From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence
What is happening. Ginkgo has seizure case reports and is undesirable in patients taking antiseizure medication.
Mechanism. Potential seizure-threshold lowering may counter antiseizure therapy.
Recommendation. Avoid ginkgo in patients with epilepsy unless the neurologist approves.
Stack Score
How it moves the number.
Effect on the composite score
If both Ginkgo Biloba and Oxcarbazepine are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1Glauser T et al. Evidence-based guideline update: new antiepileptic drugs II. Neurology. 2013.Needs sourceNo link