MenoMood Menopause Mood Relief Tablets

St John’s Wort extract 300mg and
Black Cohosh root extract 6.4mg

30 tablets

Traditionally used for:

• Hot flushes
• Night sweats
• Slightly low mood
• Mild anxiety

MenoMood Menopause Relief - Black Cohosh root extract and St John's Wort. A traditional herbal medicinal product used for the relief of symptoms of the menopause, exclusively based upon long-standing use as a traditional remedy. Always read the label.

Herbal Active	St John’s Wort (Hypericum perforatum L.) and Black Cohosh (Cimicifuga racemosa L. Nutt)
Strength	300 mg of dried aerial parts extract (equivalent to 1050-1800mg of St John’s Wort) and 6.4 mg of dried rhizome and root extract (equivalent to 28.8-54.4mg of Black Cohosh)
Dose	One tablet daily

 

A licensed herbal medicine means a safe, high quality product

MenoMood Menopause Mood Relief Tablets have been registered under the Traditional Herbal Registration Scheme (THRS), a regulatory approval process for herbal treatments in the EU. Registration under this scheme primarily means that:

• MenoMood is a regulated herbal product and meets specific standards of safety and quality
• MenoMood is of pharmaceutical quality and has been manufactured to European Good Manufacturing Practice (GMP) Guidelines

The quality of many herbal products on the UK market at present is unknown and there are no independent quality and safety checks available to offer you reassurance about these products. MenoMood’s registration under the THRS scheme provides you with the reassurance that it has been assessed by the MHRA and meets the required standard of safety and quality, as well as providing reliable patient information. The THR number on product packaging provides the proof of evidence that MenoMood has met the MHRA’s agreed level of safety and quality, and that the on-pack consumer information has been approved by the MHRA.

Each pharmaceutical grade coated tablet is foil blister packed to retain its freshness and maintain its potency.

We are committed to improving people's health and wellbeing and do so using only the finest plant based, natural healthcare products. Please click Trust Schwabe to see why we're leaders in traditional herbal medicine, worldwide.

MenoMood contains St John’s Wort, a wild flowering herb with distinctive yellow blooms. The petals and leaves of the St John's Wort plant contain a number of unique substances such as hypericin and hyperforin. This is also combined with Black Cohosh, a perennial plant native to North America. Also known as Squaw root or Black snakeroot, the herb has been used for centuries by Native Americans for a wide range of female conditions.

Using MenoMood

What this product is and what it is used for

This product is a traditional herbal medicinal product containing St John’s wort and Black cohosh root. Each coated tablet of this product contains 300 mg of extract (as dry extract) from St John's wort aerial parts (Hypericum perforatum L.) (3.5-6:1) (equivalent to 1050–1800 mg of St John's wort). Extraction solvent ethanol 60% m/m; and 6.4 mg of extract (as dry extract) from Black Cohosh rhizome and root (Cimicifuga racemosa (L.) Nutt.) (4.5-8.5:1) (equivalent to 28.80–54.40 mg of Black Cohosh). Extraction solvent ethanol 60% v/v.

MenoMood Menopause Mood Relief is a traditional herbal medicinal product used for the relief of symptoms of the menopause including hot flushes, night sweats, slightly low mood and mild anxiety, based on traditional use only.

As there is evidence that Black cohosh may have hormone-like actions, this product should only be used by women of childbearing potential if contraception is used.

Before you take this product

DO NOT TAKE this product if:

• you are under 18 years of age
• you are pregnant or breast-feeding
• you are of childbearing potential and do not use adequate contraception
• you are allergic to any of the ingredients
• your skin is exceptionally sensitive to sunlight (photosensitive)
• you are having light treatment (phototherapy) for any condition
• you are suffering from depression (see below)
• you are taking a medicine containing estrogen unless your doctor advises it is safe to do so
• you have or have ever had liver or kidney problems (e.g. hepatitis, jaundice or cirrhosis)
• you have or have ever had treatment for breast cancer or any other hormone-dependent tumour

Tell your doctor before using this product if you: 

• think you may be suffering from depression (see below)
• have a persistent history of menstrual disorders
• have been told by your doctor that you have an intolerance to some sugars. This product contains lactose monohydrate, sucrose and glucose
• are currently taking a medicine containing estrogen

While you are taking this product: 

• avoid excessive sunbathing or the use of sunbeds/ solariums
• stop using it at least 10 days prior to undergoing any surgery.

Suffering from depression?

Symptoms of depression include feelings of helplessness and hopelessness, loss of interest in daily activities, appetite or weight changes, sleep changes, loss of energy and difficulty concentrating. If your doctor has told you that you are suffering from depression do not use this product. If you think that you may be suffering from depression you should tell your doctor.

Driving and using machines

St John’s wort may make you feel dizzy or sleepy. If affected do not drive or operate machines.

Taking other medicines

St John's wort can affect the way some medicines work and reduce their effectiveness. Medicines that can be affected by St John's wort include prescription medicines and those that you may have bought yourself without a prescription. Therefore it is important that you do not take MenoMood if you are using any of the medicines listed below.

DO NOT TAKE THIS PRODUCT IF YOU ARE TAKING ANY OF THE FOLLOWING MEDICINES

All hormonal contraceptives

The birth control ‘Pill’, emergency contraception (also known as the morning after pill), hormonal implants, creams, patches, intra-uterine devices with hormones. 

All medicines for depression/anxiety

Amitriptyline, clomipramine, moclobemide, citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, duloxetine, venlafaxine.

All hormonal replacement therapy (HRT) treatments

HRT tablets, patches, gels, vaginal rings 

All medicines for thinning the blood (anticoagulants)

Warfarin, acenocoumarol 

All medicines for epilepsy

Carbamazepine, phenobarbitone, phenytoin, primidone, sodium valproate 

All immunosuppressant medicines

Ciclosporin, tacrolimus 

All medicines for HIV infections

Amprenavir, atazanavir, darunavir, fosamprenavir, indinavir, lopinavir, nelfinavir, ritonavir, saquinavir, tipranavir, efavirenz, nevirapine, delavirdine

Some medicines for cholesterol

Simvastatin, atorvastatin

Some medicines for cancer

Irinotecan, dasatinib, erlotinib, imatinib, sorafenib, sunitinib, etoposide, mitotane

Some medicines for heart disease

Digoxin, ivabradine, amiodarone

Some medicines for migraines

Almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan

Some medicines for high blood pressure

Amlodipine, nifedipine, felodipine, verapamil

A medicine for regulating mood

Lithium 

A thyroid hormone 

Thyroxine

St John’s Wort may also affect the following medicines. Therefore do not take this product with these medicines unless a doctor has said it is safe to do so:

• fentanyl, propofol, sevoflurane, and midazolam (anaesthetics/pre-operative medicines)
• tramadol (an analgesic)
• erythromycin, clarithromycin and telithromycin (antibiotics)
• itraconazole and voriconazole (antifungals)
• artemether and lumefantrine (antimalarials)
• rasagiline (an anti-parkinson’s medicine)
• aripiprazole (an antipsychotic medicine)
• buspirone (an anxiolytic)
• aprepitant (used to treat post-operative vomiting)
• butobarbital and phenobarbital (barbiturates)
• methyl phenidate (a central nervous system or CNS stimulant)
• exemestane (a hormone antagonist) 
• eplerenone (a diuretic)
• lansoprazole and omeprazole (proton pump inhibitors)
• theophylline (a bronchodilator)
• gliclazide (an antidiabetic medicine).

How to take this product

Adults and the elderly

Take 1 tablet daily. Swallow the tablets whole with some water or other liquid. Do not chew the tablets. The tablets should be taken at the same time of day if possible (morning or evening). You must not take products containing Black Cohosh for more than 6 months without medical advice. Do not take more than the label / leaflet tells you to.

If you take too much of this product (overdose)

If you take more than the recommended dose, speak to a doctor, pharmacist or qualified healthcare practitioner and take this leaflet with you.

If you forget to take this product

Continue to take your usual dose at the usual time, it does not matter if you have missed a dose.

If you have any questions, or are unsure about anything, please ask your doctor, pharmacist or qualified healthcare practitioner.

You must speak to a qualified healthcare practitioner if your symptoms worsen, if they do not improve after six weeks, or if you notice any re-appearance or changes in menstrual bleeding.

Possible side-effects

Like all medicines this product can have side-effects, although these are uncommon. These are listed below.

• gastrointestinal disorders e.g indigestion, loss of appetite, nausea, diarrhoea, constipation
• fatigue and restlessness
• facial swelling, swelling of the feet, ankles or lower leg
• weight gain

If these persist for more than a few days, or become troublesome, stop taking this product.

These side-effects are often only temporary.

• allergic skin reactions such as nettle rash, itching of the skin, hives 

Stop taking this product immediately if you experience an allergic reaction.

Other side-effects

These include headaches, nerve pain or tingling, anxiety, dizziness, mania. 

Also, sun-burn like reactions in skin exposed to strong sunlight or strong ultra-violet (UV) irradiation, e.g solarium, have been reported, particularly in fair-skinned individuals, when taking St John’s Wort.

Black Cohosh may rarely cause liver problems. If you become unwell (yellowing eyes/skin, nausea, vomiting, dark urine, abdominal pain, unusual tiredness) stop taking immediately and seek medical advice. 

Reporting of side-effects

If you get any side-effects, talk to your doctor, pharmacist or nurse. This includes any possible side-effects not mentioned in this leaflet. You can also report side-effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side-effects you can help provide more information on the safety of this medicine. 

How to store this product 

Do not use your tablets after the expiry date.

Return any out-of-date tablets to your pharmacist who will dispose of them for you. The expiry date is printed on the box and the blister pack. 

Do not store the tablets in a place where the temperature goes above 25°C. Store in the original packaging.

Keep the tablets out of the reach and sight of children.

Keep your tablets in the blister pack until it is time to take them.

Further information

Each coated tablet of this product contains 300 mg of extract (as dry extract) from St John's wort aerial parts (Hypericum perforatum L.) (3.5-6:1) (equivalent to 1050-1800 mg of St John's wort). Extraction solvent ethanol 60% m/m; and 6.4 mg of extract (as dry extract) from Black Cohosh rhizome and root (Cimicifuga racemosa (L.) Nutt.) (4.5-8.5:1) (equivalent to 28.80-54.40 mg of Black Cohosh). Extraction solvent ethanol 60% v/v.

This product also contains the following ingredients:

Extract: Maltodextrin, silica colloidal anhydrous, lactose monohydrate cellulose powdered.

Tablet core: Silica, colloidal anhydrous, cellulose microcrystalline, croscarmellose sodium, sodium starch glycolate (type A), magnesium stearate.

Coating: Hypromellose, sucrose, talc, calcium carbonate E170, tragacanth, acacia, liquid glucose, titanium dioxide E171, iron oxide hydrate E172 (= yellow iron oxide), vanillin, beeswax white, carnauba wax, shellac.

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this product. Each coated tablet contains 234 mg of sucrose, 19 mg of lactose monohydrate and 6 mg glucose.

Each pack contains 28, 30, 56 or 60 coated tablets. Not all pack sizes may be marketed.

Registration holder for this product

Schwabe Pharma (UK) Ltd, Alexander House, Mere Park, Dedmere Road, Marlow, Bucks, SL7 1FX 

Manufacturer of this product

Wiewelhove GmbH, Dörnebrink 19, 49479 Ibbenbüren, Germany

Traditional Herbal Registration number: THR 23056/0013

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