Does Ginkgo Biloba in Natto Supplements Increase Stroke Risk? - Pharmacology

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Nattokinase


I would like to ask about the dietary supplement that contains ginkgo biloba.
I've heard that ginkgo may increase the risk of stroke.
Is this true? Should I continue taking natto as well? Thank you for your help.

Baozi, 20~29 year old female. Ask Date: 2009/06/09

Dr. Tu Haiyong reply Pharmacology


Hello: Nattokinase is a natural thrombolytic enzyme that breaks down fibrin.
Its primary function is to dissolve blood clots and prevent them from obstructing blood flow, which can lead to heart disease, stroke, and other age-related conditions.
Adding ginkgo biloba can enhance cerebral and cardiovascular circulation, lower cholesterol levels, and improve symptoms of coronary heart disease and hypertension.
Generally, it does not increase the risk of stroke for the average person.
However, not everyone should take nattokinase.
Those who should avoid it include: 1.
Individuals should refrain from consumption for two weeks before and after surgery.
2.
Patients who have recently suffered a stroke should not consume it, as blood vessel obstruction or rupture requires time for recovery.
3.
Individuals with other blood coagulation-related disorders should consult a physician first.
Wishing you health and happiness.

Reply Date: 2009/06/09

More Info


Ginkgo Biloba is a popular herbal supplement often used for its purported benefits in enhancing cognitive function and improving blood circulation. However, its use, particularly in conjunction with other medications or supplements, raises important questions regarding safety and potential risks, especially concerning stroke.

To address your question about whether Ginkgo Biloba in Natto supplements increases stroke risk, it is essential to understand the properties of Ginkgo Biloba and its interactions with other substances. Ginkgo Biloba is known for its blood-thinning effects, which can be beneficial in improving blood flow and preventing clot formation. However, this same property can also pose risks, particularly for individuals who are already on anticoagulant or antiplatelet medications, such as aspirin or warfarin. The concern is that combining Ginkgo Biloba with these medications could increase the risk of bleeding complications, which could potentially lead to serious outcomes, including hemorrhagic stroke.

In the context of Natto supplements, which contain nattokinase, a natural enzyme that also has blood-thinning properties, the combination with Ginkgo Biloba could theoretically amplify the anticoagulant effects. While there is no definitive evidence that Ginkgo Biloba directly increases the risk of ischemic stroke (the type caused by a blockage), the potential for increased bleeding risk is a significant concern. Therefore, individuals taking Natto supplements with Ginkgo Biloba should be cautious, especially if they have a history of stroke or are on blood-thinning medications.

It is also important to consider individual health conditions. For example, individuals with a history of bleeding disorders, those who are pregnant, or those scheduled for surgery should avoid Ginkgo Biloba due to its blood-thinning effects. Additionally, people who have experienced a stroke should consult their healthcare provider before starting any new supplements, including Ginkgo Biloba, as their condition may require careful management of blood flow and clotting.

Regarding the continuation of Natto supplements containing Ginkgo Biloba, it is advisable to consult with a healthcare professional. They can provide personalized advice based on your family member's health status, current medications, and overall risk factors. If there are concerns about the potential for increased bleeding or stroke risk, it may be prudent to consider alternative supplements or dietary changes that do not carry the same risks.

In summary, while Ginkgo Biloba does not inherently increase stroke risk, its blood-thinning properties can pose risks when combined with other anticoagulants or in individuals with certain health conditions. It is crucial to approach the use of Ginkgo Biloba and Natto supplements with caution and under the guidance of a healthcare professional to ensure safety and efficacy.

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