Warnings/Precautions
Trazodon - a report, Ginkgo biloba, adverse interactions trazodon (Desyrel), antidepressant drugs, which leads to elderly patients in a coma. In addition, ginkgo use should be stopped at least 36 hours before surgery, due to the risk of bleeding. For these reasons, herbs should be taken with caution, in the supervision of qualified medical services in the field of plant medicine.
Antidepressants - to Ginkgo as selective serotonin reuptake inhibitors (SIZZS) antidepressants - including fluoksetyn (Prozac), sertralin (Zoloft), Paluoxiting (paksyl) and estsytalopramu (Lexapro) - may lead to serotonin syndrome. Approach to the use of herbs to strengthen the body time and cure disease. One study showed that Ginkgo biloba extract can significantly prolong bleeding time, and when given cilostazol (Pletal), commonly used drugs, inhibition of platelet aggregation. However, you should consult your doctor before use if you are taking thiazide diuretics Ginkgo biloba.
Diuretics - Although there are reports in the literature, increased blood pressure and the use of Ginkgo biloba in the treatment of thiazide diuretics, this interaction has been shown in clinical trials.
Possible interactions:
Ginkgo may alter the metabolism and effectiveness of prescription drugs and OTC drugs. However, it is not clear whether ginkgo or other factors (eg, the combination of ginkgo and blood-thinning drugs, including aspirin and non-steroidal anti-inflammatory drugs such as ibuprofen) caused by bleeding.
Pregnant and lactating women should avoid using ginkgo preparations.
Do not intake of ginkgo fruit or seeds. Herbs, however, contain components that may cause side effects, and other herbs, supplements or medicines.
Blood thinning medications - Ginkgo blood thinner nature and therefore should not be used if you are taking anticoagulant (blood thinner) and drugs such as aspirin, clopidogrel (clopidogrel), dipiridamol (Persantine), heparin, tyklopidyn (Ticlid), or warfarin (Coumadin).
Antihypertensive drugs - Ginkgo may lower blood pressure, so the use of antihypertensive drugs at the Ginkgo should be monitored by a doctor.
Ginkgo biloba extract is safe with few side effects. Ginkgo biloba can increase the impact (both good and bad) of antidepressant called IMAO like fenelzin (Nardil).
Cylosporine - Ginkgo biloba extract in the treatment process can protect cells from the immune suppression (decreased immunity) drug cyclosporine.
Ginkgo reduces the platelet aggregation (stickiness), there are some concerns, which may increase the risk of intracranial (brain) hemorrhage. This situation is characterized by rigidity, tachycardia (fast heartbeat), hyperthermia (high body temperature), irritability, sweating (hyperhidrosis). Use of ginkgo supplements under the supervision of the health care provider if you are diabetic and take insulin or oral hypoglycemic drugs. If you are receiving treatment for any of these drugs, you should not use ginkgo without first checking with your doctor:
Anticonvulsant drugs - high doses of Ginkgo biloba can reduce the effectiveness of anticonvulsant therapy, such as carbamazepine (Tegretol) or valproyevoyi acid (Depakote), in the back. In fact, there are several reports of bleeding with ginkgo use. In some cases, gastrointestinal disorders, headache, skin reactions, dizziness, did not report.
Hypoglycemic agents - ginkgo reported to increase insulin levels and reduce the level of healthy insulin in diabetic patients. One report, the interaction between ginkgo and nifedipine (Procardia), calcium channel blockers for hypertension and arrhythmia. Report of a cerebral hemorrhage and ibuprofen use of Ginkgo biloba products (Advil), non-steroidal anti-inflammatory drugs (NSAIDs).