Fast acting liquid herbal extracts, may naturally ease after birth and menstrual discomfort by relaxing muscle tension, easing spasms and cramping. Midwife recommended.Take 1/4 teaspoon as needed. Dosage can be repeated every 15 minutes (within reason) until relief is obtained. Cautions: While this herbal extract formula is not considered safe to use while expecting, it can be used immediately after giving birth and is considered safe to use while nursing. Discontinue use 3 weeks before surgery due to the incompatibility of anesthesia and St. John's Wort. Do not use if taking anti-depressants or anti-coagulants. Cramp Bark, Black Haw Bark, Organic St. John's Wort Herb, Organic Yarrow Leaf & Flower, Vegetable Glycerine, Distilled Water and approximately 5% Organic Grain Alcohol