Menopause Home > Am I Taking Products That React With Black Cohosh?

Ondansetron (Zofran)
It is thought that black cohosh may slow the breakdown of ondansetron in your body, perhaps increasing your risk of side effects of ondansetron. It may be a good idea to avoid taking ondansetron and black cohosh together.
 
Risperidone (Risperdal)
Black cohosh may increase the level of risperidone in your blood, increasing your risk of side effects of risperidone. Check with your healthcare provider before taking risperidone with black cohosh.
 
Tramadol (Rybix ODT, Ryzolt, Ultram, Ultram ER) or Tramadol and Acetaminophen (Ultracet)
It is thought that black cohosh may slow the breakdown of tramadol in your body, perhaps increasing your risk of tramadol side effects. It may be a good idea to avoid taking tramadol and black cohosh together.
 

Final Thoughts on Black Cohosh Drug Interactions

It is possible that not every drug interaction with black cohosh was discussed in this article. Therefore, you should talk with your pharmacist or healthcare provider about the black cohosh interactions that may apply to you.
 
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
List of references (click here):
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