II. History: Naming
- Used by European celibate clergy to decrease libido
III. Mechanism
- Components: Flavinoids, glycosides, Essential Oils
- Key effects: Estrogen and Progesterone
- Low dose (example: 20 to 120 mg/day)
- May inhibit FSH release and decrease Estrogen level
- May stimulate LH release and increase Progesterone
- High dose (example: 480 mg/day)
- Low dose (example: 20 to 120 mg/day)
- Other effects
- Acts at central Dopamine receptors
IV. Clinical uses
- Uses where Chasteberry may be possibly effective
- Cyclical Mastalgia
- Premenstrual Syndrome
- May improve fertility (contraindicated in pregnancy)
- Uses where there is insufficient evidence
- Altering libido
- Stimulation of Lactation
V. Pregnancy and Lactation
- Contraindicated in pregnancy
- Not recommended in Lactation
VI. Drug Interactions
- None reported
- May affect Dopaminergic medications
- Medications for Parkinsonism
- Metoclopramide
VII. Dosing
- Fruit extract 20 to 40 mg daily
VIII. Adverse Effects
- Gastrointestinal upset
- Headache, Dizziness or Fatigue
- Xerostomia