Capsule E-GB-60

Generic name : Ginkgo Biloba (60mg)

Highlight : Effective on Neuropathy

Type of Product : Capsule
Preparation : 3 x 10s (Alu-Alu blester pac)

DAR no. : AY-91-A-64
Mfg Lic.no.:
AY-073


The main ingredients of Capsule E-GB-60 is Ginkgo biloba. Ginkgo biloba is a popular supplement and one of the top-selling herbal medicines worldwide. Ginkgo biloba extract is collected from the dried green leaves of the plant.

Capsule E-GB-60 is generally accepted as a remedy for minor deficits in brain function, such as those that occur with advancing age. It is used to improve concentration and combat short-term memory loss due to clogged arteries in the brain, and to treat dizziness, ringing in the ears, headache, and emotional hypersensitivity accompanied by anxiety.

Composition :

Each Capsule contains-
  • Capsule E-GB-60 contains Ginkgo biloba 60 mg standardized extract.
  • Indications

    Primary uses Cerebral insufficiency: memory deficit, depression, attention and memory loss that occur with Alzheimer's disease and multi-infarct dementia. Vertigo and tinnitus (ringing in the ear) of vascular and involutional origin Peripheral vascular disease: improvement of pain-free walking distance in Peripheral Arterial Occlusive Disease in Stage II according to Fontaine (intermittent claudication) in a regimen of physical therapeutic measures, in particular walking exercise.

    Summary : Useful for Cerebral insufficiency, Loss of early attention and memory deficit, Loss of hearing, Deafness, Loss of Vision & Dizziness. [মস্তিষ্ক ও প্রান্তীয় রক্তনালীর সমস্যা যেমন- মস্তিষ্ক শোধ, অকাল বুদ্ধি হ্রাস ও বুদ্ধি ভ্রংশ, কর্ণগহবরের দুর্বলতা যেমন- শ্রবণশক্তির দুর্বলতা, বধিরতা, দৃষ্টিশক্তির দুর্বলতা, মাথাঘোরা প্রশমনে অধিক কার্যকরী।]

    Dosage & administration

  • In General Use : 60mg (1 Capsule) 1-2 times daily or as advised by the registered physician.
  • For anxiety : 60 - 180mg (1-3 Capsules) of E-GB-60 has been taken three times daily for 4 weeks.
  • For dementia : : 60 - 480mg (1-8 Capsules) per day of E-GB-60 divided in two - three doses has been taken for up to one year. The most commonly studied dose is 120mg - 240mg (2 - 4 Capsules) per day with 240mg per day possibly being more effective.
  • For retinal damage caused by diabetes : : 120mg (2 Capsules) of a E-GB-60 has been taken daily for 6 months.
  • For walking leg pain related to poor circulation (claudication, peripheral vascular disease) : 120 - 240mg (2 - 4 Capsules) per day of E-GB-60 divided into two - three doses, has been used for up to 6 years. The higher dose may be more effective.
  • For dizziness (vertigo) : 180mg (3 Capsules) of a E-GB-60 has been taken once daily or in two divided doses daily for 3 months.
  • For premenstrual syndrome (PMS) : 60mg (1 Capsule) of E-GB-60 has been taken twice daily, starting on the sixteenth day of the menstrual cycle until the fifth day of the next cycle.
  • For vision loss related to glaucoma : 120 - 180mg (2 - 3 Capsules) of E-GB-60 has been taken in two or three divided doses per day for up to 12 years.
  • For schizophrenia : 120 - 360mg (2 - 6 Capsules) of E-GB-60 has been used daily for 8 - 16 weeks.
  • For the movement disorder called tardive dyskinesia : 60mg (1 Capsule) of E-GB-60 three times daily for 12 weeks, has been used.

    Side effects

    Ginkgo biloba LEAF EXTRACT is LIKELY SAFE for most people when taken by mouth in appropriate doses. It can cause some minor side effects such as stomach upset, headache, dizziness, constipation, forceful heartbeat, and allergic skin reactions.

    Contraindications

    Hypersensitivity to Rubia Cordifolia Manjistha is a contraindication. In addition, Rubia Cordifolia Manjistha should not be used if you have the following conditions:

  • Kidney or liver diseases
  • Pregnancy
  • Drug interactions :

    Ginkgo biloba can slow blood clotting. Ibuprofen can also slow blood clotting. Taking Ginkgo biloba with ibuprofen can slow blood clotting too much and increase the chance of bruising and bleeding.

    Pregnancy & lactation

    Ginkgo biloba is POSSIBLY UNSAFE when taken by mouth during pregnancy. It might cause early labor or extra bleeding during delivery if used near that time. Not enough is known about the safety of using ginkgo during breast-feeding. Do not use ginkgo if you are pregnant or breast-feeding.

    Specification

  • Generic Name : GINKGO BILOBA.
  • Stength per capsule : 60mg.
  • Source : Bangladesh National Ayurvedic Formulary (BNAF).

  • Type of Medicine : Ayurvedic Medicine as Capsule.
  • Presentation : 3 x 10s capsules in Alu-Alu blester pac.
  • Precaution : Keep in a cool dry place, away from sunlight and keep away from the reach of children.

  • Others information

  • D.A.R. No. : AYU-91-A-64
  • Manufacturing Licence no. : Ayu-073
  • Manufactured by : Ergon Pharmaceuticals (Ayu)
  • Manufacturing Experience : Since 1984

  • Overview of Ginkgo biloba

    Ginkgo is a large tree with fan-shaped leaves. Although Ginkgo is a native plant to China, Japan, and Korea, it has been grown in Europe since around 1730 and in the United States since around 1784. The ginkgo tree is thought to be one of the oldest living trees, dating back to more than 200 million years.

    Ginkgo leaf is often taken by mouth for memory disorders including Alzheimer's disease. It is also used for conditions that seem to be due to reduced blood flow in the brain, especially in older people. These conditions include memory loss, dizziness, difficulty concentrating, and mood disturbances. Some people use it for leg pain when walking related to poor blood flow (claudication).

    The list of other uses of ginkgo is very long. This may be because this herb has been around for so long. Ginkgo biloba is one of the longest living tree species in the world. Ginkgo trees can live as long as a thousand years. Using ginkgo for asthma and bronchitis was described in 2600 BCE.

    Pharmacology

    Effect of administration of the standardized extract of Ginkgo biloba leaves on learning, memory and exploratory behavior was estimated in water maze and hole-board tests. Rats (18-month old) received for three months at doses: 50, 100 and 150 mg/kg b.w. per day. After completion of the behavioral experiment, concentrations of neurotransmitters were estimated in selected brain regions. ANOVA demonstrated significant differences in the content of monoamines and metabolites between the treatment groups compared to the control. The increased level of 5-hydroxytryptamine (5-HT) in the hippocampus and 5-HIAA (5-HT metabolite) in the prefrontal cortex correlated positively with the retention of spatial memory. Positive correlation between platform crossings in SE during the probe trial and neurotransmitter turnover suggest improvement of spatial memory. Long-term administration of Ginkgo biloba extract can improve spatial memory and motivation with significant changes in the content and metabolism of monoamines in several brain regions.

    Reference : Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Warsaw, Poland.



    Functions

    a) MEMORY ENHANCEMENT, DEMENTIA AND ALZHEIMER'S-

    According to the University of Maryland Medical Center (UMM), "Gingko is widely used in Europe for treating dementia." Doctors started to use it because they thought it improved blood flow to the brain, but more recent studies indicate that it may protect nerve cells from damage in Alzheimer's.

    There is some evidence indicating that ginkgo can help people with dementia, although more studies are required to confirm this.

    b) IMPROVE EYE HEALTH-
    The therapeutic properties of the ginkgo biloba plant are said to include treatment for blood disorders and memory problems, enhancement of cardiovascular function and to improve eye health.
    c) PROVIDE PROTECTION FROM FREE REDICALS-
    Gingko biloba contains high levels of flavonoids and terpenoids, antioxidants that provide protection against oxidative cell damage from harmful free radicals. In this way, antioxidants are believed to help reduce the risk of cancer.
    d) ANXIETY-
    Ginkgo may help alleviate the symptoms of anxiety. A study published in the Journal of Psychiatric Research7, found that people with generalized anxiety disorder who took ginkgo experienced better anxiety relief than those who took a placebo. However, people who take Xanax for anxiety should not use ginkgo, because ginkgo may reduce the drug's effectiveness.
    e) Risks of Gingko Biloba-
  • As with any medication, care is needed to prevent interactions with other drugs and other risks. Even ibuprofen combined with Gingko can increase the risk of internal bleeding.
  • Patients with blood circulation disorders or individuals on anticoagulants, such as aspirin, are at risk of experiencing undesirable effects after taking ginkgo.
  • Those taking selective serotonin reuptake inhibitors (SSRI) as antidepressants should not take ginkgo as it inhibits monoamine oxidase, reducing the effectiveness of the medications.
  • Combining the two may also increase the risk of a potentially fatal condition known as serotonin syndrome. Examples of SSRIs are Prozac, or fluoxetine, and sertraline, also known as Zoloft.
  • Gingko can also exaggerate both the good and bad effects of another type of antidepressant, known as monoamine oxidase inhibitors (MAOIs).
  • Ginkgo leaves contain long-chain alkylphenols, which are highly allergenic. People who are allergic to poison ivy and other plants with alkylphenols should completely avoid taking ginkgo. The University of Maryland Medical Center (UMM) warns that people should not eat the ginkgo fruit or seed.

  • Special Precautions & Warnings

    Pregnancy and breast-feeding :

    Ginkgo is POSSIBLY UNSAFE when taken by mouth during pregnancy. It might cause early labor or extra bleeding during delivery if used near that time. Not enough is known about the safety of using ginkgo during breast-feeding. Do not use ginkgo if you are pregnant or breast-feeding.

    Infants and children :

    Ginkgo leaf extract is POSSIBLY SAFE when taken by mouth for a short time. Some research suggests that a specific combination of ginkgo leaf extract plus American ginseng might be safe in children when used short-term. Do not let children eat the ginkgo seed. It is LIKELY UNSAFE. The fresh seeds have caused seizures and death in children.

    Bleeding disorders :

    Ginkgo might make bleeding disorders worse. If you have a bleeding disorder, don't use ginkgo.

    Diabetes :

    Ginkgo might interfere with the management of diabetes. If you have diabetes, monitor your blood sugar closely.

    Seizures :

    There is a concern that ginkgo might cause seizures. If you have ever had a seizure, don't use ginkgo.

    Deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD) :

    Ginkgo might cause severe anemia in people have G6PD enzyme deficiency. Until more is known, use cautiously or avoid using ginkgo if you have G6PD deficiency.

    Infertility :

    Ginkgo use might interfere with getting pregnant. Discuss your use of ginkgo with your healthcare provider if you are trying to get pregnant.

    Surgery :

    Ginkgo might slow blood clotting. It might cause extra bleeding during and after surgery. Stop using ginkgo at least 2 weeks before a scheduled surgery.


    REFERENCE-

    1) https://www.webmd.com/vitamins/ai/ingredientmono-333/ginkgo
    2) https://www.medicalnewstoday.com/articles/263105.php