Ginkgo biloba Antiplatelet drugs

Gnkgo (maiden hair tree, kew tree) Ginkgo biloba Raynauds disease, cerebral insufficiency anxiety, stress, tinnitus, dementias, circulatory problems, asthma Rare if used as directed possible effects include headache, dizziness, heart palpitations, Gl effects, rash, allergic dermatitis Do not take with antidepressant drugs, such as the MAOIs, or the antiplatelet drugs such as coumarin, unless advised to do so by the primary care provider. 

Ginkgo biloba should not be used in individuals taking anticoagulants or antiplatelet drugs, and should be use cautiously in those taking nonsteroidal antiinflammatory drugs. 

The evidence from these reports is too slim to forbid patients to take NSAIDs and Ginkgo biloba concurrently, but some do recommend caution. Medical professionals should be aware of the possibility of increased bleeding tendency with Ginkgo biloba, and report any suspected cases. Consider also Antiplatelet drugs + Herbal medicines , p.699. 

Ginkgo biloba has been associated with platelet, bleeding and clotting disorders and there are isolated reports of serious adverse reactions after its concurrent use with antiplatelet drugs such as aspirin, clopidogrel and ticlopidine. An animal study su ests that Kangen-Katyu may also enhance the antiplatelet and antithrombotic effects of ticlopidine. 

---