PMID- 31564880 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 1176-6328 (Print) IS - 1178-2021 (Electronic) IS - 1176-6328 (Linking) VI - 15 DP - 2019 TI - Efficacy of ginkgo biloba extract as augmentation of venlafaxine in treating post-stroke depression. PG - 2551-2557 LID - 10.2147/NDT.S215191 [doi] AB - BACKGROUND: Post-stroke depression (PSD) is one of the most common psychiatric diseases afflicting stroke survivors. This study was conducted to assess the efficacy of ginkgo biloba extract as augmentation of venlafaxine in treating PSD. METHODS: The included PSD patients were randomly assigned into the experiment group (receiving ginkgo biloba extract plus venlafaxine) and control group (receiving venlafaxine alone). The treatment was continued for eight weeks. The Hamilton Depression Rating Scale (HDRS) and the Self-rating Depression Scale (SDS) were used to assess the depressive symptoms. The National Institutes of Health Stroke Scale (NIHSS) was used to assess the neurological defect, and the Activities of Daily Living (ADL) was used to assess recovery of abilities of patients after stroke. Meanwhile, the levels of serum 5-hydroxytryptamine (5-HT) and brain-derived neurotrophic factor (BDNF) were measured before and after treatment. The dose of venlafaxine used and adverse events were also recorded. RESULTS: Each group had 40 PSD patients. After treatment, the depressive symptoms, neurological defect and living function were significantly improved in both groups. But the patients receiving ginkgo biloba extract plus venlafaxine had the significantly lower average HDRS score (p=0.0008), SDS score (p<0.00001), NIHSS score (p=0.00001), and higher average ADL score (p=0.0005). Meanwhile, compared to the control group, patients in the experiment group had the significantly higher 5-HT (p<0.00001) level and BDNF level (p<0.00001), needed lower dose of venlafaxine (p=0.007), and experienced fewer adverse events. CONCLUSION: These results demonstrated that the ginkgo biloba extract was a good augmentation of venlafaxine in treating PSD and should be further investigated. CI - (c) 2019 Liang et al. FAU - Liang, Zi-Hong AU - Liang ZH AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Jia, Yan-Bo AU - Jia YB AD - Department of Orthopaedics, The Second Affiliated Hospital of Inner Mongolia Medical University, Huhhot, Inner Mongolia, People's Republic of China. FAU - Wang, Mei-Ling AU - Wang ML AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Li, Zi-Ru AU - Li ZR AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Li, Min AU - Li M AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Yun, Yong-Li AU - Yun YL AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Zhu, Run-Xiu AU - Zhu RX AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. LA - eng PT - Journal Article DEP - 20190903 PL - New Zealand TA - Neuropsychiatr Dis Treat JT - Neuropsychiatric disease and treatment JID - 101240304 PMC - PMC6731991 OTO - NOTNLM OT - PSD OT - ginkgo biloba extract OT - post-stroke depression OT - venlafaxine COIS- The authors declare no financial or other conflicts of interest in this work. EDAT- 2019/10/01 06:00 MHDA- 2019/10/01 06:01 PMCR- 2019/09/03 CRDT- 2019/10/01 06:00 PHST- 2019/05/10 00:00 [received] PHST- 2019/07/15 00:00 [accepted] PHST- 2019/10/01 06:00 [entrez] PHST- 2019/10/01 06:00 [pubmed] PHST- 2019/10/01 06:01 [medline] PHST- 2019/09/03 00:00 [pmc-release] AID - 215191 [pii] AID - 10.2147/NDT.S215191 [doi] PST - epublish SO - Neuropsychiatr Dis Treat. 2019 Sep 3;15:2551-2557. doi: 10.2147/NDT.S215191. eCollection 2019.