeding, although historically it was supposedly used by native American women as a galactogogue. No data exist on the safety and efficacy of black cohosh in nursing mothers or infants. In general, there is a low frequency of adverse reactions, but dizziness, nausea, headache, rash, vomiting, and rarely, hepatitis and allergic reactions have been reported. Some sources recommend against its use during breastfeeding because of the lack of safety data and its potential estrogenic activity, while others do not contraindicate its use. Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed information #about dietary supplements# is available elsewhere on the LactMed Web site.
Due to high dilution of ingredients in homeopathic medicines they do not create much problem for baby. Fludblid 40 (number 143) | Cimicifuga Racemosa, Bovista Pellet is a homeopathic medicine and if your baby does not have any abnormal symptoms then there is nothing to worry about. Be careful with too much usage of ethanol based homeopathic medicines during breastfeeding.
Homeopathic medicines are usually safe in breastfeeding and if Fludblid 40 (number 143) | Cimicifuga Racemosa, Bovista Pellet has been recommended by doctor then there should be no concern about its usage in breastfeeding.
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week