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Ginkgo and Aspirin: Why Bleeding Risk Gets a Warning
Ginkgo and aspirin can each thin the blood, and FDA says taking them together may raise the chance of internal bleeding or stroke. If you take aspirin, warfarin or any blood thinner, ask your pharmacist before you add a ginkgo capsule.
Written by the MemoPryl label deskUpdated · 4 min read
Why do ginkgo and aspirin get a bleeding warning?
Both can thin the blood, so together the effect may add up. FDA lists ginkgo biloba, warfarin, aspirin and vitamin E as products that can each do this (FDA, Mixing Meds and Supplements).
The agency says taking them together may increase the risk of internal bleeding or stroke. That is a "may", not a certainty. It is still a strong enough signal that pharmacists ask about it.
NCCIH adds that ginkgo may raise bleeding risk in people on anticoagulants such as warfarin (NCCIH, Ginkgo). MSK lists case reports of spontaneous bleeding, including hematomas and bleeding in the brain (MSK, Ginkgo).
If you take aspirin or a blood thinner on a doctor's advice, keep taking it, and ask your doctor or pharmacist before you start ginkgo.
Who should ask first?
Anyone who takes aspirin, warfarin or another blood thinner, anyone with a bleeding problem, and anyone with surgery coming up.
Low-dose aspirin is common, and many people forget to list it. Pharmacists need that detail. Say "aspirin" out loud, even if you buy it over the counter.
| Product | Effect |
|---|---|
| Ginkgo biloba | Can thin the blood |
| Aspirin | Can thin the blood |
| Warfarin | Can thin the blood |
| Vitamin E | Can thin the blood |
What about surgery or a dental procedure?
Tell your surgeon about every supplement, ginkgo included, well before the date.
FDA notes that a health care professional may ask you to stop supplements two to three weeks before a procedure, to avoid changes in heart rate, blood pressure or bleeding risk (FDA, Mixing Meds and Supplements). MSK separately lists ginkgo among herbs linked to bleeding reports (MSK, Ginkgo).
Your care team decides the timing. Do not guess the date yourself, and do not stop a prescribed medicine to make room for it.
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See packsDoes this apply to MemoPryl?
It applies if your bottle lists ginkgo. Ginkgo biloba leaf is one of six names linked to MemoPryl through a sibling pack, and it is unconfirmed for your bottle.
The images we hold print no warnings text and no amounts. So the safest step is to read your own panel and call the pharmacist with it. More detail sits on the pharmacist questions page and the side effects page.
Keep taking any prescribed medicine, and ask your doctor or pharmacist before you start a new supplement.
Thinking about MemoPryl?Check your medicines with a pharmacist first. Prices and the 60-day window are confirmed at checkout.
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FAQ01
MemoPryl questions people ask
Can I take ginkgo with a baby aspirin?
Ask your pharmacist first. FDA lists ginkgo and aspirin among products that can each thin the blood, and taking them together may raise bleeding risk. Do not stop your aspirin on your own.
When should ginkgo stop ahead of an operation?
FDA says a health care professional may ask you to stop supplements two to three weeks before a procedure. Your surgeon sets the actual timing, so tell them about ginkgo early.
What are signs of bleeding from ginkgo?
The FDA reporting page lists serious reactions such as bleeding, jaundice and stroke-like symptoms. Stop the product, seek medical help for serious signs, and report it through FDA's safety portal.
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Pages built from the bottle images, the seller's product notes and linked NIH, FDA, FTC and peer-reviewed sources.
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