Drug intelligence / Profile preview

black cohosh + St. John's wort

Development stage
Unknown
Lead developer
Schaper & Brümmer
Modality
Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Oral
01

Overview

Black cohosh + St. John's wort is a fixed-dose combination herbal medicine containing standardized extracts of black cohosh (*Cimicifuga racemosa*) and St. John's wort (*Hypericum perforatum*). It is primarily used to alleviate physical and psychological menopausal (climacteric) symptoms, such as hot flashes, excessive sweating, anxiety, irritability, and depressed mood. The combination leverages the complementary effects of black cohosh, which targets neurovegetative symptoms, and St. John's wort, which addresses mild-to-moderate psychological distress. It is marketed under various brand names, including Remifemin plus in Europe and Feramin Q in South Korea.

Brand names
Feramin QFeramin-QGyno-plusGynoplusRemifemin plusRemifemin plus Johanniskraut
Other names
Cimicifuga racemosa + Hypericum perforatumCimicifuga racemosa extract + Hypericum perforatum extractblack cohosh and St. John's wortiCR + St. John's wort
02

Targets

HTR7 (5-hydroxytryptamine receptor 7)NET (Norepinephrine Transporter)DAT (Dopamine plasma membrane transport protein)SERT (Sodium-dependent serotonin transporter)

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