Frequently asked questions
Your questions about Weliva® Cimidona® , answered.
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01
Who can take Weliva® Cimidona®?
Weliva® Cimidona® is intended for adult women experiencing menopausal symptoms, such as hot flashes, night sweats, fatigue, irritability, nervousness, trouble sleeping, mild joint pains, and headaches. 1
If these symptoms align with your patients’ experiences, Weliva® Cimidona® may be worth considering to support symptom management.1,2
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02
What is Weliva® Active IronTM?
Weliva® Active IronTM is a clinically proven iron supplement. Its advanced protein formulation is clinically proven to provide better absorption compared to iron sulfate and is gentle on the stomach.1,2
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03
What makes Weliva® Active IronTM different?
Weliva® Active IronTM is clinically proven to minimize the occurrence of constipation1, making it gentle on the stomach and easy on digestion.1,2 It uses a unique whey protein technology that allows the iron to be carried safely through the stomach to the small intestine, where it is absorbed more efficiently. As a result, Weliva® Active IronTM is well absorbed and tolerated.2
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04
When can my patients start taking Weliva® Cimidona®?
Your patients can start taking Weliva® Cimidona® as soon as they start to experience menopausal symptoms.1
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05
What is the naturally sourced ingredient in Weliva® Cimidona®?
Weliva® Cimidona® contains Ze 450, an exclusive naturally sourced extract of Actaea racemosa, also known as Black cohosh.3 This extract has been clinically proven to be effective in relieving menopausal symptoms menopause. 4-6
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06
Why does Weliva® Active IronTM contain a lower iron dose than other iron supplements?
Weliva® Active IronTM is formulated to be well absorbed and gentle on the stomach, so a lower dose of iron has demonstrated it can be effective. 1,2 Traditional iron supplements often use large doses because much of the iron is not absorbed, which can contribute to stomach discomfort and other side effects.2 Active IronTM uses a unique protein-based formulation that helps protect gut cells and supports iron absorption. Because the body can take up the iron more efficiently, a lower dose can deliver meaningful results while supporting tolerability.2
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07
How does Weliva® Cimidona® work?
While the mechanism of action of Ze 450 (Actaea racemosa extract) in Weliva® Cimidona® is yet to be fully elucidated, evidence indicates that the Ze 450 extract acts through non-estrogenic, neuro-hormonal pathways. Experimental studies show partial agonist activity at serotonin (5-HT1A, 5-HT1D, 5-HT7) and µ opiate receptors, which are involved in hypothalamic thermoregulation. By modulating these receptors, Ze 450 may stabilize the temperature-control centre of the brain and thereby reduce the frequency and intensity of hot flushes.4,6-10
Since In vitro studies have shown that Ze 450 does not mediate any estrogenic effects, it could be considered a non-hormonal alternative to menopausal hormone therapy (MHT). 7,8
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08
How many mg of iron do women need per day?
Non-pregnant women aged 19–50 typically require about 18 mg of iron per day, while men in the same age group need only 8 mg.3 This difference reflects the higher iron requirements of women during their reproductive years.
Important: The RDA (recommended dietary allowance) reflects total daily intake from food and supplements, not necessarily the dose of a supplement alone.
The RDA is the average daily amount of a nutrient that meets the needs of ~97–98% of healthy individuals in a specific age and sex group.
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09
Is Weliva® Cimidona® estrogenic?
Evidence from in vitro cell proliferation and receptor-binding assays, as well as in vivo studies measuring skin temperature in ovariectomized rats, indicated that Actaea racemosa extract acts through a non-estrogenic pathway. In these experiments, Actaea racemosa extract was compared with estradiol, confirming the absence of estrogen-like effects.7,8
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10
Why does Weliva® Active IronTM contain 25 mg of iron instead of the 18 mg daily requirement?
Health Canada recommends 18 mg of iron per day for women of reproductive age who are not deficient in iron. A 25 mg dose provides additional support for women with lower iron levels and helps account for variability in iron absorption. Iron intake and absorption can vary, especially when it’s derived from plant-based sources.
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11
How many mg of iron do pregnant women need per day?
Pregnant women have the highest iron requirements, with a recommended daily iron intake of 27 mg.3
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12
Is Weliva® Cimidona® likely to interact with other medications?
Weliva® Cimidona® does not have any clinically relevant drug-drug interactions.2
Black cohosh (Actaea racemosa) has been shown in several human clinical trials to have no clinically important effects on multiple metabolic enzymes. However, there is a potential concern for interactions with certain transporters in the liver, which could reduce the effectiveness of such drugs as amiodarone, fexofenadine (Allegra®), glyburide, and many statin medications. 7
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13
What are the benefits of Weliva® Active IronTM?
Active IronTM helps support your iron and energy levels while minimizing gastrointestinal side effects such as constipation and abdominal pain. 1,2
Active IronTM supports:
• Energy associated with low iron levels
• Helps to form red blood cells
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14
What are the warnings, precautions, and contradictions to the use of Weliva® Cimidona®?
Cautions and warnings: Patients should consult a doctor if symptoms persist or worsen, or they have a liver disorder or develop symptoms of liver trouble.1
Contraindications: Do not use in patients who are pregnant or breastfeeding.1
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15
Is Weliva® Active IronTM safe for daily use?
Weliva® Active IronTM provides 25 mg of iron per capsule and is intended to support the iron needs of individuals with low iron levels.
Health Canada’s tolerable upper intake level (UL)* for iron from all sources is 45 mg per day for adults. Excess iron use may be harmful, but since Active Iron is well below the UL it is safe to be taken daily, while still being effective.
*Tolerable upper intake level (UL): The highest average daily nutrient intake level that is likely to pose no risk of adverse health effects to almost all individuals in the general population. As intake increases above the UL, the potential risk of adverse effects may increase.
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16
Can my patients use Weliva® Cimidona® when pregnant or breastfeeding?
No. Weliva® Cimidona® is specifically designed for women dealing with menopausal symptoms. It's not meant for or recommended during pregnancy or while breastfeeding.1
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17
Does Weliva® Cimidona® contain lactose?
Each Weliva™ Cimidona® tablet contains 44 mg lactose.12
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18
Who is Weliva® Active IronTM suitable for?
Active IronTM is suitable for individuals who have or are at risk of having low iron levels. This includes women with heavy periods, women who are pregnant, postpartum, or breastfeeding, athletes, and those following iron-restricted diets.
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19
Does Weliva® Cimidona® contain any allergens?
Weliva® Cimidona® contains no added gluten, wheat, yeast, soy, artificial flavours, colours, or sweeteners.13
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20
Can I take Weliva® Active IronTM if I’m pregnant?
Yes, Active IronTM is suitable for pregnant, breastfeeding, and postpartum women. It helps pregnant women meet Health Canada's recommended iron intake, when taken in conjunction with a healthy diet.
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21
What non-medical ingredients are in Weliva® Cimidona®?
The non-medical ingredients in in Weliva® Cimidona® are colloidal silicon dioxide, croscarmellose sodium, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and povidone.13
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22
Can I take Weliva® Active IronTM if I’m a vegetarian?
Yes, Active IronTM is suitable for vegetarians, but not for vegans. It contains whey protein isolate (a purified milk protein) used to help carry iron through the stomach for better absorption and gentler digestion.1,2
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23
Does Weliva® Cimidona® affect liver function in any way?
Cimidona®, containing the Ze 450 extract, is generally well-tolerated based on clinical studies and has in general been effectively used since 2005.5,6 In prospective clinical trials involving more than 1,200 patients, black cohosh was not associated with serum enzyme elevations during treatment and no cases of clinically apparent liver injury were reported in direct relation to black cohosh extract.3
In addition, two independent reviews found no evidence linking standardized black cohosh extracts to liver toxicity:
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A meta-analysis of 1,020 women in five randomized, double-blind, controlled clinical trials showed no significant differences in liver function tests between black cohosh and placebo groups.14
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A critical review of 69 reported liver-injury cases concluded that the data were inconsistent and had confounded variables, and did not support a causal link to black cohosh use.15
Overall, these data indicate that Cimidona® does not adversely affect liver function. As with any supplements, patients should consult a doctor if symptoms persist or worsen, or they have a liver disorder or develop symptoms of liver trouble.1
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24
Can I take Weliva® Active IronTM if I follow a gluten-free diet?
Yes, Weliva® Active IronTM is formulated to be gluten-free and yeast free, with no added sugars or artificial preservatives.
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25
Why is iron important for athletes?
Athletes are at an increased risk of low iron due to the demands of intense training and exercise and may require higher levels of iron to maintain optimal performance.
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26
Should my patients stop taking Weliva® Cimidona® before surgery?
Advise your patients to inform their anesthesiologist and surgeon about all prescription medicines, over-the-counter products, and supplements they are taking. According to the American Society of Anesthesiologists, some supplements may impact anesthesia or surgery, so the care team may recommend pausing them temporarily.16
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27
Can my patients still drive and use machines when taking Weliva® Cimidona®?
Weliva® Cimidona® has no known adverse effects on the ability to drive or use machines.1
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28
How can Active IronTM benefit athletes?
Active IronTM provides a well absorbable form of iron1 that can help form and support the proper function of red blood cells, which deliver oxygen to the muscles, improve energy levels, and reduce fatigue associated with low iron levels.
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29
How long should patients take Weliva® Cimidona®?
Menopausal symptoms may improve after a minimum of 6 weeks of Weliva® Cimidona® use.1 Evidence indicates symptom improvement can continue through 9 months of use.5
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30
How long will it take for Weliva® Active IronTM to start working?
Active IronTM is clinically proven to increase iron levels by 2.2 times over 6 weeks.2
Individual experiences may vary.
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31
Where can I tell my patients they can find Weliva® Cimidona®?
Tell your patients that they can find Weliva® Cimidona® at most pharmacies and retailers since it's available over the counter.
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32
What are the side effects of Weliva® Active IronTM?
Active Iron’s patented whey protein formulation helps protect the stomach from the irritating effects of iron, minimizing the likelihood of side effects which could include constipation, abdominal pain and diarrhea. 1,2
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33
Where can pharmacies order Weliva® Cimidona®?
To order Weliva® Cimidona®, pharmacies can contact pharmaceutical wholesalers and distributors and provide the corresponding product identification numbers.
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McKesson: 187730
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K&F: 169698
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34
Does the capsule have any taste or smell?
The capsule may have a slight vinegar-like smell from its acidity regulator, but it has no lasting taste once swallowed.1
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35
How can healthcare professionals obtain samples of Weliva® Cimidona®?
Simply follow this link to fill out some information, and request samples.
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36
How should I take Weliva® Active IronTM?
Take one capsule daily with food, a few hours before or after taking other medications or natural health products.
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37
What time of day should I take Weliva® Active IronTM?
Weliva® Active IronTM can be taken at any time of day with food. Certain foods and ingredients, such as milk, calcium, antacids, high fiber foods, and caffeine, can interfere with iron absorption if taken at the same time, so it’s best to avoid taking Weliva® Active IronTM alongside these.
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38
How often should I take Weliva® Active IronTM?
Only one capsule is needed per day, unless otherwise directed by a healthcare professional.
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39
What are the medicinal and non-medicinal ingredients in Weliva® Active IronTM?
Medicinal Ingredients (per capsule): Iron/Elemental Iron – 25 mg (from ferrous sulfate formulated in a whey protein matrix).
Non-medicinal ingredients: Whey protein isolate, sodium acetate, ascorbic acid, acetic acid, polysorbate 20, capsule shell (hypromellose, calcium phosphate tribasic, calcium carbonate, sodium copper chlorophyllin).
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40
Where can I buy Weliva® Active IronTM ?
Visit our Where to Find page to see where Weliva® Active IronTM is available for purchase.
References:
- Health Canada. Weliva® Cimidona® Product Licence. Issued, August 4, 2023.
- MAX Zeller Söhne AG. Cimidona® Product Information. November 2021.
- National Institute of Diabetes and Digestive and Kidney Diseases. LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. Black Cohosh. Bethesda, MD; 2012-. Updated April 15, 2025. Available at: https://www.ncbi.nlm.nih.gov/books/NBK547990/ . Accessed July 23, 2025.
- Friederichsen L, Nebel S, Zahner C, Bütikofer L, Stute P. Effect of Cimicifuga racemosa on metabolic parameters in women with menopausal symptoms: a retrospective observational study (CIMBOLIC). Arch Gynecol Obstet. 2020;301(2):517–523. doi:10.1007/s00404-019-05366-8
- Drewe J, Zimmermann C, Zahner C. The effect of a Cimicifuga racemosa extract Ze 450 in the treatment of climacteric complaints—an observational study. Phytomedicine. 2013;20(8–9):659–666. doi:10.1016/j.phymed.2013.02.012
- Schellenberg R, Saller R, Hess L, et al. Dose-Dependent Effects of the Cimicifuga racemosa Extract Ze 450 in the Treatment of Climacteric Complaints: A Randomized, Placebo-Controlled Study. Evid Based Complement Alternat Med. 2012;2012:260301. doi:10.1155/2012/260301
- Garita-Hernandez M, Calzado MA, Caballero FJ, et al. The growth inhibitory activity of the Cimicifuga racemosa extract Ze 450 is mediated through estrogen- and progesterone-receptor–independent pathways. Planta Med. 2006;72(4):317–323. doi:10.1055/s-2005-916233
- Wuttke W, Seidlová-Wuttke D. Black cohosh (Cimicifuga racemosa) is a non-estrogenic alternative to hormone replacement therapy. Clinical Phytoscience. 2015;1(1):12. doi:10.1186/s40816-015-0013-0
- Drewe J, Bucher KA, Zahner C. A systematic review of non-hormonal treatments of vasomotor symptoms in climacteric and cancer patients. SpringerPlus. 2015;4:65. doi:10.1186/s40064-015-0808-y
- Rhyu M-R, Lu J, Webster DE, Fabricant DS, Farnsworth NR, Wang ZJ. Black cohosh (Actaea racemosa, Cimicifuga racemosa) behaves as a mixed competitive ligand and partial agonist at the human mu opiate receptor. J Agric Food Chem. 2006;54(26):9852–9857. doi:10.1021/jf062808u
- Asher GN, Corbett AH, Hawke RL. Common Herbal Dietary Supplement-Drug Interactions. Am Fam Physician. 2017;96(2):101–107.
- Cimidona Product Characteristics. MAX Zeller Sohne AG. May 2015.
- Weliva. Cimidona® Tablets for menopause providing multi-symptom relief. Accessed September 22, 2025. https://www.weliva.ca/cimidona
- Naser B, Schnitker J, Minkin MJ, Garcia de Arriba S, Nolte KU, Osmers R. Suspected black cohosh hepatotoxicity: no evidence by meta-analysis of randomized controlled clinical trials for isopropanolic black cohosh extract. Menopause. 2011;18(4):366–375. doi:10.1097/gme.0b013e3181fcb2a6
- Teschke R. Black cohosh and suspected hepatotoxicity: inconsistencies, confounding variables, and prospective use of a diagnostic causality algorithm—a critical review. Menopause. 2010;17(2):426–440. doi:10.1097/gme.0b013e3181c5159c
- American Society of Anesthesiologists. Herbal Dietary Supplements and Anesthesia. 2020. Accessed September 22, 2025. www.madeforthismoment.asahq.org/wp-content/uploads/2020/10/ASA_Supplements-Anesthesia_Updated-1.pdf
Disclaimers:
- Always direct the patient to read the label. For more information, please consult Warnings, Cautions, and Directions of Use available https://health-products.canada.ca/lnhpd-bdpsnh/info?licence=80034529 for information to assist in benefit-risk assessment. The terms of Market Authorization are also available upon request by calling us at 1- 888-550-6060.