Can You Safely Take Sanyl and Ginkgo Biloba Together for Tinnitus?

Can Sanyl and ginkgo biloba be taken together?

Hello, doctor.
I visited the doctor due to tinnitus (eardrum damage).
The original eardrum injury has healed, but I still experience some minor noise.
The doctor mentioned it might be a functional disorder and prescribed Ginkgo biloba (Xunbili enteric-coated tablets 9.6 mg) to help with blood circulation.
However, I noticed that the prescribed medication also contains Sanyl, which is another drug that aids blood circulation.
Can I take these two medications together? Will it cause side effects like nosebleeds? Thank you.

Niming, 30~39 year old female. Ask Date: 2024/04/15

Dr. Zheng Jueyi reply Otolaryngology

If prescribed by a physician, it can be taken simultaneously.
However, if you experience any discomfort such as nausea, palpitations, or flushing, you should stop the medication and return to the clinic for further adjustment.

Reply Date: 2024/04/15

More Info

When considering the concurrent use of Sanyl (a medication that aids in blood circulation) and Ginkgo Biloba (a herbal supplement known for its potential benefits in improving blood flow), it is essential to understand both the pharmacological properties of these substances and the potential risks involved.

Sanyl, which contains the active ingredient pentoxifylline, is often prescribed to enhance blood circulation and improve oxygen delivery to tissues. It is commonly used in conditions like peripheral vascular disease. Ginkgo Biloba, on the other hand, is a natural supplement derived from the leaves of the Ginkgo tree and is frequently used for its purported cognitive benefits and its ability to improve blood circulation, particularly in the brain.

From the information provided, it appears that both medications are intended to achieve similar therapeutic outcomes—enhancing blood flow. When taken together, there is a theoretical concern regarding the cumulative effects on blood circulation, which could potentially lead to increased side effects. However, based on current medical understanding, there are no documented significant drug interactions between Sanyl and Ginkgo Biloba that would contraindicate their concurrent use.
That said, it is crucial to monitor for any adverse effects. Some individuals may experience side effects such as gastrointestinal discomfort, headaches, or dizziness when taking Ginkgo Biloba. More importantly, both Sanyl and Ginkgo Biloba can have effects on blood clotting. Ginkgo Biloba is known to have mild anticoagulant properties, which means it can potentially increase the risk of bleeding, especially if taken in high doses or in conjunction with other anticoagulants or antiplatelet medications.
In your case, since you are concerned about the possibility of side effects such as nosebleeds, it is advisable to be vigilant. If you notice any unusual bleeding, bruising, or other concerning symptoms, it would be prudent to consult your healthcare provider immediately. They may recommend adjusting the dosages or monitoring your condition more closely.

Moreover, it is always best practice to inform your healthcare provider about all medications and supplements you are taking, including over-the-counter products and herbal remedies. This allows for a comprehensive evaluation of potential interactions and side effects tailored to your specific health needs.

In summary, while Sanyl and Ginkgo Biloba can generally be taken together without significant interactions, caution is warranted due to their effects on blood circulation and potential bleeding risks. Always consult with your healthcare provider before making any changes to your medication regimen, especially when combining prescription medications with herbal supplements.

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