NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Donepezil and Ginkgo Biloba: what the published research says

PubMed indexes 8 records that name Donepezil and Ginkgo Biloba together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Donepezil and Ginkgo Biloba. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Donepezil and Ginkgo Biloba.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Similar treatment outcomes with Ginkgo biloba extract EGb 761 and donepezil in Alzheimer's dementia in very old age: A retrospective observational study.

International journal of clinical pharmacology and therapeutics · 2018 · PMID 29319499

Comparative StudyObservational StudyHuman subjects189 participants

“Results suggest similar effects on cognitive symptoms from the use of EGb 761 in the treatment of dementia in AD together with favorable safety compared to donepezil. .”

Rapp et al. · Authors' conclusion

Names both Donepezil and Ginkgo Biloba in its title.

Effects of Ginkgo biloba Extract EGb 761, Donepezil and their Combination on Central Cholinergic Function in Aged Rats.

Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2015 · PMID 26626253

Comparative StudyAnimal study

“We found that donepezil and EGb 761 do not display a pharmacological interaction when given together. Adding EGb 761 did not modify the effects of donepezil on the hippocampal cholinergic system. Reduced choline levels indicate neuroprotective properties of EGb 761. Therefore, the combination of EGb 761 and donepezil may be beneficial in the treatment of Alzheimer's disease (AD). This article is open to POST-PUBLICATION REVIEW.”

Stein et al. · Authors' conclusion

Names both Donepezil and Ginkgo Biloba in its title.

Ginkgo biloba extract EGb 761(R), donepezil or both combined in the treatment of Alzheimer's disease with neuropsychiatric features: a randomised, double-blind, exploratory trial.

Aging & mental health · 2009 · PMID 19347685

Randomized Controlled Trial

“These exploratory findings helped to develop three hypotheses that will have to be proven in further studies: (1) there is no significant difference in the efficiency between EGb 761(R) and donepezil, (2) a combination therapy will be superior to a mono-therapy with one of both substances and (3) there will be less side effects under a combination therapy than under mono-therapy with donepezil.”

Yancheva et al. · Authors' conclusion

Names both Donepezil and Ginkgo Biloba in its title.

Ginkgo biloba and donepezil: a comparison in the treatment of Alzheimer's dementia in a randomized placebo-controlled double-blind study.

European journal of neurology · 2006 · PMID 16930364

Clinical TrialComparative StudyRandomized Controlled Trial

“In addition, this study contributes to establish the efficacy and tolerability of the Ginkgo biloba special extract E.S. in the dementia of the Alzheimer type with special respect to moderately severe stages.”

Mazza et al. · From the abstract

Names both Donepezil and Ginkgo Biloba in its title.

The effects of Ginkgo biloba extracts on the pharmacokinetics and pharmacodynamics of donepezil.

Journal of clinical pharmacology · 2004 · PMID 15102875

Comparative StudyHuman subjects

“Ginkgo supplementation did not alter MMSE scores throughout the study. The present study shows that ginkgo supplementation does not have major impact on the pharmacokinetics and pharmacodynamics of donepezil.”

Yasui-Furukori et al. · From the abstract

Names both Donepezil and Ginkgo Biloba in its title.

Efficacy of Ginkgo biloba as an adjunct to donepezil in amyloid PET-positive Alzheimer's patients.

Frontiers in neurology · 2025 · PMID 40134691

101 participants

“The addition of Ginkgo to donepezil may yield superior cognitive outcomes and a greater decrease in plasma MDS-Oaβ compared with donepezil alone in amyloid PET-positive AD patients. Further large-scale, prospective trials are warranted to validate these findings and elucidate Ginkgo's mechanistic role in AD.”

Yang et al. · Authors' conclusion

Names both Donepezil and Ginkgo Biloba in its title.

Enhanced anti-amnestic effect of donepezil by Ginkgo biloba extract (EGb 761) via further improvement in pro-cholinergic and antioxidative activities.

Journal of ethnopharmacology · 2021 · PMID 33352242

Human subjects

“Co-administration of EGb 761 and donepezil exerted better anti-amnestic effect via further enhanced pro-cholinergic and antioxidative effects of EGb 761 or donepezil in scopolamine-induced cognitive impairment rat without alteration in their systemic/brain exposure.”

Zhao et al. · Authors' conclusion

Names both Donepezil and Ginkgo Biloba in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Donepezil, Ginkgo Biloba, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.