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Evidence-Based Medicine 2007;12:78; doi:10.1136/ebm.12.3.78
Copyright © 2007 by the BMJ Publishing Group Ltd.

Therapeutics

Herbal supplements did not relieve vasomotor symptoms of menopause in women

Newton KM, Reed SD, LaCroix AZ, et al. Treatment of vasomotor symptoms of menopause with black cohosh, multibotanicals, soy, hormone therapy, or placebo: a randomized trial. Ann Intern Med 2006;145:869–79.[Abstract/Free Full Text]

Q Do herbal supplements relieve vasomotor symptoms of menopause in women?

Clinical impact ratings GP/FP/Primary care ******{star} IM/Ambulatory care ******{star}

Key Words: hot flashes • plant preparations • vasomotor system • cimicifuga • estrogen replacement therapy • phytotherapy • soy foods

The first 150 words of the full text of this article appear below.

METHODS

Formula Design: randomised placebo controlled trial (Herbal Alternatives for Menopause Trial [HALT]).

Formula Allocation: concealed.*

Formula Blinding: blinded (clinicians, participants, {data collectors, and outcome assessors}{dagger}).*

Formula Follow up period: 12 months.

Formula Setting: Washington State, USA.

Formula Patients: 351 women 45–55 years of age (mean age 52 y, 93% white) who were in menopausal transition or postmenopausal with >=2 vasomotor symptoms per day for 2 weeks (>=6 moderate to severe symptoms). Exclusion criteria included contraindications to hormone therapy (HT), use of HT or oral contraceptives in the past 3 months, use of herbal medicines in the past month, bilateral oophorectomy, or history of breast cancer.

Formula Intervention: black cohosh (Actaea racemosa or Cimicifuga racemosa), 160 mg/day, triterpene glycosides, 2.5%, and ethanol extract, 70% (n = 80); multibotanical (MB) (n = 76); MB plus dietary soy (n = 79); conjugated equine oestrogen (CEO), 0.625 mg/day, with (uterus) or without (no uterus) medroxyprogesterone acetate (MPA), . . . [Full text of this article]

Bruce E Johnson, MD

Brody School of Medicine, East Carolina University,
Greenville, North Carolina, USA


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