black cohosh, a perennial herb that grows throughout the United States and in parts of Canada. ▪ INDICATIONS: This herb is used to treat the symptoms of menopause (hot flashes and nervous conditions associated with menopause) and dysmenorrhea (menstrual cramps, pain, inflammation); generally considered to be effective against mild symptoms but not a substitute for estrogen-containing prescriptions needed to control more severe vasomotor symptoms. ▪ CONTRAINDICATIONS: Black cohosh should not be used during pregnancy, since uterine stimulation can occur. It also should not be used during lactation or in children.