AR is a 58-year-old man who has experienced recurrent transient ischemic attacks and was placed on warfarin 10 mg/day by his internist. AR also appears to be suffering from some memory loss, and an herbalist recommended ginkgo. He ingests 40 mg three times a day of ginkgo biloba extract. AR reports back to the internist complaining of epistaxis and easy bruising. Is there a potential drug-herb interaction between ginkgo and warfarin?
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