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Ginkgo Biloba
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Ginkgo biloba is commonly used in the treatment
of early-stage Alzheimer's disease, vascular dementia, peripheral
claudication, and tinnitus of vascular origin. Multiple trials
investigating the efficacy of ginkgo for treating cerebrovascular
disease and dementia have been performed, and systematic reviews
suggest the herb can improve the symptoms of dementia.
 Ginkgo
is generally well tolerated, but it can increase the risk of
bleeding if used in combination with warfarin, antiplatelet agents,
and certain other herbal medications. Clinical issues of safety,
dosing, use in the perioperative period, and pharmacology are
addressed in this review. (Am Fam Physician 2003;68:923-6. Copyright© 2003
American Academy of Family Physicians
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