Can Ginkgo Biloba Improve Memory in Seniors with Hypertension?

Q: Can Ginkgo Biloba Improve Memory in Seniors with Hypertension?

Hello： One of the pharmacological effects of Ginkgo biloba is its antiplatelet aggregation action. <br>The Ministry of Health and Welfare in Taiwan has approved its (conventional medicine) indication for peripheral blood circulation disorders. <br>There have been varying opinions

Does consuming ginkgo biloba help improve memory?

Dr.
Ouyang, my father is 84 years old and has experienced a decline in memory over the past six months.
I have heard that ginkgo biloba may improve memory, but I am unsure if this is true.
Could you please clarify? Thank you! (My father has hypertension and is currently on medication.)

YoYO, 50~59 year old female. Ask Date: 2010/12/09

Dr. Ouyang Wenzhen reply Geriatrics

Hello: One of the pharmacological effects of Ginkgo biloba is its antiplatelet aggregation action.
The Ministry of Health and Welfare in Taiwan has approved its (conventional medicine) indication for peripheral blood circulation disorders.
There have been varying opinions on the efficacy of Ginkgo biloba in the prevention or treatment of dementia.
A recent study published in the International Journal of Geriatric Psychiatry (Int J Geriatr Psychiatry.
2010 Dec 7) concluded that "Ginkgo biloba extract at a dosage of 240 mg per day has a statistically significant effect on behavioral and psychological symptoms of dementia compared to no medication." However, an article in JAMA in 2009 stated that Ginkgo biloba extract at the same dosage does not have a preventive effect on memory in community-dwelling elderly individuals who are "not yet demented."
From my clinical experience, aside from the potential for Ginkgo biloba to interact with "aspirin" or other herbal medicines, leading to a risk of bleeding (such as subcutaneous bruising), the side effects of this medication are generally minimal.
However, it is essential to discuss its use with a physician to determine if it is appropriate given the current health status of the elderly patient and any other medications they may be taking.
Your father is already 84 years old, has hypertension, and has experienced a decline in memory over the past six months.
He should see a specialist in psychiatry or neurology who is experienced in diagnosing and treating dementia for evaluation and appropriate treatment recommendations.

Wishing you all the best,
Dr.
Ouyang Wenzhen
December 10, 2010

Reply Date: 2010/12/09

More Info

Ginkgo Biloba, a herbal supplement derived from the leaves of the Ginkgo tree, has been widely discussed for its potential benefits in improving memory and cognitive function, particularly in older adults. However, the evidence surrounding its efficacy, especially in seniors with hypertension, is mixed and warrants careful consideration.

Research has shown that Ginkgo Biloba may have some neuroprotective effects due to its antioxidant properties and ability to improve blood circulation. Some studies suggest that it could help with cognitive decline and memory enhancement in individuals with dementia or mild cognitive impairment. For instance, a study published in the International Journal of Geriatric Psychiatry in 2010 indicated that a daily dosage of 240 mg of Ginkgo Biloba extract had statistically significant effects on behavioral and psychological symptoms in dementia patients. However, other studies, including one published in JAMA in 2009, found no significant benefits in preventing memory decline in community-dwelling older adults who were not yet diagnosed with dementia.

For your father, who is 84 years old and has been experiencing memory decline, it is essential to approach the use of Ginkgo Biloba with caution. While it may offer some benefits, it is crucial to consider his overall health condition, particularly his hypertension. Ginkgo Biloba has anticoagulant properties, which means it can affect blood clotting. This could pose a risk if he is taking other medications that also influence blood coagulation, such as blood thinners or certain antihypertensive medications. The potential for increased bleeding or bruising should be discussed with his healthcare provider.

Moreover, given your father's age and existing health conditions, it would be prudent to consult with a specialist in geriatric medicine or neurology. They can conduct a thorough assessment of his cognitive function and overall health, and provide tailored recommendations. This may include evaluating other potential causes of memory decline, such as vitamin deficiencies, thyroid issues, or other medical conditions that could be contributing to his symptoms.

In summary, while Ginkgo Biloba may have some potential benefits for memory improvement, its effectiveness is not universally accepted, and its use should be carefully considered in the context of your father's overall health, particularly his hypertension. A healthcare provider can help determine the best course of action, which may include lifestyle modifications, cognitive therapies, or other medications specifically designed to address cognitive decline. Always prioritize a comprehensive approach to health, especially in older adults, to ensure safety and efficacy in treatment options.

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