Patient leaflet - Puncto Ginkgo Max strength tablets
1. What Puncto Ginkgo Max
Strength is and what it is used for
This product is a traditional herbal medicinal
product containing Ginkgo biloba leaf
extract. Puncto Ginkgo Max Strength Oral
Drops 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 Max Strength
Do not take Puncto Ginkgo Max
Strength
If you are allergic (hypersensitive) to
Ginkgo products or any of the ingredients
in your medicine (see section 6: Further
information).
- If you are under 18 years of age
If you have epilepsy or are taking
medicines for epilepsy.
If you are taking efavirenz, a
medicine used in the treatment of
HIV.
Special care with Puncto Ginkgo Max
Strength
If your symptoms worsen or persist after
taking this product for 2 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 have been told by your doctor that you have an intolerance to some sugars because this medicine contains dehydrated glucose syrup.
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 anticoagulant or antiplatelet medicines used to thin your blood and reduce the risk of getting a blood clot e.g. warfarin,
phenprocoumon, acenocoumarol, phenindione, apixaban, edoxaban, dabigatran, rivaroxaban, dalteparin, enoxaparin, tinzaparin, heparin or clopidogrel,
- You are taking a non-steroidal anti-inflammatory drug (e.g. aspirin, ibuprofen, diclofenac)
- - You are taking nifedipine used to treat high blood pressure, Raynaud's syndrome and prevent angina chest pain..
Pregnancy and breast-feeding
Do not take this medicine if you are pregnant or breast-feeding.
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 after two 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.
Driving and using machines
This medicine may cause dizziness. If affected, do not drive or use machines..
3. How to take Puncto Ginkgo Max Strength
Always use Puncto Ginkgo Max Strength exactly as your doctor has told you. You should check with your doctor or qualified healthcare practitioner if you are not sure.
How much Puncto Ginkgo Max Strength to take
Remember to 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 one tablet twice daily. Do not take more than the leaflet tells you to..
If you take more Puncto Ginkgo Max
Strength 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 Max
Strength
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 pharmacist.
4. Possible side effects
Like all medicines, Puncto Ginkgo Max Strength can cause side effects, although not everybody gets them.
The frequency of the following is not known.
If you get the following effects, seek medical help immediately:
- sudden difficulty breathing or swallowing, swelling of your lips, tongue, throat, skin or body or you feel faint.
These effects have occurred after the use of Ginkgo extracts. However it is not known if they were caused by Ginkgo.
Other possible side effects include
- bleeding disorders
- digestive symptoms such as feeling or being sick or diarrhoea
- headache, dizziness
- skin reactions (such as itching or rash). These effects should not last long. If they persist or become troublesome, consult your doctor or pharmacist.
If any of the side effects become serious, or you notice any side effects not listed in this leaflet, tell your doctor or pharmacist.
Reporting of side effects:
If you get any side effects, talk to your doctor, pharmacist or qualified healthcare practitioner. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at
www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store
By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Puncto Ginkgo Max Strength
Keep out of the reach and the sight of chil-dren.
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 environment.
6. Further Information
What Puncto Ginkgo Max Strength contains
The active ingredient in each tablet is: 120 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 360 mg of lactose monohydrate and 6 mg dehydrated glucose syrup.
What Puncto Ginkgo Max Strength looks like and contents of the pack
Puncto Ginkgo Max Strength is an oblong, convex, yellow coated tablet.
Puncto Ginkgo Max Strength 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:
Plantaphile Ltd.
18 Hyde Gardens, Eastbourne, East Sussex, BN21 4PT, United Kingdom
Manufacturer: mibe GmbH Arzneimittel Münchener Straße 15, 06796 Brehna, Germany.
THR 32294/0031
Certification Mark 
For a large print, Braille or audio version of this leaflet please contact: Plantaphile Ltd.
18 Hyde Gardens, Eastbourne, East Sussex, BN21 4PT, United Kingdom
email: txb@plantaphile.eu Tel.: 0044-(0)20-3290 9208
Last revised in November 2020.