Hot Flashes
Conditions
Keywords
back cohosh, cimicifuga racemosa, menopausal symptoms, hot flashes, Kupperman index, MENQOL
Brief summary
Cimicifuga racemosa (black cohosh) rhizome and root extract have been used to treat menopausal symptoms. To date, there are still scarce information about its efficacy in Thai women with menopausal symptoms. The purpose of this study will assess the efficacy of black cohosh extract in management of menopausal symptoms in Thai women.
Interventions
Cimicifuga racemosa (black cohosh) rhizome and root extract 40 mg once daily for 12 weeks (equivalent to triterpene glycosides 12.3 mg)
matching placebo without active ingredient 1 tab daily for 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Thai women, aged ≥ 40 years * Peri- or postmenopause * Moderate to severe menopausal symptoms from Kupperman menopausal index score at least 20
Exclusion criteria
* Using any drugs or hormonal treatment within 1 month before enrollment * BMI ≥ 30 kg/m2 * Allergic to drugs or any ingredient * Liver disease or AST ≥ 37 U/L or ALT ≥ 40 U/L or total bilirubin ≥ 1 mg/dL or direct bilirubin ≥ 0.3 mg/dL * Psychiatric disease * Alcohol consumption or any elicit drug use * Vegetarian (may consume more phytoestrogen)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean differences of Kupperman index | 12 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compliance | 12 weeks | — |
| adverse events | 12 weeks | — |
| Frequencies of menopausal symptoms | 12 weeks | — |
| quality of life | 12 weeks | Thai MENQOL measurement |
| Overall satisfaction | 12 weeks | — |
| Mean differences of liver function test | 12 weeks | — |
Countries
Thailand