People with history of heart attack or stroke usually take a low-dose aspirin every day, which helps prevent heart attacks in future. But if you’ve never had a heart attack (or stroke), the risks of taking a daily low-dose aspirin outweigh the benefits, according to a U.K. report published in Drug and Therapeutics Bulletin.
Almost 50 million Americans take low-dose (325 mg. per day or less) aspirin to prevent heart problems. Some do even though they don’t have heart disease or a history of heart attack or stroke, as primary prevention.
American Diabetes Association (ADA) recommends low-dose aspirin for primary prevention in people with diabetes who are at risk for cardiovascular disease, but this will be changing.
“Because of some recent studies suggesting that the benefit is not very large, and because aspirin can also have risks (intestinal bleeding or hemorrhagic stroke), the January 2010 recommendations will recommend it mostly for higher-risk people than was the case in the past, when it was recommended for people with more moderate levels of risk and above,” says Dr. M. Sue Kirkman, the vice president of clinical affairs for the ADA.
The Researchers of the new analysis say there’s not enough evidence to give good reason for the routine use of low-dose aspirin to prevent heart disease in apparently healthy people, including those with elevated blood pressure or diabetes.
Kirkman stresses that people with diabetes who is taking aspirin–and have no history of heart attack, should talk to their doctor and see if he or she recommends continuing the therapy.
Aspirin can cause gastrointestinal bleeding and other problems–some of them serious. People who take aspirin daily are two to four times as likely to have upper gastrointestinal problems, such as an ulcer with complications, than those not taking aspirin (even if the aspirin is buffered or has a protective coating to limit stomach problems).
The American Heart Association recommends daily low-dose aspirin for people who have had a heart attack, for those with heart disease–related chest pain known as unstable angina, or those who have had a clot-related stroke (or those who have had mini strokes, episodes that suggest a stroke is imminent). In general, the risk of heart attack has to be 10 percent within the next decade to warrant daily aspirin use, the group says.
In 2004, a U.S. Food and Drug Administration advisory panel rejected the idea of using aspirin for primary prevention.
“Do not take daily aspirin on your own, “.This review emphasizes the need for a recommendation by your physician and dialogue about the benefits and risks. Risks include gastrointestinal bleeding and a small, but potentially devastating, risk of bleeding in the brain.














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