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Table of Contents > Herbs > Ginkgo Biloba > Interactions
Possible Interactions with: Ginkgo Biloba
Also listed as: Maidenhair Tree

If you are currently being treated with any of the following medications, you should not use ginkgo without first talking to your healthcare provider:

Anticonvulsant medications
High doses of Ginkgo biloba could decrease the effectiveness of anticonvulsant therapy in patients taking carbamazepine or valproic acid to control seizures.

Blood-thinning medications
Ginkgo has blood-thinning properties and therefore should not be used if you are taking anticoagulant (blood-thinning) medications, such as aspirin, clopidogrel, dipyridamole, heparin, ticlopidine, or warfarin.

Ginkgo biloba may be beneficial during treatment with cyclosporine because of its ability to protect cell membranes from damage.

Monoamine oxidase inhibitors (MAOIs)
Ginkgo may enhance the effects (both good and bad) of antidepressant medications known as MAOIs, such as phenelzine and tranylcypromine.

The combination of papaverine and ginkgo may be effective for the treatment of erectile dysfunction in patients who do not respond to papaverine alone.

Thiazide diuretics
Although there has been one literature report of increased blood pressure associated with the use of ginkgo during treatment with thiazide diuretics, this interaction has not been verified by clinical trials. Nevertheless, you should consult with your healthcare provider before using ginkgo if you are taking thiazide diuretics.

Additionally, there has been a report of an adverse interaction between ginkgo and trazodone, an antidepressant medication, that resulted in an elderly patient going into a coma.

Drug Interactions
Blood-thinning Medications
MAO Inhibitors
Thiazide Diuretics

Copyright © 2004 A.D.A.M., Inc

The publisher does not accept any responsibility for the accuracy of the information or the consequences arising from the application, use, or misuse of any of the information contained herein, including any injury and/or damage to any person or property as a matter of product liability, negligence, or otherwise. No warranty, expressed or implied, is made in regard to the contents of this material. No claims or endorsements are made for any drugs or compounds currently marketed or in investigative use. This material is not intended as a guide to self-medication. The reader is advised to discuss the information provided here with a doctor, pharmacist, nurse, or other authorized healthcare practitioner and to check product information (including package inserts) regarding dosage, precautions, warnings, interactions, and contraindications before administering any drug, herb, or supplement discussed herein.

Ginkgo Biloba
  Uses of this Herb
Alzheimer's Disease
Macular Degeneration
Sexual Dysfunction
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  Drugs that Interact
Blood-thinning Medications
MAO Inhibitors
Thiazide Diuretics
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