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 Biloba may increase bleeding tendency and can be a concern with Valganciclovir when valganciclovir causes thrombocytopenia or the patient is anticoagulated.
Mechanism. Additive platelet or coagulation effects can become clinically relevant when the drug or disease state increases bleeding risk.
Recommendation. Avoid high-dose use unless the prescriber agrees; seek care for unusual bruising, bleeding, black stools, or severe headache.
Stack Score
How it moves the number.
Effect on the composite score
If both Ginkgo Biloba and Valganciclovir 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- 1Natural Medicines and perioperative supplement bleeding-risk reviews.Needs sourceNo link