NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Supplement·Evidence index

Black Cohosh and St. John's Wort: what the published research says

PubMed indexes 6 records that name Black Cohosh and St. John's Wort together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Black Cohosh and St. John's Wort. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

6 studies naming Black Cohosh and St. John's Wort.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Efficacy of Cimicifuga racemosa, Hypericum perforatum and Agnus castus in the treatment of climacteric complaints: a systematic review.

Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2012 · PMID 22385322

Systematic ReviewHuman subjects

“CR monotherapy as well as HP and Agnus castus showed no better effect than placebo. The combination of CR with HP demonstrated a positive effect on climacteric complaints.”

Laakmann et al. · Authors' conclusion

Names both Black Cohosh and St. John's Wort in its title.

Black cohosh and St. John's wort (GYNO-Plus) for climacteric symptoms.

Yonsei medical journal · 2007 · PMID 17461529

Multicenter StudyRandomized Controlled Trial

“Black cohosh and St. John's wort combination was found to be effective in alleviating climacteric symptoms and might provide benefits to lipid metabolism.”

Chung et al. · Authors' conclusion

Names both Black Cohosh and St. John's Wort in its title.

Black cohosh with or without St. John's wort for symptom-specific climacteric treatment--results of a large-scale, controlled, observational study.

Maturitas · 2007 · PMID 17590291

Controlled Clinical TrialMulticenter Study6141 participants

“The results support the effectiveness and tolerability profiles of two Black cohosh-based therapies for menopausal symptoms in general practice. They were used differentially: the monotherapy for neurovegetative symptoms, the combination for patients with more pronounced mood complaints. The fixed combination of Black cohosh and St. John's wort was superior to Black cohosh alone in alleviating climacteric mood symptoms.”

Briese et al. · Authors' conclusion

Names both Black Cohosh and St. John's Wort in its title.

Black cohosh and St. John's wort for climacteric complaints: a randomized trial.

Obstetrics and gynecology · 2006 · PMID 16449108

Randomized Controlled Trial

“This fixed combination of black cohosh and St. John's wort is superior to placebo in alleviating climacteric complaints, including the related psychological component.”

Uebelhack et al. · Authors' conclusion

Names both Black Cohosh and St. John's Wort in its title.

Medical residents' knowledge of dietary supplements.

Southern medical journal · 2008 · PMID 18791539

Multicenter StudyHuman subjects

“Residents' knowledge of dietary supplements is poor. An online didactic module may improve knowledge and potentially enhance patient-physician communication regarding the use of such products.”

Ashar et al. · Authors' conclusion

Names Black Cohosh and St. John's Wort together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Black Cohosh, St. John's Wort, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.