Tinnitus ginkgo

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. 

Vestibulocochlear effects Ginkgo has positive effects on vestibulocochlear function in animal models, primarly through vasoactive and antioxidant mechanisms. EGb 761 dilates the cochlear vasculature and prevents flow reduction caused by sodium salicylate (Didier et al. 1996). Oral EGb 761 reduced tinnitus induced by sodium salicylate in rats (Jastreboff et al. 1997). The recovery of balance after unilateral vestibular neurectomy is accelerated by postoperative treatment with EGb 761,... 

Holgers KM, Axelsson A, Pringle I. (1994). Ginkgo biioba extract for the treatment of tinnitus. Audiology. 33(2) 85-92. 

Jastreboff PJ, Zhou S, Jastreboff MM, Kwapisz U, Gryczynska U. (1997). Attenuation of salicylate-induced tinnitus by Ginkgo biloba extract in rats. Audiol Neurootol. 2(4) 197-212. 

Meyer B. (1986a). [Multicenter randomized double-blind drug vs. placebo study of the treatment of tinnitus with Ginkgo biloba extract]. Presse Med. 15(31) 1562-64. 

Vertigo and tinnitus are difficult to treat conditions for which ginkgo is frequently recommended. At least two trials support the use of gingko extract for vertigo, but the evidence for tinnitus remains inconclusive. 

C. Ginkgo would be the most likely herbal treatment to benefit this patient, since it would improve cerebrovascular blood flow and cognitive function. Vertigo and tinnitus may also respond, although there is more evidence for the former. GarUc is traditionally used for cardiovascular benefits (Upid, blood pressure reduction), but it would be unlikely to produce immediate results. Peppermint is used as an antispasmodic in irritable bowel syndrome, while ginger tea is a common carminative (gas reducer) and motion sickness treatment. Valerian is useful as a sedative. 

Ginkgo 1 2 151 million (36), 395.68 million (7) Age-related macular degeneration treatment, age-related memory impairment, altitude Antidepressant-induced sexual dysfunction, seasonal affective disorder, tinnitus... 

The recommended dosages of an oral standardized dry extract of ginkgo (24% ginkgo flavonol glycosides and 6% terpene lactones) are 120 to 240 mg daily for dementia and memory impairment, and 120 to 160 mg daily for intermittent claudication and tinnitus. Adverse effects include gastrointestinal disturbances, diarrhea, vomiting, allergic reactions, pruritus, headache, dizziness, and nose bleeds. 

Ernst E, Stevinson C. Ginkgo biloba for tinnitus a review. Clin Otolaryngol... 

Ginkgo has been studied for its effects in allergic and asthmatic bronchoconstriction, short term memory in healthy, non-demented adults, erectile dysfunction, tinnitus and hearing loss, and macular degeneration. In none of these conditions is the evidence sufficient to warrant clinical use at this time. 

Rejali D, Sivakumar A, Balaji N. Ginkgo biloba does not benefit patients with tinnitus a randomized placebo-controlled double-blind trial and meta-analysis of randomized trials. Clin Otolaryngol 2004 29 226-231. 

Vertigo and tinnitus have been successfully relieved with ginkgo at doses of 16-160 mg/d for 3 mo (Kleijnen and Knipschild, 1992). 

Ginkgo Extract of Ginkgo blloba Memory impairment, tinnitus, peripheral vascular disease Gastrointestinal irritation antiplatelet effects. 

Hilton, M., and E. Stuart. 2004. Ginkgo biloba for tinnitus. Cochrane database of systematic reviews. Chichester Whey. 

---