Ginkgo Biloba
Specifically for Raynaud’s Disease
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Why it works for Raynaud’s Disease:
Raynaud’s attacks are caused by excessive vasospasm and impaired microcirculation in the digits. Standardized Ginkgo leaf extracts contain flavonoids and terpene trilactones (notably the ginkgolides and bilobalide) that may counter these processes via several mechanisms:
- Endothelial nitric oxide (NO) support / vasodilation. EGb 761® increased endothelial NO synthase (eNOS) activity and NO production in vitro and in vivo, mechanisms that can improve vasodilation and microvascular flow. SpringerLink
- Anti-platelet-activating factor (PAF) activity. Ginkgolides are potent PAF-receptor antagonists, reducing platelet aggregation and microvascular plugging that can worsen digital ischemia. MDPI
- Antioxidant / endothelial protective effects. Reviews summarize Ginkgo’s flavonoids and terpene trilactones as free-radical scavengers and membrane stabilizers with vascular protective actions that could blunt cold-induced vasospasm. Oxford Academic
How to use for Raynaud’s Disease:
Standardized extract & dose used in trials
- Seredrin® (Ginkgo phytosome): 120 mg three times daily (total 360 mg/day) for 10 weeks in primary Raynaud’s. This small RCT found a reduction in attack frequency vs placebo (details below). University of St Andrews Research Portal
- EGb 761® (standardized 24% flavone glycosides / 6% terpene lactones): 120 mg twice daily (total 240 mg/day) for 10 weeks showed no significant benefit vs placebo in another RCT (details below). Lippincott Journals
Practical instructions (evidence-aligned)
- Choose a standardized product (e.g., EGb 761® or a clearly standardized equivalent) from a reputable maker; avoid non-standardized powders. See NCCIH consumer fact sheet for general quality guidance. NCCIH
- Trial length: reassess after 10 weeks, since that’s the window used in both RCTs. Continue only if you see a meaningful reduction in attacks and no safety issues. University of St Andrews Research Portal
- Timing: take in divided doses with food (mirrors trial schedules and common product advice). General dose ranges for other indications are typically 120–240 mg/day; Raynaud’s trials used 240–360 mg/day (see above). Lippincott Journals
- Don’t use it alone for severe disease (e.g., digital ulcers) and don’t delay guideline-supported therapies. NICE CKS outlines mainstream options (e.g., nifedipine) and referral triggers. NICE
Scientific Evidence for Raynaud’s Disease:
Positive pilot trial (Seredrin® phytosome, 2002)
- Design: randomized, double-blind, placebo-controlled; primary Raynaud’s; 10-week treatment after a 2-week run-in.
- Dose: 120 mg TID (360 mg/day).
- Outcome: significant reduction in number of attacks vs placebo (≈56% vs 27% from baseline; p ≤ 0.00001); no significant changes in hemorheology.
- Citation: Vascular Medicine (Muir et al., 2002). University of St Andrews Research Portal
Neutral trial (EGb 761®, 2011/2012 publication)
- Design: randomized, double-blind, placebo-controlled; primary Raynaud’s; 10 weeks after run-in; n = 41.
- Dose: 120 mg BID (240 mg/day).
- Outcome: no significant effect on frequency or duration of vasospastic attacks vs placebo.
- Citation: J Cardiovasc Pharmacol. 2012. Lippincott Journals
Specific Warnings for Raynaud’s Disease:
Bleeding risk / drug interactions. Ginkgo has antiplatelet effects; avoid or use only with medical supervision if you take anticoagulants/antiplatelets (e.g., warfarin, aspirin, clopidogrel, NSAIDs) or have a bleeding disorder. Large interaction checkers list extensive potential interactions. NCCIH
Surgery / dental procedures. Many peri-operative guides advise stopping herbal supplements including Ginkgo before surgery to reduce bleeding risk; a common hospital instruction is to stop ~2 weeks pre-op (confirm timing with your surgical team). Royal Berkshire NHS Foundation Trust
Seizure risk with seeds (ginkgotoxin). Do not consume ginkgo seeds; they contain ginkgotoxin (4′-O-methylpyridoxine) which can provoke seizures, especially in children. Leaf extracts have far less but caution is warranted in people with seizure disorders. FEHD
Quality concerns. Regulators (e.g., Australia’s TGA) have highlighted quality variability among Ginkgo products; prefer standardized, reputable, tested products. Therapeutic Goods Administration (TGA)
General side effects. Headache, GI upset, dizziness, skin reactions; rare case reports of serious bleeding exist. See NCCIH consumer guidance. 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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