Which adverse effect should the caregiver monitor with ginkgo biloba?

• A. Headache
• B. Bleeding gums
• C. Dizziness
• D. Nausea

Answer: (B)

Ginkgo biloba can affect bleeding risk because it has antiplatelet effects that inhibit platelet aggregation. This means it can prolong bleeding and increase the chance of spontaneous or easy bleeding, especially if the person is also taking other anticoagulants or antiplatelet meds. Therefore the caregiver should monitor for signs of bleeding, with bleeding gums being a noticeable and easily observed indication that warrants attention. While headaches, dizziness, and nausea can occur with ginkgo, they do not reflect a bleeding risk as directly as gum bleeding. If bleeding is observed, consult the clinician and review medications, and consider stopping ginkgo, particularly before any surgical procedures.