Asprin enteric coated or soluble - British Heart Fou...

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Asprin enteric coated or soluble

cakesandbakes profile image
12 Replies

Does anyone take the enteric coated asprin instead of soluble. Just wondering if it's just the cost that is the difference.

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12 Replies
Calliope153 profile image
Calliope153

I take coated. Soluble aspirin is absorbed in the stomach. Coated in the duodenum. It can help avoid stomach upsets if you take coated which is why I was prescribed it.

2stents profile image
2stents

I’ve taken it for about 10 years, was on dissolvable for 12 years before that

It’s made no difference to me!

I am prescribed the soluble aspirin by my doctor but I prefer to buy the coated rather have them others, otherwise I would have to take the Lansoprazole which seems to have caused my weight to increase, illogically.

My partner is a doctor in Germany and they use coated aspirin but their dosage is 100mg not 75mg and they are coated, not dissolvable, hence my conversion.

As I am now also on a blood thinner and bleeding like a stuck pig at times, but the doctors and cardiologists cannot decide if it is over kill and I should drop the aspirin.

I will not hold my breath.

OohMeChest profile image
OohMeChest

I had a gastro-intestinal bleed years ago, passed out due to loss of blood, was admitted to A&E and needed a 6 pint blood transfusion. Had an endoscopy and colonoscopy in a bid to find the source of the bleed. They didn't find it but they did see previous scarring . This was probably due to taking long lasting Nurofen last thing at night without food (because of long term back ache - I know, I know, I shouldn't have taken ibuprofen without food). I was told not to take Ibuprofen or aspirin as a result.

Following HA (2 stents) last year I'm on the usual cocktail of meds including lansoprazole and enteric aspirin. Given my history, I don't need any encouragement to take the enteric, rather than the soluble version. It's not just a cost issue. Whatever your decision, please speak to your GP/consultant before you think about changing your prescription.

Kazzie68 profile image
Kazzie68

I have taken dispersible aspirin for over three year now. Originally I took ranitidine to help protect against that and ticagrelor (although I’m no longer on that). Earlier this year I was told ranitidine was no longer available nor any other drug in “its family” and I can’t take Omeorazole type meds so was left with the option of carry on or switch to coated aspirin. The GP surgery told me that they were equally effective but I’d heard they weren’t so I double checked with BHF nurses and they told me that dispersible ones were more effective so I’ve stuck with them and just make sure I eat before I take it.

Qualipop profile image
Qualipop in reply toKazzie68

I'm in the same position as you. I have one monthy of Ranitidine left and can't take PPIs. Maybe I will switch to the enteric coated aspirin. It seems to be that or stop taking it as the only two alternatives to ranitidine can't be found for love nor money.

Kazzie68 profile image
Kazzie68 in reply toQualipop

I stopped taking ranitidine with about three weeks supply left and have hung onto them in case I have a bad day (been on dispersible aspirin without ranitidine for a while now and not needed one so far) - this was on advice of clinical pharmacist. I’d only want coated aspirin as a last result based on what the nurse said at BHF but I get everyone reacts differently.

Qualipop profile image
Qualipop in reply toKazzie68

Spoke to GP's pharmacist this week about that but as I've already had an ulcer she wasn't keen. I did reduce ranitidine to half dose but had severe stomach pain. Why on earth do they remove medication before there's an available alternative? Same happened with my eye ointment. Back in stock in a few weeks they said- that was almost 3 years ago.

barbadosbaybee profile image
barbadosbaybee

yes I asked for them specifically and have no problem with them

flamepoint profile image
flamepoint

My partner asked his consultant cardiologist if he could be changed to the coated asprin. She had no problem with this and wrote a prescription and advised the Gp that be was to be switched to the coated one. He didnt want to have to take stomach protecter drugs . He has been on the asprin now for a year and fortunately no problems and recent blood tests all normal. Regards

cakesandbakes profile image
cakesandbakes in reply toflamepoint

Thank you all for replies

Starval profile image
Starval

Some research I have read suggests that coated aspirin is not as efficient as dispersible aspirin in blocking platelet clotting. They suggested taking double the dose. Following the withdrawal of Ranitidine I had bad stomach acid. Ppi’s were ineffective. I now take coated aspirin 75mg. My GP did not seem to know about the research findings but did find another H2 blocker for the present. Coated aspirin alone was not the answer to my acidity.

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