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Ginkgo biloba: persistent bleeding after total hip arthroplasty caused by herbal self-medication
Andrew Bebbington1, Rohit Kulkarni, Paul Roberts
1Royal Gwent Hospital, Newport, Gwent, Wales.
The Journal of Arthroplasty
|January 22, 2005
Abstract:
We describe a case of persistent postoperative bleeding following total hip arthroplasty in which, initially, no obvious cause was identified. The patient was taking ginkgo biloba extract, an unlicensed herbal medicine taken to improve mental alertness. Ginkgo biloba is an anticoagulant that inhibits platelet-activating factor and is contraindicated with aspirin. Four weeks' postoperatively, the ginkgo was stopped, and the bleeding stopped 6 weeks later.
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