PUNCTO GINKGO MAX STRENGTH TABLETS
Active substance(s): GINKGO BILOBA LEAF DRY EXTRACT
Puncto Ginkgo Max Strength Tablets
Ginkgo biloba leaf extract 120mg
Read all of this leaflet carefully because it contains important information
This medicine is available without a prescription. However, you still need to take Puncto
Ginkgo Max Strength carefully to get the best results from it.
Keep this leaflet. You may need to read it again.
Ask your doctor, qualified healthcare practitioner or pharmacist if you need more
information or advice.
You must contact a doctor or qualified healthcare practitioner if your symptoms
worsen or do not improve within 4 weeks.
If any of the side effects become serious, or you notice any side effects not listed in
this leaflet, please tell your doctor or pharmacist.
In this leaflet:
1. What Puncto Ginkgo Max Strength is and what it is used for
2. Before you take Puncto Ginkgo Max Strength
3. How to take Puncto Ginkgo Max Strength
4. Possible side effects
5. How to store Puncto Ginkgo Max Strength
6. Further information
1. What Puncto Ginkgo Max
Strength is and what it is used for
This product is a traditional herbal medicinal
product containing Ginkgo biloba leaf
extract. Puncto Ginkgo Max Strength tablets
are used to relieve the symptoms of tinnitus
(ringing in the ears) and Raynaud's
syndrome, based on traditional use only.
Raynaud’s syndrome can cause symptoms
such as cold hands and feet, or pain,
tingling, numbness and your skin turning
white in the fingers or toes. These symptoms
are caused by interruptions in the blood
supply to these areas.
2. Before you take Puncto Ginkgo
Do not take Puncto Ginkgo Max
If you are allergic (hypersensitive) to
Ginkgo products or any of the ingredients
in your medicine (see section 6: Further
If you are under 18 years of age
Take special care with Puncto Ginkgo
If your symptoms worsen or persist after
taking this product for 4 weeks, you should
consult your doctor or a qualified
Tell your doctor before taking this
You have been told by your doctor that
you have a bleeding disorder. This means
you may bleed for longer than is normal.
You are due to have an operation in the
next 14 days.
You are taking a medicine called a
proton-pump inhibitor (PPI), an
anticoagulant, non-steroidal antiinflammatory drug, phenytoin or valproic
acid (see Taking other medicines).
you have been told by your doctor that
you have an intolerance to some sugars
because this medicine contains lactose
monohydrate and dehydrated glucose
Taking other medicines
Please tell your doctor or pharmacist if you
are taking, or have recently taken any other
medicines. This includes any medicines
which you have bought without a
prescription. This is because Ginkgo may
affect the way some medicines work.
Do not take this medicine before talking to
your doctor if:
You are taking a proton-pump inhibitor
(e.g. omeprazole, pantoprazole)
You are taking an anticoagulant (e.g.
You are taking a non-steroidal antiinflammatory drug (e.g. aspirin, ibuprofen,
You are taking phenytoin or valproic acid.
Pregnancy and breast-feeding
Do not take this medicine if you are
pregnant or breast-feeding.
Driving and using machines
There are no known effects on the ability to
drive and use machines. However if you
are affected, do not drive or use machines.
3. How to take Puncto Ginkgo Max
Always use Puncto Ginkgo Max Strength
exactly as your doctor has told you. You
Please turn over!
should check with your doctor or qualified
healthcare practitioner if you are not sure.
How much Puncto Ginkgo Max Strength
Remember to always take this medicine
with a glass of water. The tablets should be
swallowed whole and not chewed.
Adults, and the elderly
For oral use only. Take one tablet twice
daily. Do not exceed the stated dose.
If you take more Puncto Ginkgo Max
Strength than you should
If you accidentally take too much and feel
ill, consult your doctor, pharmacist or
qualified healthcare practitioner and take
this leaflet with you.
If you forget to take Puncto Ginkgo Max
Never take a double dose to make up for a
missed dose. Take the next dose at the
usual time. It does not matter if you have
missed a dose.
If you have any further questions about
taking this medicine, please ask your doctor,
qualified healthcare practitioner or
4. Possible side effects
Like all medicines, Puncto Ginkgo Max
Strength can cause side effects, although
not everybody gets them.
The frequency of the following is not
If you get the following effects, seek
medical help immediately:
Severe blistering of the skin and mucous
These effects have occurred after the use
of Ginkgo extracts. However it is not known
if they were caused by Ginkgo.
Stop taking the medicine and see your
doctor if you experience allergic reactions
such as skin rash, itching (pruritis) or you
have trouble breathing.
Other possible side effects include
headache, feeling sick (nausea) and
digestive upsets such as sickness or
diarrhoea. These effects should not last
long. If they persist or become
troublesome, consult your doctor or
If any of the side effects become serious, or
you notice any side effects not listed in this
leaflet, tell your doctor or pharmacist.
5. How to store Puncto Ginkgo Max
Keep out of the reach and the sight of
Do not use the tablets after the expiry date
on the carton and the blister strip. The expiry
date is the last day of that month.
Do not store above 30°C. Store in the
Medicines should not be thrown away in
waste water or in household waste. Please
ask your pharmacist how to throw away
any medicine you do not need anymore. If
you do this you will help protect the
6. Further Information
What Puncto Ginkgo Max Strength
The active ingredient in each tablet is:
120 mg of extract (as dry extract) from
Ginkgo biloba L. leaf (35-67:1). Extraction
solvent: Acetone 60% v/v.
The other ingredients are:
Extract excipient: dehydrated glucose
syrup. Tablet core: lactose monohydrate,
cellulose (microcrystalline), maize starch,
sodium starch glycolate, silica (colloidal
anhydrous), magnesium stearate. Tablet
coat: hypromellose, polysorbate 80, talc,
iron oxide yellow (E172) and titanium
dioxide (E171). Each tablet contains 360
mg of lactose monohydrate and 6 mg
dehydrated glucose syrup.
What Puncto Ginkgo Max Strength looks
like and contents of the pack
Puncto Ginkgo Max Strength is an oblong,
convex, yellow coated tablet.
Puncto Ginkgo Max Strength comes in
blister packs of 30, 60, 120 or 200 tablets.
Not all pack sizes may be marketed.
Traditional Herbal Registration Holder
Traditional Herbal Registration Holder:
Grünwalder Gesundheitsprodukte GmbH
Ruhlandstr. 5, 83646 Bad Tölz, Germany
Manufacturer: mibe GmbH Arzneimittel
Münchener Straße 15, 06796 Brehna,
You can help to make medicines safer by
reporting any side effects to the YellowCard
Scheme at www.mhra.gov.uk/yellowcard.
Alternatively you can get a paper
YellowCard form from your surgery or
pharmacy, or call freephone 0808 100 3352
(available 10am-2pm Monday-Friday).
For a large print, Braille or audio
version of this leaflet please
contact: PlantaPhile Ltd., 18
Hyde Gardens, Eastbourne,
East Sussex, BN21 4PT, UK.
Last revised in July 2015.
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.