FPGEE Foreign Pharmacy

Category - Clinical

A patient comes into the pharmacy and asks what you think about taking ginkgo biloba. She is on a number of medications including warfarin and an ACE inhibitor. What would be a reasonable statement for her?
  1. Never take any herbs or supplements.
  2. Ginkgo has been shown to interact with both anticoagulants and antihypertensives. Caution is recommended and she should speak to her proscribing physician.
  3. This is not an issue. She can take ginkgo along with her medications without any concerns for interactions.
  4. None of the above.
Explanation
Answer: B - Ginkgo has reported interactions with hypoglycemics, antihypertensives and with anticoagulants. She should speak to her physician and be aware of possible interactions.
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