(Ginkgo biloba) - ORAL

PRECAUTIONS: Before taking this product, tell your doctor or pharmacist if you are allergic to it; or if you have
any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems.
Talk to your pharmacist for more details.
• If you have any of the following health problems, consult your doctor or pharmacist before using this
product: bleeding problems, diabetes, seizures.
• Ginkgo may decrease the ability of blood to clot. Before having surgery, tell your doctor or dentist
that you are taking this product. Stop taking this product at least 2 weeks before your surgery unless
otherwise directed by your doctor. Ask your doctor when it is safe to start using this product after your
surgery or procedure.
• Liquid forms of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes,
alcohol dependence, or liver disease. Ask your doctor or pharmacist about using this product safely.
• Ginkgo is not recommended for use during pregnancy. Consult your doctor before using this product.
• It is unknown if this product passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Before using this product, tell your doctor or pharmacist of all prescription and nonprescription/herbal
products you may use, especially of: anti-seizure medications (e.g., carbamazepine, gabapentin, phenytoin),
nonsteroidal anti-inflammatory drugs-NSAIDs (e.g., ibuprofen, naproxen, piroxicam), omeprazole, trazodone, medications/herbal
products that may increase your risk of bleeding (e.g., ”blood thinners” such as warfarin and heparin,
anti-platelet drugs such as clopidogrel and ticlopidine, herbs such as danshen/garlic/ginger).
• Aspirin may also increase the risk of bleeding when used with this product. If your doctor has prescribed
low doses of aspirin to prevent heart attack or stroke (usually at dosages of 81-325 milligrams a day),
you should continue to take the aspirin. Consult your doctor or pharmacist for more details.
• Also report the use of drugs that might increase seizure risk when combined with this product such
as isoniazid (INH), phenothiazines (e.g., thioridazine), theophylline, or tricyclic antidepressants (e.g.,
amitriptyline), among others. Consult your doctor or pharmacist for details.
• Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist
first.
• This document does not contain all possible interactions. Therefore, before using this product, tell your
doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share
the list with your doctor and pharmacist.
NOTES: Keep all regular medical and laboratory test appointments.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US
residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison
control center. Symptoms of overdose may include: difficulty breathing, seizures, loss of consciousness.
2