Aspirin : I have been prescribed 75mg x... - British Heart Fou...

British Heart Foundation
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Aspirin

RonaldB
RonaldB
36 Replies

I have been prescribed 75mg x2 Aspirin since my bypass op over 10 years ago along with Lansoprazole , Candersartan and Atorvastatin .

New doctor reviewing my prescription has halved aspirin + Lansoprazole recently mentioning New guidelines.

I am concerned that after 10 years this is happening.

Is the thinning of my blood endangered?

36 Replies
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MichaelJH
MichaelJHHeart Star

Hello and welcome to the forum! Would it be rude to ask what you weighed then and now?

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RonaldB
RonaldB
in reply to MichaelJH

Circa 15st 7lbs - 16st on both occasions & 6

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Lezzers

Hi RonaldB, I don't know bout the lansoprole, but my husband had been on 2x75mg aspirin for over 15 years, he had his reduced to 1 x75mg bout 2/3 years ago and he's had no problems.

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RonaldB
RonaldB
in reply to Lezzers

Thank you for your guidance. Can I ask why your husbands dosage was halved. Was it again “New Guidelines”?

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Lezzers
Lezzers
in reply to RonaldB

He was taking the aspirin because of his unstable angina but he was also taking 90mg isosorbide monitrate. When he was diagnosed with HF his nurse changed some of his meds & reduced the aspirin. She didn't mention New Guidelines and as we were a bit shell shocked at the time we never questioned, but he has been absolutely fine on the lower doseage.

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RonaldB

Circa 15st 7lbs - 16st on both occasions & 6’

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MichaelJH
MichaelJHHeart Star

There has been something of a debate about Aspirin. They use to suggest that if you were over 75kg you should take two (your heaviest was around 100kg). However, the thinking is now that this only applies over 20 stone. I had this discussion with a hospital pharmacist as I am 90kg.

The stomach meds they are tending to decrease as there is evidence they can deplete the body of some minerals at higher doses.

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RonaldB
RonaldB
in reply to MichaelJH

I always thought 75/150mg of Aspirin was low dosage . Is the evidence you refer to available in a paper that I can read?

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Lezzers
Lezzers
in reply to RonaldB

This might be some some help

cks.nice.org.uk/antiplatele...

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RonaldB
RonaldB
in reply to Lezzers

Thank you

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MichaelJH
MichaelJHHeart Star
in reply to Lezzers

Thank you for posting link.

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Lezzers
Lezzers
in reply to MichaelJH

I was interested as Kevin had had his reduced but we wasn't told bout new guidelines. Was interesting reading

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MichaelJH
MichaelJHHeart Star
in reply to Lezzers

I was originally prescribed Aspirin for PAD some years before CVD was diagnosed and there was a debate about dose because I was over 75kg and over my current 90kg!

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jerry12953
jerry12953
in reply to Lezzers

That's very interesting and useful. I've been getting mostly mild stable angina on and off for a few years and it has recently been diagnosed as Microvascular. In other words none of the scans or other tests I had showed any evidence of blockages in my main arteries.

In the article you linked to, Lezzers, the following advice appears -

>Which antiplatelet treatment should I prescribe for secondary prevention of >cardiovascular disease?

>Angina

>Consider prescribing aspirin 75 mg daily for people with stable angina, taking into >account the risk of bleeding and comorbidities.

So the advice is only to "CONSIDER" prescribing aspirin for stable angina. It's no stronger than that.

I note that lansaprazole is prescribed to counteract the side-effects of aspirin. We're really getting into another realm here aren't we? A possibly unnecessary medication causes side-effects that are counteracted by another medication which when taken long-term causes osteoporosis..........

i'm seriously thinking of stopping the aspirin.

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Lezzers
Lezzers
in reply to jerry12953

Hi Jerry. I'm afraid I can't help with the "getting into another realm" question. My husband has been taking aspirin since 1998, he's never been prescribed lansaprazole but then he's never had any issues with taking aspirin. However, he always makes sure he has breakfast before taking it so that may have helped.

I certainly wouldn't consider stopping the aspirin without talking to your medical team first. Milkfairy is well versed in your medical condition, I'm sure she'll be along shortly with some advice

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jerry12953
jerry12953
in reply to Lezzers

It was a general point, really, about medication. Sorry if it seemed it was directed at you personally!

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MichaelJH
MichaelJHHeart Star

I think with Lansoprazole there is s potential issue with osteoporosis at the higher doses over the long term. And unfortunately our kidneys cope with the byproducts less well as we age.

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RonaldB
RonaldB
in reply to MichaelJH

Lansoprazole - prescribed to help with gastro resistance as a result of the cocktail of tablets taken daily. Now reduced from 30mg to 15 mg as now only one aspirin .

Not heard of the Osteoporosis issue.

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MichaelJH
MichaelJHHeart Star
in reply to RonaldB

It was discussed on HealthUnlocked about a year ago and I think there are other references. Here is the link:

healthunlocked.com/boneheal...

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RonaldB
RonaldB
in reply to MichaelJH

Thanks again

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daveofpensby

Hi Ronald B

I too was on 2 x 75 mg aspirin for about 20 years then five years ago it was reduced to 1 x 75 mg I think because of new guidelines the Lansprazole I think is to protect your stomach from the effects of the aspirin

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Khonkaen

Since you dropped to one aspirin, are you still taking the Lansprazole?

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RonaldB
RonaldB
in reply to Khonkaen

Yes Lansoprazole also halved 30 mg to 15mg

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Khonkaen
Khonkaen
in reply to RonaldB

Any other blood thinners?

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RonaldB
RonaldB
in reply to Khonkaen

I’m only taking the tablets mentioned above .- Candersartan (an ARB) & Aspirin as blood thinners

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daveofpensby

No never had lansptazole it was never around in them days you just took the aspirin and hoped for the best

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RonaldB

Yes Dave, Lansoprazole was given to protect stomach from Aspirin effects

Was your reduction a surprise after so long and were you prescribed Aspirin as a result of a Bypass op ?

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daveofpensby

Aspirin due to H A and yes it was a surprise to have it reduced

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RonaldB

No effects after 20 years tho’ by the reduction ?

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Dickydon

Must admit, I forget quite often not to take it and don't seem to have any issues. I take just 1 x75mg

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GWP1952

After a blood clot in 2017 followed the insertion of stents, I was prescribed 1 x 75mg Aspirin with several BP drugs daily. The amount of Aspirin did not change after I had a triple bypass in 2018. As far as I understand it, the use of Aspirin was reviewed a few years ago. Some sources now indicate that it is no longer considered valid for preventative use, but it is considered that 75mg daily does have some benefit fir those that have experienced a cardiac event. I suppose the amount has to be considered against the potential damage Aspirin can do to the stomach. Incidentally, I am intolerant of Lansoprozole and that family of drugs, so I always take my aspirin well diluted in water with my breakfast cereal. No problems have arisen doing this.

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Berniel69

I am surprised that in your case it has taken 10 years to review your meds. I had a CABG x 4 in May 2019. When I left hospital I was prescribed 75 mg Aspirin, Lanzoprolol, (can't remember dose), Bisoprolol (can't remember dose), 5.mg Ramipril and 80 mg Atorvastatin.

I was told that the Lanzoprol was to counteract the possible side effects of the Aspirin and subject to no issues with Aspirin, would be stopped at some stage.

After a follow-up with surgeon 3 months post op, Lanzoprolol was stopped. One year post op, Bisoprolol was stopped and Ramipril was increased to 10mg.

So currently on 75mg Aspirin, 10mg Ramipril and 80mg Atorvastatin. Since my op. I have had absolutely no issues with my medications and no side effects, I feel great and believe that I have now made a full recovery.

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RonaldB
RonaldB
in reply to Berniel69

My Surgeon prescribed similar drugs after CABGx2. After 12m and for over 10 years since i have been taking the prescription above. It has been reviewed over the last 10 years without any alteration until last week.

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Berniel69
Berniel69
in reply to RonaldB

Thank you. I think they need to explain the reason for the change and why now.

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RonaldB
RonaldB
in reply to Berniel69

As mentioned by forum members above & myself new doctor on scene using “new guidelines”

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Glasgowgirl1947

It's funny my son in law told me on Sunday that he'd been told that you can only take Lansoprolol for 3 months. I've been on it for years since I had a gastric bypass and my husband has been on for a few years for acid reflux. Our GP has never mentioned this even when we've had a meds review this year.

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