Tanakan (Ginkgo Biloba) 40mg Tablet

Tanakan (Ginkgo Biloba) 40mg Tablet is a tablet containing a standardised extract of Ginkgo biloba leaf. Each tablet provides 40mg of ginkgo leaf extract, and the product is known internationally as a brand of the standardised extract EGb 761 from the pharmaceutical company Ipsen. Standardised extracts are prepared so that each batch contains consistent levels of the plant’s characteristic compounds, mainly flavonoid glycosides and terpene lactones (ginkgolides and bilobalide).

Ginkgo biloba is one of the most widely studied botanical extracts, and its use has been researched mainly in relation to age-related cognitive changes and blood flow in small blood vessels. Evidence for these uses is mixed: some clinical studies of standardised extracts report modest effects on memory and day-to-day functioning in older adults, while other large studies have not shown a clear benefit. Tanakan should therefore be regarded as a herbal product with a supporting role, not as a replacement for medical assessment or treatment of memory problems, dizziness or circulation problems.

DoctorOnCall Malaysia offers Tanakan 40mg Tablet in packs of 15 tablets and 90 tablets, and the product is listed as Halal-certified. Because ginkgo can affect blood clotting, it is important to check with a doctor or pharmacist before use if you take blood-thinning or antiplatelet medicines, have a bleeding disorder, or are scheduled for surgery or dental procedures.

Swallow one tablet whole with a glass of water, preferably with meals. Take the tablets at regular times each day, spacing the doses across breakfast, lunch and dinner. Do not crush or chew the tablet. Follow the directions on the product packaging or the advice of your doctor or pharmacist.

Adults: 1 tablet three times daily with meals (a total of 120mg ginkgo extract per day), or as advised by your doctor or pharmacist.

Do not exceed the recommended daily dose. If you miss a dose, take the next dose at the usual time; do not take two tablets at once to make up for a missed dose. Tanakan is not intended for children. If there is no noticeable change after about three months of regular use, or if symptoms worsen, consult a doctor.

Refer to the expiry date printed on the product packaging. Do not use the tablets after the expiry date.

Store in a cool, dry place, away from direct sunlight and moisture. Keep the tablets in their original blister pack until use and keep out of reach of children. Follow any additional storage instructions on the packaging.

• Common: Headache.
• Common: Mild stomach upset, nausea or diarrhoea.
• Common: Mild dizziness.
• Uncommon: Allergic skin reactions such as rash, redness or itching.
• Serious: Bleeding, such as unusual bruising, nosebleeds, bleeding in the eye or gut, or blood in the urine or stools — stop taking the product and seek medical attention promptly.
• Serious: Severe allergic reactions such as swelling of the face, lips or throat or difficulty breathing — seek emergency medical help.

• Known allergy or hypersensitivity to Ginkgo biloba or any other ingredient in the tablet.
• Pregnancy — use is not advisable, as ginkgo may increase the risk of bleeding and safety in pregnancy has not been established.
• Children and adolescents under 18 years of age.
• Do not use without medical advice if you have a bleeding disorder or are taking anticoagulant or antiplatelet medicines.

• Anticoagulants (e.g. warfarin, rivaroxaban, apixaban, dabigatran): ginkgo may increase the risk of bleeding; consult your doctor before use.
• Antiplatelet medicines (e.g. aspirin, clopidogrel, ticagrelor): combined use may increase bleeding tendency.
• Non-steroidal anti-inflammatory drugs (e.g. ibuprofen, naproxen, diclofenac): may add to bleeding risk, particularly with regular use.
• Efavirenz (an HIV medicine): ginkgo may reduce its blood levels; do not combine without medical advice.
• Anti-epileptic medicines and people with a history of seizures: ginkgo has been associated with seizures in rare reports; consult your doctor first.
• Surgery and dental procedures: inform your doctor or dentist that you take ginkgo, as it is commonly advised to stop it before planned procedures.
• Other supplements that may affect bleeding (e.g. high-dose fish oil, garlic, vitamin E): combining these may further increase bleeding tendency.
• No specific food interactions are known; taking the tablet with meals may reduce stomach upset.

• Take Tanakan with meals at evenly spaced times to make the three daily doses easier to remember.
• Give it time — any effect usually builds up gradually over several weeks of regular use.
• Tell your doctor, dentist and pharmacist that you take ginkgo, especially before any surgery or procedure.
• Check your other medicines and supplements for anything that thins the blood before starting.
• Do not use ginkgo as a substitute for seeing a doctor about new or worsening memory problems, dizziness or ringing in the ears.
• Watch for unusual bruising or bleeding and stop taking the tablets if it occurs.

Precautions: Ginkgo may increase bleeding tendency. Use with caution and only after medical advice if you have a bleeding disorder, take anticoagulant, antiplatelet or regular anti-inflammatory medicines, or have a history of epilepsy or seizures. Stop ginkgo before planned surgery or dental procedures as advised by your doctor or dentist. Use with care if you have kidney or liver disease, and be cautious when driving or operating machinery if you feel dizzy. Not advisable in pregnancy and not intended for children.

When to See a Doctor or Pharmacist: Seek medical advice before starting if you take any regular medicines, and see a doctor promptly if you notice unusual bruising or bleeding, a severe headache, or signs of an allergic reaction. Sudden or worsening memory loss, confusion, persistent dizziness or vertigo, or ringing in the ears should always be assessed by a doctor, as these can be signs of conditions that need specific treatment.