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Up to 50% of women use complementary or alternative medicines during menopause 


''Black Cohosh''	
Herbal medicine from a North American plant Actaea racemosa,  MHRA has given prep called Menoherb registration
most important adverse effect - liver toxicity
RCT results - mixed

''Evening primrose oil''	
May potentiate seizures

''Ginseng''	
May cause sleep problems and nausea

''Red clover''	
Contains phytoestrogens - so theoretical risk of endometrial hyperplasia and stimulating hormone-sensitive cancers

''Dong Quai''	
Type of Chinese medicine
May cause photosensitivity and interfere with warfarin metabolism