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For years, doctors recommended that older adults at a higher risk for heart attack or stroke take a low-dose aspirin once a day to lower their risk. Aspirin helps prevent blood clots from forming ...
More than 40% of adults aged 60 and over take the pill to lower the risk of blood clots, but it’s a recommendation that many doctors have cut back on making recently.
Nearly half of U.S. adults still believe that the benefits of taking low-dose aspirin daily outweighs the risks — despite new guidance that suggests otherwise, according to a new survey. The ...
For a small number of people, taking aspirin can result in symptoms including hives, swelling, and headache. [210] Aspirin can exacerbate symptoms among those with chronic hives, or create acute symptoms of hives. [211] These responses can be due to allergic reactions to aspirin, or more often due to its effect of inhibiting the COX-1 enzyme.
Those who are "at low to moderate risk of cardiovascular disease without any evidence of subclinical disease on imaging or prior heart attack or stroke" should also avoid taking aspirin, Blaha adds.
Low doses of aspirin (for example 75–150 mg) are as effective as high doses but have fewer side effects; the lowest effective dose remains unknown. [126] Thienopyridines (clopidogrel, ticlopidine) might be slightly more effective than aspirin and have a decreased risk of gastrointestinal bleeding but are more expensive. [127]
Risk of adverse advents such as bleeding or gastrointestinal side effects is relatively high with daily aspirin therapy. Even a 81 mg daily aspirin regimen for cardiovascular benefits has been shown to increase risk of long-term bleeding, [27] so the significantly higher aspirin doses used for maintenance therapy are of some concern. [19]
In general, those who are "at low to moderate risk of cardiovascular disease without any evidence of subclinical disease on imaging or prior heart attack or stroke" should also avoid taking aspirin.
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