Ginkgo Biloba
Specifically for Glaucoma
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Why it works for Glaucoma:
Neuroprotection & mitochondrial support. Standardized Ginkgo biloba extract (often EGb 761) contains flavonoids/terpenoids that scavenge free radicals, modulate platelet-activating factor, and may stabilize mitochondrial membranes—mechanisms proposed to protect retinal ganglion cells (RGCs). Recent review work also discusses restoration of respiratory chain function and ATP production in neural tissue. Modern Optometry
Vascular/ocular blood-flow effects. Ginkgo can improve microcirculation and vasoregulation; in glaucoma this could enhance perfusion of the optic nerve head (a leading theory in NTG). Clinical and mechanistic reviews in ophthalmology summarize these effects. Modern Optometry
How to use for Glaucoma:
There’s no official glaucoma dosing guideline. Trials have typically used standardized extracts (24% flavone glycosides / 6% terpene lactones; EGb 761 or equivalent) with divided daily dosing:
- 40 mg three times daily (120 mg/day) for 4 weeks in a randomized, placebo-controlled crossover trial in NTG. IOVS
- 80 mg twice daily (160 mg/day) in longer-term NTG studies evaluating visual-field progression. aoa.org
If you and your ophthalmologist decide to try it as an adjunct:
- Choose a standardized extract (e.g., EGb 761). Take with food to reduce GI upset; start at 120–160 mg/day in divided doses (mirrors trial regimens). Reassess after 4–8 weeks for tolerability and any subjective/functional changes; formal visual field testing requires your clinician. new-glaucoma-treatments.com
- Do not stop prescribed glaucoma therapy. Ginkgo is, at best, an add-on. aao.org
- Quality matters: supplements aren’t FDA-approved like drugs; pick products with third-party testing. (General safety/regulatory background.) NCCIH
Scientific Evidence for Glaucoma:
Quaranta et al., Ophthalmology (2003) – 27 NTG patients; randomized, double-masked, placebo-controlled crossover; 40 mg TID (120 mg/day) for 4 weeks improved some visual-field indices vs placebo, without IOP changes. Short duration; small sample. ScienceDirect
Guo et al., IOVS (2014) – NTG; randomized, placebo-controlled crossover; 40 mg TID for 4 weeks; reported improvements in contrast sensitivity/visual field measures; again, no IOP reduction. IOVS
Longer-term progression data (Journal of Glaucoma) – Observational/prospective NTG cohorts using 80 mg BID (160 mg/day) reported slower visual-field deterioration; useful but not definitive (non-randomized or small). aoa.org
Systematic review (PLOS ONE, 2025) – Pooled clinical data on ginkgo in glaucoma found signals of benefit on visual-field parameters but emphasized limited study quality, short follow-up, and heterogeneity; called for larger, longer RCTs. PLOS
Specific Warnings for Glaucoma:
Bleeding risk. Ginkgo can increase bleeding—especially with warfarin, DOACs, aspirin, clopidogrel, or upcoming surgery/dental procedures. Many clinicians advise stopping at least 1–2 weeks pre-op. Consult your doctor if you’re on any blood thinners. NCCIH
Seizure risk / seeds are toxic. Raw or roasted ginkgo seeds contain ginkgotoxin and have caused seizures; avoid. Leaf extract may still lower seizure threshold in susceptible people. NCCIH
Pregnancy & breastfeeding. Avoid—possible bleeding risk and insufficient safety data. NCCIH
Drug interactions beyond anticoagulants. Possible interactions via CYP450 enzymes (e.g., CYP2C19, CYP2C9, CYP3A4 substrates), antiseizure meds, some PPIs, and nifedipine have been reported—review all meds with your clinician/pharmacist. WebMD
Common side effects. Headache, GI upset, dizziness, allergic skin reactions; stop and seek care for unusual bruising, bleeding, or neurologic symptoms. NCCIH
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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