75mg aspirin : what is the general... - British Heart Fou...

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75mg aspirin

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what is the general consensus for taking aspirin as a preventative precaution?

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22 Replies
Happyrosie profile image
Happyrosie

if you go to the NHS site, medicines, and input “aspirin” you’ll get an uptodate medical view.

A doctor will however treat us as individuals and would recommend some people to take it and others not, depending on their own family and medical history, height and weight, age and do on.

Other posters might have their own views.

Lifestyle-changer profile image
Lifestyle-changer in reply toHappyrosie

thank you

PadThaiNoodles profile image
PadThaiNoodles

They had too many people second-guessing their doctors so low-dose aspirin is now prescription-only in Ireland. (Which is kind of funny, as high-dose aspirin is still over-the-counter.)

I'd go with whatever my doctor recommended (which in my case is to take it as I have an artificial aortic valve and a history of TIA).

Manhattan1 profile image
Manhattan1

Cardiologist was insistent i take the 75mg dose daily even although i have mild atherosclerosis.. probably due to the fact i suffer from hypertension and high cholesterol along with several ither conditions too many to mention lolol

CyclingTime profile image
CyclingTime

It's still recommended, i take it no issues. It's only 75mg so a tiny amount

fishonabike profile image
fishonabike in reply toCyclingTime

not sure what you mean by '"still recommended" because the recommendations changed in 2023 and the situations in which low-dose aspirin is recommended were more limited

as well as NHS website as suggested by Happyrosie nhs.uk/medicines/low-dose-a...

see: aspirin-foundation.com/scie...

jerry12953 profile image
jerry12953

I was told I could stop taking it as the supposed benefits are outweighed by the possible downsides. I have stable angina but have not had a heart attack. If I had had a HA, I would need to keep taking it.

Bigscar profile image
Bigscar

I have been taking aspirin for ages some time ago a nurse suggested Gastro Resistant type which I switched to. Recently had a liver test I am on so many drugs I thought they might find something but got all clear AMAZING.

I am a Guinness World Record Holder as the Longest Surviving Triple Heart Bypass Patient in The World.Op aged 31 now 78 and been taking aspirin for a lot of that time.

pasigal profile image
pasigal in reply toBigscar

You are my inspiration every time you post! Keep on keeping on.

Cee-Cee1 profile image
Cee-Cee1 in reply topasigal

And mine - what an inspiration, do please keep keeping on!

maggie80 profile image
maggie80 in reply toBigscar

You are something else. What a strong minded person you are. I had a quadruple bypass and a new heart valve 3 years next month. I'm 78 same age as you.

maggie80 profile image
maggie80 in reply toBigscar

I hope you don't mind me asking you. Do you take Pantoprazole one hour before breakfast.

Bigscar profile image
Bigscar in reply tomaggie80

No can’t say I have ever heard of that one!

Beanlover profile image
Beanlover in reply tomaggie80

I take Pantoprazole, as it was the PPI that suited me best as I have a large hiatus hernia, and acid reflux. I take it along with other meds, that presumably are nowhere as near as many as Bigscar does, but as I have several heart meds, along with acid reflux, I find it useful, and take it a bit before breakfast.

pasigal profile image
pasigal

The medical consensus is it keeps your blood thin to minimize clotting in the event of an infarction. However, it is very hard on my stomach and I persuaded my cardiologist to switch to plavix.

fishonabike profile image
fishonabike

the recommendations changed in 2023 and the situations in which low-dose aspirin is recommended were more limitedas well as NHS website as suggested by Happyrosie nhs.uk/medicines/low-dose-a...

see: aspirin-foundation.com/scie...

GoodTea profile image
GoodTea

I think the medical consensus is that if someone has a history of heart failure or cardiovascular disease (CVD), the benefits of taking low dose aspirin far outweigh any potential negative side effects. If you get negative side effects, then your doctor would switch you to another medication. As Happyrosie says, these decisions are based on an individual's circumstances.

Regarding recommending it to someone with no history of heart failure or CVD, then it is not clear cut that the benefits of taking aspirin outweigh the potential risks. In the past, aspirin was recommended as a precautionary preventative treatment for healthy individuals. This is no longer the case in England because of uncertainty regarding the risk-benefit balance. This balance relates to the consequences of millions of people taking the treatment.

Qualipop profile image
Qualipop

6 years post heart attack. There's no way I would stop my aspirin even though I have bruises on bruises. The soluble type killed my stomach so I swapped to enteric coated. I did ask if I could stay on clopidogrel instead but doctor said side effects of aspirin are much better understood and easier to treat . I wouldn't take it if there wasn't a proven medical reason.

fatbarry profile image
fatbarry

Enteric coated aspirin is not as effective as normal aspirin in its anti platelet activity. pmc.ncbi.nlm.nih.gov/articl...

It is pretty much a cost/benefit game. US changed their guidance. Bottom line, if your cardiac risk factors outweigh the risk of taking Aspirin, then you should take it. If you just want to take it as a precaution with no heart related risk factors, then probably no huge benefit in doing so, as you will increase the side effect (bleeding...) with Aspirin only.

Beanlover profile image
Beanlover

I wasn't aware of any heart problems until I had a pre op assessment for a minor op, entirely unrelated. My ECG identified a Left bundle branch block. It took 4 mths for me to see a cardiologist who put me on Bisoprolol and Ramipril to be on the safe side, and then a statin. After an MRI, and CT scan they identified one artery less than 50% blocked, along with Mild Left Ventricular Systolic Dysfunction. My GP said I was on the right medication, but they would like to add aspirin to the rest of my meds. I am taking everything suggested as I am pretty relieved that it was identified before anything awful happened to me. Have done a bit of jiggling around with the statin and the levels of bisoprolol, but basically at the age of 78, I want to carry on as long as possible.

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