Can Ginkgo Biloba Be Taken with Aspirin for Heart Health? - Cardiology

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Can the same person take ginkgo biloba and aspirin?


My mother is seventy-five years old and has hypertension and diabetes.
The doctor has prescribed her a daily dose of aspirin every morning.
Can I give her ginkgo biloba supplements? I have heard that ginkgo should not be taken simultaneously with aspirin.

Wei Qi, 40~49 year old female. Ask Date: 2007/03/09

Dr. Lin Yongguo reply Cardiology


To Vicky: A 75-year-old female patient with hypertension and diabetes.
The focus of care should be on controlling blood pressure and diabetes.
Administering one aspirin daily in the morning is a reasonable preventive treatment, aiming to reduce the risk of stroke or cardiovascular diseases.
Patients often take ginkgo biloba supplements in hopes of improving circulation, but the actual effects are limited, and it may only alleviate symptoms at best.
If taken, it should be in small amounts to avoid toxicity or side effects.

Reply Date: 2007/03/09

More Info


When considering the combination of Ginkgo Biloba and Aspirin, especially for a 75-year-old patient with hypertension and diabetes, it is crucial to proceed with caution. Both substances have effects on blood circulation, but they can also increase the risk of bleeding, which is a significant concern for elderly patients or those on anticoagulant therapy.

Aspirin is commonly prescribed for its antiplatelet properties, which help prevent blood clots and reduce the risk of heart attacks and strokes. It works by inhibiting the aggregation of platelets, which are essential for blood clotting. On the other hand, Ginkgo Biloba is often taken as a supplement for its potential cognitive benefits and its ability to improve blood flow. However, Ginkgo Biloba also has antiplatelet effects, which means it can further inhibit platelet aggregation.

The combination of these two can lead to an increased risk of bleeding complications. This is particularly concerning for older adults, who may already have a higher propensity for bleeding due to age-related changes in blood vessel integrity and the potential for polypharmacy (the concurrent use of multiple medications). Symptoms to watch for include unusual bruising, prolonged bleeding from cuts, nosebleeds, or any signs of internal bleeding, such as blood in urine or stools.

Given your mother's medical history of hypertension and diabetes, it is essential to consult with her healthcare provider before introducing Ginkgo Biloba into her regimen. The healthcare provider can assess her overall health, review her current medications, and determine whether the potential benefits of Ginkgo Biloba outweigh the risks associated with its use alongside Aspirin.

If the healthcare provider approves the use of Ginkgo Biloba, they may suggest monitoring her closely for any adverse effects, especially during the initial period of taking the supplement. It may also be advisable to space out the administration of the two substances—taking Aspirin in the morning and Ginkgo Biloba later in the day—to minimize any potential interactions.

In summary, while Ginkgo Biloba may offer some benefits, its use in conjunction with Aspirin should be approached with caution, particularly in elderly patients with existing health conditions. Always prioritize discussions with healthcare professionals to ensure safe and effective treatment plans tailored to individual health needs.

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