title: EGb 761 in control of acute mountain sickness and vascular reactivity to cold exposure.
abstract: METHODS
  We recruited 44 subjects to participate in a study of the preventive effect of Ginko biloba extract (EGb 761) on acute mountain sickness (AMS) and vasomotor changes of the extremities during a Himalayan expedition. After giving their written informed consent, the subjects were randomized to two groups. One group received 160 mg of EGb 761 per day in two divided doses and the other group received placebo. Assessment was based on the course of the Environmental Symptom Questionnaire (ESQ) score and the cold gradient measured by photoplethysmography.
  
  
  RESULTS
  The prophylactic efficacy of treatment with EGb 761 was clearly demonstrated in this study. In terms of factor 1 (AMS-Cerebral), no subject in the EGb 761 group developed acute mountain sickness versus 40.9% of subjects in the placebo group; this difference was very significant (p < or = 1.4 x 10(-3)). In terms of factor 2 (AMS-Respiratory), 3 subjects (13.6%) in the EGb 761 group developed acute mountain sickness versus 18 (81.8%) in the placebo group; this difference was very significant (p = 1.2 x 10(-5)).
  
  
  CONCLUSIONS
  Due to its multiple pharmacological actions, EGb 761 provides an interesting response to the prevention of mountain sickness for moderate altitude (5400 m) with gradual exposure. It also decreased vasomotor disorders of the extremities, as demonstrated by plethysmography (p < 10(-8)) and a specific questionnaire (p < 10(-9)).
authors.affiliation: Département de Médecine du Sport, Hôpital de Chamonix, France.
authors.forename: J P
authors.initials: JP
authors.lastname: Roncin
authors.forename: F
authors.initials: F
authors.lastname: Schwartz
authors.forename: P
authors.initials: P
authors.lastname: D'Arbigny
mesh_terms: D000328:Adult; D000532:Altitude Sickness / Q000188:drug therapy*; D016166:Free Radical Scavengers / Q000494:pharmacology / Q000627:therapeutic use*; D020441:Ginkgo biloba; D006801:Humans; D008297:Male; D010936:Plant Extracts / Q000494:pharmacology / Q000627:therapeutic use*; D016896:Treatment Outcome; D014666:Vasomotor System / Q000187:drug effects*; D000096983:Ginkgo Extract
chemical_list: D016166:Free Radical Scavengers; D010936:Plant Extracts; C063170:Ginkgo biloba extract; D000096983:Ginkgo Extract