And, because it thins your blood, it can be dangerous for people who are at higher risk of bleeding. There is good reason to be wary of aspirin, warns Michos, particularly for women. Some benefit was seen for women over the age of More recently, two large clinical trials comparing aspirin with placebo among people without known heart disease give even more reason to be cautious with an aspirin. The ARRIVE trial included men over the age of 55 and women over age 60 who were deemed to be at elevated risk for heart disease by having several risk factors.
Both trials showed that low dose aspirin at milligrams per day did not prevent subsequent heart attacks or strokes over a period of approximately five years. However, aspirin did increase the risk for major bleeding. This dose doesn't have a pain-relieving effect. Aspirin can cause stomach-related side-effects at higher doses.
Soluble forms reduce this risk to some extent, as do tablets which have a special 'enteric' coating to make sure the drug isn't absorbed into the body until it reaches the small intestine. For this reason many doctors will now advise you not to take aspirin for pain relief, but to take a different NSAID or a coxib instead.
You should speak to your doctor if you're thinking of taking fish oil supplements because these can interact with aspirin. Are allergic to aspirin. Have asthma that is made worse by aspirin. What precautions do I need to take? Limit alcohol Drinking 3 or more alcoholic drinks every day while taking daily aspirin increases your risk for liver damage and stomach bleeding. Talk to doctor before a surgery or procedure Before having a surgery or procedure that may cause bleeding, tell your doctor or dentist that you take aspirin.
Tell your doctor about all your medicines Aspirin should not be taken with many prescription and over-the-counter drugs, vitamins, and natural health products. Be careful taking pain relievers Although non-steroidal anti-inflammatory drugs NSAIDs , such as ibuprofen and naproxen, relieve pain and inflammation much like aspirin does, they do not affect blood clotting in the same way that aspirin does. How do you take aspirin? How does aspirin work to prevent a heart attack or stroke?
Health Tools Health Tools help you make wise health decisions or take action to improve your health. Decision Points focus on key medical care decisions that are important to many health problems. Actionsets are designed to help people take an active role in managing a health condition. References Other Works Consulted Antiplatelet therapy for patients with stents. Medical Letter on Drugs and Therapeutics, 50 : 61— Bibbins-Domingo K, U. Preventive Services Task Force Aspirin use for the primary prevention of cardiovascular disease and colorectal cancer: U.
Preventive Services Task Force recommendation statement. Annals of Internal Medicine, 12 : — DOI: Accessed May 16, Eikelboom JW, et al. Antiplatelet drugs: Antithrombotic therapy and prevention of thrombosis, 9th ed.
Chest, 2, Suppl : e89S—eS. Meschia JF, et al. Stroke, published online October 28, Accessed October 29, Circulation, 10 : e—e Pignone M, et al. Aspirin for primary prevention of cardiovascular events in people with diabetes: A position statement of the American Diabetes Association, a scientific statement of the American Heart Association, and an expert consensus document of the American College of Cardiology Foundation. Circulation, 24 : — Smith SC, et al.
Circulation, 22 : — Steinhubl SR, et al. Aspirin to prevent cardiovascular disease: The association of aspirin dose and clopidogrel with thrombosis and bleeding. Annals of Internal Medicine, 6 : — Food and Drug Administration Concomitant use of ibuprofen and aspirin: Potential for attenuation of the anti-platelet effect of aspirin.
Food and Drug Administration Science Paper. September 8,
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