aspirin when withholding ibrutinib

[ElMaga]

I took a daily low dose aspirin before I started ibrutinib in 2019, as I had had a TIA in 2013. Once I started ibrutinib, it sufficed. I am withholding ibrutinib as I always do for a month, two weeks before my covid shot, and two weeks after. Of course, my doctor knows. It has given me great antibody responses. My question is whether or not I should take a low dose aspirin when I'm off of the ibrutinib, and if so, how long I need to wait to take the aspirin after I stop ibrutinib so as not to risk bleeding? I'm traveling in Europe and don't want to put myself in a more precarious position. Anyone else experience this dilemma?

[Ibru]

my husband is on ibrutinib and has a fib. His doctor put him on Low dose aspirin. Not sure if that's the right thing to do, but that's what the doctor did.

[Spark_Plug]

There's a lot of conflicting messaging on that topic. Then, there's you history with TIA's. I know from a CLL point aspirin and NSAIDS are supposed to be a no-no especially if your platelets are low.

Unfortunately that leaves Acetaminophen, which being a COX-2 inhibitor has no effect on my pain.

Of course, low dose aspirin is all about thinning blood as a precaution for cardiac patients. Your best bet is to talk to a cardiologist that has dealt with low platelet patients and get professional advice.🙂