A daily aspirin regimen can do more harm than good, experts warn

Dr. Wong added:Both did not find significant reductions during a heart attack or stroke, but it happened increased risk of bleeding»: It: third clinical trial, which was limited to people with diabetes who were at a higher risk, found a small reduction in cardiovascular events but a higher risk of bleeding. “The damage canceled out the benefit,” Dr. Wong said.

The bleeding in question usually occurs in the gastrointestinal tract, but may also include cerebral hemorrhage and hemorrhagic strokes. Although the risks are low, there has been heavy bleeding in the 1% or less of the 2018 aspirin-elderly study, they grow with age. “These are serious bleeds,” said Dr. Brett. “They may request a transfusion. “They can put people in the hospital.”

Experts note that other effective advances in the prevention of heart attacks, such as better blood pressure medications, statins, lowering cholesterol, and smoking, have reduced the role of aspirin.

For people over 60, according to workgroup guidelines, or as recommended by cardiologists over the age of 70, the risks of starting aspirin now outweigh the benefits. This is especially true for people with a history of bleeding, such as ulcers or aneurysms, or those taking medications such as blood thinners, steroids, or anti-inflammatory drugs such as ibuprofen or naproxen.

The 2016 Working Group Recommendation raised the likelihood that aspirin may play a role in preventing colon cancer. However, Dr. Wong said, “We are no longer convinced that aspirin is beneficial for colorectal cancer. We do not have enough evidence. We urge you to do more research. ”

The working group had little to say about the disappointment, however, that people over 60 stopped taking aspirin if they had already started using it for primary prevention. It has been suggested that people should consider discontinuing at around age 75, as any benefit will diminish with age, but it is said that patients should not stop taking aspirin without talking to their healthcare provider.

“There is no urgency,” said Dr. Hera. “Put this on the agenda” during the forthcoming meeting. But, he added, “for generally healthy people with fewer risk factors, it makes sense to just stop.” Dr. Brett said he has been warning patients against regular aspirin use since 2018.

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