Ginkgo Biloba
Specifically for Cataracts
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Why it works for Cataracts:
Antioxidant & anti-fibrotic actions. Standardized ginkgo extracts (e.g., EGb 761 or LI 1370) contain flavone glycosides and terpene lactones that can reduce oxidative stress and may down-regulate profibrotic signaling (e.g., TGF-β), mechanisms implicated in lens clouding and in PCO formation after surgery. Lippincott Journals
Animal data (not humans) for cataract formation. In rats, oral ginkgo reduced radiation-induced lens opacities and markers of oxidative stress; similar protective effects were reported in diabetic-cataract rat models. These mechanistic/animal findings suggest plausibility but don’t establish clinical benefit in people. SpringerLink
Ophthalmology reviews note these antioxidant mechanisms and animal findings but emphasize the limited human evidence for cataract prevention/treatment. ScienceDirect
How to use for Cataracts:
There are no established medical guidelines for using ginkgo to treat or prevent cataracts. The only controlled clinical regimen related to cataract care is for PCO prevention after surgery:
- Post-cataract-surgery PCO study: 200 mg/day of a standardized Ginkgo biloba extract (LI 1370; ~25% flavone glycosides, ~6% terpenoids) taken orally for 6 months starting the day after surgery, alongside standard postop eye drops. Follow-up continued for 3 years. Lippincott Journals
Scientific Evidence for Cataracts:
Randomized clinical trial (PCO prevention, 2025): 144 adults after cataract surgery were randomized to ginkgo 200 mg/day vs placebo for 6 months. At 3 years, the ginkgo group had fewer Nd:YAG laser capsulotomies (6.1% vs 20.4%; p=0.004) and better maintained visual acuity; authors concluded ginkgo “may provide some marginal prevention” of PCO. (Oman Journal of Ophthalmology, open access). Lippincott Journals
Evidence for treating or preventing age-related cataract itself (before surgery): none in humans. Major authoritative summaries (e.g., NCCIH; AAO cataract guidance) do not recommend ginkgo for cataract prevention or treatment; antioxidant supplements generally haven’t shown clear benefit for cataract in trials. NCCIH
Animal studies: Protective effects against radiation-induced and diabetic cataracts in rats (mechanistic support only). SpringerLink
Specific Warnings for Cataracts:
Bleeding risk / surgery:
- Ginkgo can increase bleeding risk, especially with warfarin, heparin, antiplatelets (e.g., aspirin, clopidogrel), NSAIDs, and some herbals. Ophthalmology guidance highlights peri-operative bleeding concerns; many sources advise stopping ginkgo ~2 weeks before surgery (cataract surgery included). AAO
Seizure risk & seeds:
- Do not ingest raw or roasted ginkgo seeds (ginkgotoxin) — risk of seizures and neurotoxicity. Leaf extracts can also lower seizure threshold in susceptible people. Mayo Clinic
Pregnancy/breastfeeding & bleeding disorders:
- Avoid during pregnancy (possible bleeding risk) and breastfeeding (insufficient safety data). Avoid if you have a bleeding disorder. Mayo Clinic
Drug interactions (examples):
- Anticoagulants/antiplatelets, certain antiseizure drugs, and multiple CYP-metabolized medicines may interact—review your full medication list with a clinician or pharmacist. Mayo Clinic
Adverse effects:
- Possible GI upset, headache, dizziness, palpitations, skin reactions; rare ocular bleeding (case reports of spontaneous hyphema) have been described. Mayo Clinic
General Information (All Ailments)
What It Is
Ginkgo biloba is an herbal supplement derived from the leaves of the Ginkgo biloba tree, one of the oldest living tree species in the world. Native to China, it has been used in traditional medicine for thousands of years. Today, it is available in various forms such as capsules, tablets, extracts, and teas. The active components of ginkgo include flavonoids and terpenoids, which are known for their potent antioxidant and anti-inflammatory properties.
How It Works
Ginkgo biloba is believed to work primarily through three mechanisms:
- Improved Blood Flow: Ginkgo enhances circulation by dilating blood vessels and reducing blood viscosity, which can increase oxygen and nutrient delivery to tissues—especially in the brain, eyes, and extremities.
- Antioxidant Action: The flavonoids in ginkgo combat oxidative stress by neutralizing free radicals, which may help protect cells and slow age-related decline.
- Neuroprotective Effects: It may improve neuronal function and communication by influencing neurotransmitters such as dopamine and serotonin. Some studies suggest it can support cognitive function and memory, particularly in older adults or those with mild cognitive impairment.
Why It’s Important
Ginkgo biloba is valued for its potential benefits in several health areas:
- Cognitive Health: It is widely studied for supporting memory, focus, and mental clarity, with potential benefits for individuals experiencing cognitive decline or dementia.
- Circulatory Support: By improving blood flow, it may aid in conditions like peripheral artery disease or tinnitus (ringing in the ears) that are related to poor circulation.
- Antioxidant Protection: Its antioxidant capacity can help combat cellular damage associated with aging and environmental stressors.
- Mood and Anxiety Relief: Some evidence indicates that ginkgo may have mild anxiolytic (anti-anxiety) effects by modulating stress-related hormones and neurotransmitters.
Considerations
While ginkgo biloba is generally considered safe when taken at recommended doses, there are important precautions:
- Interactions: Ginkgo may interact with blood thinners (like warfarin or aspirin), increasing the risk of bleeding. It can also interact with antidepressants and certain diabetes medications.
- Side Effects: Possible side effects include headaches, dizziness, upset stomach, or allergic reactions. Rarely, it may cause heart palpitations or gastrointestinal discomfort.
- Dosage and Quality: Standardized extracts (often 24% flavone glycosides and 6% terpene lactones) are typically recommended for consistency and safety. The quality of supplements can vary widely, so reputable brands should be chosen.
- Special Populations: Pregnant or breastfeeding individuals, and those with seizure disorders or bleeding conditions, should avoid ginkgo unless directed by a healthcare professional.
Helps with these conditions
Ginkgo Biloba is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
PTSD
Ginkgo’s plausibility for PTSD comes from several biological actions that map onto processes believed to underlie PTSD (neuroinflammation, oxidative s...
Fibromyalgia
Antioxidant / anti-inflammatory effects. Standardized ginkgo extracts (e.g., EGb 761) contain flavone glycosides and terpene lactones that can reduce...
Erectile Dysfunction
Vasodilation / blood-flow effects. Standardized Ginkgo leaf extracts (e.g., EGb 761) can influence endothelial function and nitric oxide (NO) pathways...
Alzheimer's
Proposed mechanisms (based largely on pharmacology and preclinical data) include:Antioxidant & anti-inflammatory effects (flavone glycosides; terp...
Parkinson's
Antioxidant & anti-inflammatory effects. Ginkgo flavonoids and terpene lactones scavenge free radicals and dampen neuroinflammation—mechanisms rel...
Macular Degeneration
Researchers have hypothesized that standardized ginkgo leaf extracts (especially EGb 761) could support retinal health via:Antioxidant/neuroprotective...
Cataracts
Antioxidant & anti-fibrotic actions. Standardized ginkgo extracts (e.g., EGb 761 or LI 1370) contain flavone glycosides and terpene lactones that...
Tinnitus
Blood flow & anti-platelet effects. Ginkgo’s terpene lactones (especially the ginkgolides) antagonize the platelet-activating-factor (PAF) recepto...
Poor Circulation
Vasomodulatory & antioxidant actions. Standardized Ginkgo leaf extracts (e.g., EGb 761) contain ~24% flavone glycosides and ~6% terpene lactones....
Brain Fog
Neurovascular & antioxidant actions. Standardized ginkgo leaf extracts contain ~24% flavone glycosides and ~6% terpene lactones (ginkgolides/bilob...
Vertigo
Improved vestibular compensation & neuroplasticity. Animal and human data suggest EGb 761® can speed the brain’s adaptation after vestibular injur...
Atherosclerosis
Antioxidant & anti-inflammatory actions: Standardized leaf extracts (e.g., EGb 761®) contain flavone glycosides and terpene lactones that can scav...
Vitiligo
Targets mechanisms implicated in vitiligo: Oxidative stress and immune dysregulation contribute to melanocyte loss in vitiligo. Standardized Ginkgo ex...
Glaucoma
Neuroprotection & mitochondrial support. Standardized Ginkgo biloba extract (often EGb 761) contains flavonoids/terpenoids that scavenge free radi...
Meniere’s Disease
Proposed mechanisms: standardized Ginkgo extracts (e.g., EGb 761) have antioxidant, microcirculatory and anti-platelet-activating-factor effects that...
Multiple Sclerosis
Anti-inflammatory / antioxidant actions. Standardized extracts (e.g., EGb 761) reduce pro-inflammatory cytokines in preclinical work and have antioxid...
Peripheral Artery Disease
Antiplatelet/hemorheologic effects. Ginkgo’s terpene lactones (especially ginkgolides A/B) antagonize the platelet-activating factor (PAF) receptor an...
Raynaud’s Disease
Raynaud’s attacks are caused by excessive vasospasm and impaired microcirculation in the digits. Standardized Ginkgo leaf extracts contain flavonoids...
Schizophrenia
Ginkgo biloba (usually as a standardized extract such as EGb-761) has been studied as an adjunct (add-on) therapy to antipsychotics in schizophrenia....
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Helps With These Conditions
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