Schaper & Brummer


Pahang Pharmacy
Full Prescribing Info
Cimicifuga racemosa rhizome extract.
1 tablet contains: Cicifuga rhiz. extract equivalent to 20 mg root and rhizome.
Excipients/Inactive Ingredients: Cellactose, potato starch, magnesium stearate, peppermint oil.
Remifemin is a herbal medicine. It is traditionally used for the relief of symptoms such as hot flushes, sweating and restlessness associated with menopause.
Dosage/Direction for Use
Unless otherwise prescribed, two Remifemin tablets to be taken per day, one in the morning and one in the evening. The tablet should be swallowed unchewed with some liquid (no sucking).
Like most herbal therapy, Remifemin does not reveal its action immediately. First therapeutic effects are seen after 2 weeks of treatment. As the results of treatment improve further on prolonged administration, Remifemin should be given over a period of at least 6 weeks. Remifemin can be taken for a period exceeding six months on medical advice. As a good healthcare practice, women are advised to visit the doctor every 6 months.
Hypersensitivity to black cohosh root or one of the other constituents of the medicinal product.
Stop taking this product if signs and symptoms suggestive of liver injury develop such as tiredness, loss of appetite, yellowing of the skin and eyes or severe upper stomach pain with nausea and vomiting or dark urine and consult the doctor immediately.
Patients using herbal medicinal products should tell their doctor about it.
Special Precautions
As no sufficient data is available, the product should not be used during pregnancy and lactation without medical advice. If feeling of tenderness and swelling in the breast occur, or in case of menstrual disorder, consult a doctor. Patients with a history of liver disease should only take Remifemin after consulting with their doctor.
Oestrogens may only be taken concurrently under medical supervision because Remifemin may intensify the effect of the oestrogens. Consult the doctor.
This medicine contains lactose. Therefore do not take Remifemin until the patient has consulted the doctor if the patient know that the patient suffer from sugar intolerance.
Side Effects
Which side effects can occur during the administration of Remifemin?
Evaluation of the side effects is based on the following frequencies*: (See table.)

Click on icon to see table/diagram/image

Rare: gastrointestinal disorders (dyspepsia, diarrhoea), allergic skin reactions (urticaria, pruritus, skin rash), facial oedema and peripheral oedema. Rarely an increase in liver enzymes (transaminases) may occur.
Liver injury associated with the use of medicinal products made of black cohosh root has been reported with a very rare frequency. A definite causal relationship with these medicinal products has not been proven to date.
In such cases, the patient should discontinue the medicinal product and contact the doctor.
If the patient notice side effects that are not described in the package insert, report them to the physician or pharmacist.
Drug Interactions
Not known for Cimicifuga extract.
Store in a cool and dry place.
Shelf-Life: 3 years.
ATC Classification
G02CX04 - Cimicifugae rhizoma ; Belongs to the class of other gynecologicals. Used in the treatment of menopausal symptoms.
FC tab 20 mg x 3 x 20's.
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