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Package Leaflet: Information for the User

Puncto Ginkgo Tablets
Ginkgo biloba leaf extract 40mg
Read all of this leaflet carefully because it contains important information
for you.
This medicine is available without a prescription. However, you still need to take Puncto
Ginkgo 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 is and what it is used for
2. Before you take Puncto Ginkgo
3. How to take Puncto Ginkgo
4. Possible side effects
5. How to store Puncto Ginkgo
6. Further information

1. What Puncto Ginkgo is and what
it is used for
This product is a traditional herbal medicinal
product containing Ginkgo biloba leaf
extract. Puncto Ginkgo 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
 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
healthcare practitioner.
Tell your doctor before taking this
medicine if:
 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.
warfarin, heparin)
 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
Always use Puncto Ginkgo exactly as your
doctor has told you. You should check with
your doctor or qualified healthcare
practitioner if you are not sure.

Please turn over!

How much Puncto Ginkgo to take
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 1-2 tablets 3 times
each day. Do not exceed the stated dose.
If you take more Puncto Ginkgo 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
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 can cause
side effects, although not everybody gets
The frequency of the following is not
If you get the following effects, seek
medical help immediately:
 Severe blistering of the skin and mucous
membranes (Stevens-Johnson
 Bleeding disorders.
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
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
original package.

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 contains
The active ingredient in each tablet is:
40 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 120
mg of lactose monohydrate and 2 mg
dehydrated glucose syrup.
What Puncto Ginkgo looks like and
contents of the pack
Puncto Ginkgo is an oblong, convex, yellow
coated tablet.
Puncto Ginkgo comes in blister packs of 30,
60, 120 or 200 tablets. Not all pack sizes
may be marketed.
Traditional Herbal Registration Holder
and Manufacturer
Traditional Herbal Registration Holder:
Grünwalder Gesundheitsprodukte GmbH
Ruhlandstr. 5, 83646 Bad Tölz, Germany
Manufacturer: mibe GmbH Arzneimittel
Münchener Straße 15, 06796 Brehna,
THR 18457/0016
Certification Mark
You can help to make medicines safer by
reporting any side effects to the YellowCard
Scheme at
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.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.