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Effects of herbal preparations on symptom clusters during the menopausal transition.
Climacteric. 2015 Feb; 18(1):11-28.C

Abstract

AIMS

To determine the effects of herbal therapies on hot flushes and at least one other symptom including, sleep, mood, cognition, and pain that women experience during the menopausal transition and early postmenopause.

METHODS

An extensive search of PubMed/Medline, CINAHL Plus, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, AMED, and Alt-Health Watch for randomized, controlled trials reported in English between January 2004 and July was conducted by an experienced reference librarian. There were 1193 abstracts identified but only 58 trials examined effectiveness of therapies for hot flushes and at least one additional co-occurring symptom.

RESULTS

Seventeen studies used herbal preparation including seven studies of black cohosh, two studies of black cohosh mixed with other herbals, and eight studies of other herbals. Of these, one study of black cohosh, two studies of black cohosh mixed with other herbals, and four other herbal studies had significant effects on hot flushes and at least one additional co-occurring symptom. The adverse events of herbal therapies were various, ranging from mild to moderate and women were generally tolerant of the preparations.

CONCLUSIONS

Black cohosh mixed with other herbals, Rheum rhaponticum, and French maritime pine bark had significant effects on hot flushes and at least one other symptom. These herbal therapies may be a promising alternative treatment to hormonal treatment. Future studies should classify women based on their menopausal stages, report each symptom separately, have adequate sample size, focus on multiple co-occurring symptoms, and target symptom management of menopausal symptoms.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Ismail R
* School of Nursing, University of Washington , USA.
Taylor-Swanson L
No affiliation info available
Thomas A
No affiliation info available
Schnall JG
No affiliation info available
Cray L
No affiliation info available
Mitchell ES
No affiliation info available
Woods NF
No affiliation info available

MeSH

AffectCimicifugaCognitionFemaleHot FlashesHumansMenopauseMiddle AgedPhytotherapyPlant PreparationsRandomized Controlled Trials as TopicSleep

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Review

Language

eng

PubMed ID

24605800

Citation

Ismail, R, et al. "Effects of Herbal Preparations On Symptom Clusters During the Menopausal Transition." Climacteric : the Journal of the International Menopause Society, vol. 18, no. 1, 2015, pp. 11-28.
Ismail R, Taylor-Swanson L, Thomas A, et al. Effects of herbal preparations on symptom clusters during the menopausal transition. Climacteric. 2015;18(1):11-28.
Ismail, R., Taylor-Swanson, L., Thomas, A., Schnall, J. G., Cray, L., Mitchell, E. S., & Woods, N. F. (2015). Effects of herbal preparations on symptom clusters during the menopausal transition. Climacteric : the Journal of the International Menopause Society, 18(1), 11-28. https://doi.org/10.3109/13697137.2014.900746
Ismail R, et al. Effects of Herbal Preparations On Symptom Clusters During the Menopausal Transition. Climacteric. 2015;18(1):11-28. PubMed PMID: 24605800.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of herbal preparations on symptom clusters during the menopausal transition. AU - Ismail,R, AU - Taylor-Swanson,L, AU - Thomas,A, AU - Schnall,J G, AU - Cray,L, AU - Mitchell,E S, AU - Woods,N F, Y1 - 2014/07/04/ PY - 2014/3/11/entrez PY - 2014/3/13/pubmed PY - 2016/5/19/medline KW - COGNITIVE KW - HERBAL THERAPIES KW - HOT FLUSHES KW - MENOPAUSE KW - MOOD KW - PAIN KW - SLEEP SP - 11 EP - 28 JF - Climacteric : the journal of the International Menopause Society JO - Climacteric VL - 18 IS - 1 N2 - AIMS: To determine the effects of herbal therapies on hot flushes and at least one other symptom including, sleep, mood, cognition, and pain that women experience during the menopausal transition and early postmenopause. METHODS: An extensive search of PubMed/Medline, CINAHL Plus, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, AMED, and Alt-Health Watch for randomized, controlled trials reported in English between January 2004 and July was conducted by an experienced reference librarian. There were 1193 abstracts identified but only 58 trials examined effectiveness of therapies for hot flushes and at least one additional co-occurring symptom. RESULTS: Seventeen studies used herbal preparation including seven studies of black cohosh, two studies of black cohosh mixed with other herbals, and eight studies of other herbals. Of these, one study of black cohosh, two studies of black cohosh mixed with other herbals, and four other herbal studies had significant effects on hot flushes and at least one additional co-occurring symptom. The adverse events of herbal therapies were various, ranging from mild to moderate and women were generally tolerant of the preparations. CONCLUSIONS: Black cohosh mixed with other herbals, Rheum rhaponticum, and French maritime pine bark had significant effects on hot flushes and at least one other symptom. These herbal therapies may be a promising alternative treatment to hormonal treatment. Future studies should classify women based on their menopausal stages, report each symptom separately, have adequate sample size, focus on multiple co-occurring symptoms, and target symptom management of menopausal symptoms. SN - 1473-0804 UR - https://www.unboundmedicine.com/medline/citation/24605800/Effects_of_herbal_preparations_on_symptom_clusters_during_the_menopausal_transition_ DB - PRIME DP - Unbound Medicine ER -