The Center for Bloodless Medicine & Surgery at Pennsylvania Hospital
 

Spring 2004

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What You Should Know About Gingko Biloba

Spring 2004

Ginkgo, or ginkgo biloba, is the scientific name for a popular herbal treatment used for various medical disorders. Also known as “the maidenhair tree,” ginkgo biloba is derived from the only surviving plant from the dinosaur era, dating back more than 250 million years. The tree, which is large and fan-shaped with a decorative appearance, is native to China and Japan. Extracts from the tree’s leaves, nuts and seeds are administered in pill, liquid or intravenous form.

Ginkgo biloba, sometimes called a “memory enhancer” or “brain booster,” has been used to treat patients with dementia, Alzheimer’s disease or other cognitive disorders. Studies have shown that its use increases blood flow to the brain. Other uses include treating patients with problems associated with cerebral circulation, peripheral vascular disorders, sexual dysfunction and hearing loss. In the United States, ginkgo biloba is regulated by the Food and Drug Administration (FDA) as a dietary supplement.

Potential Side Effects
Most people can safely take ginkgo biloba with little or no side effects. However, some people have experienced adverse reactions, such as spontaneous bleeding. Studies have concluded that ginkgo biloba has blood thinning qualities and can interfere with blood clotting. Due to the risk of bleeding, ginkgo biloba should not be taken at least 36 hours before surgery.

It should not be used with over-the-counter drugs such as aspirin, ibuprofen, vitamin E or garlic. In addition, patients on blood pressure medications or antiplatelet or anticoagulant drugs such as Coumadin, should avoid taking ginkgo biloba. Patients have reported other side effects after taking ginkgo biloba, including seizures, diarrhea, upset stomach, flatulence, headache, dizziness, skin irritations and heart palpitations. It is recommended that ginkgo biloba extracts be checked to determine if they contain ginkgolic acid, which increases allergic reactions.

Conclusion
Although many herbal treatments are considered safe, patients should always consult a physician or health care provider before taking any type of supplement. This is especially important for patients who are currently taking prescription drugs or who are considering elective surgery.

 


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