I think that this Cocheran based meta analysis summarizes the attitude
of real science, there is no real effect for ginko beyond a placebo.

http://www.antiwrap.com/?789

Ginkgo biloba Compared with Cholinesterase Inhibitors in the Treatment
of Dementia: A Review Based on Meta-Analyses by the Cochrane
Collaboration
A. Kurza, B. Van Baelenb

aDepartment of Psychiatry and Psychotherapy, Technical University
Munich, Munich, Germany;
bMedisearch International, Mechelen, Belgium

Dementia and Geriatric Cognitive Disorders 2004;18:217-226 (DOI:
10.1159/000079388)

 Abstract

Data were derived from the Cochrane Collaboration meta-analyses of the
efficacies of ginkgo, donepezil, rivastigmine and galantamine on
changes in cognitive function in patients with dementia and, where
necessary, were transformed to standardized mean differences. The
proportion of patients discontinuing trials was used as a proxy
measure of tolerability. Outcomes were assessed after 6 months of
treatment. Trial data for cholinesterase inhibitors were more
consistent than those for ginkgo, particularly regarding patient
populations and outcome measures. Significant benefits on cognition
vs. placebo were seen with donepezil, 5 and 10 mg, rivastigmine, 6-12
mg, and galantamine, 16 and 24 mg. Significant benefit vs. placebo
with ginkgo was seen only when all doses were pooled. Similar
proportions of patients discontinued treatment with ginkgo and
placebo. Cholinesterase inhibitors were also well tolerated, although
a significantly greater proportion of patients receiving active
treatment discontinued vs. placebo with some doses. An evidence-based
medicine approach, taking into account the quality of clinical trials,
is essential when assessing the safety and efficacy of medications.
--

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