Is It Safe To Take Aspirin Everyday

Is It Safe To Take Aspirin Everyday – Doctors should no longer routinely start most people at high risk of heart disease on a daily regimen of low-dose aspirin, according to new draft guidelines from a US expert panel.

The proposed recommendation is based on growing evidence that the risk of serious side effects far outweighs the benefit of what was once considered an extremely cheap weapon to fight heart disease.

Is It Safe To Take Aspirin Everyday

Is It Safe To Take Aspirin Everyday

The US panel also plans to withdraw its 2016 recommendation that babies take aspirin to prevent colon cancer, a guideline that was revolutionary at the time. The panel said the newer data raise questions about the cancer benefits and that more research is needed.

Daily Aspirin To Prevent Heart Attacks And Strokes Could Do More Harm Than Good.

As for the use of low-dose or baby aspirin, the U.S. Preventive Services Task Force’s recommendation would apply to people under 60 who are at high risk of heart disease and for whom a new daily regimen of a mild pain reliever might be a way to prevent it. first heart attack or stroke. The proposed guidelines would not apply to those already taking aspirin or those who have already had a heart attack.

The US task force also wants to strongly discourage anyone over the age of 60 from starting a low-dose aspirin regimen, citing concerns about an increased risk of life-threatening bleeding. The panel previously recommended that people in their 60s who are at high risk of heart disease consult their doctors to make a decision. A low dose is 81 milligrams to 100 milligrams.

The task force’s recommendations follow years of changes in advice from several leading medical organizations and federal agencies, some of which have already recommended limiting the use of low-dose aspirin to prevent heart disease and stroke. Aspirin inhibits the formation of blood clots that can block arteries, but studies have raised concerns that taking it regularly increases the risk of bleeding, particularly in the digestive tract and brain, which increases with age.

“There is no longer a blanket statement that everyone who is at increased risk of heart disease, even though they have never had a heart attack, should take aspirin,” said Dr. Chien-Wen Tseng, a national task force member who is director of family medicine and community health research at the University of Hawaii. “We need to be smarter about matching primary prevention to the people who will benefit the most and have the lowest risk of harm.”

How A Simple Test Can Help Tailor Aspirin Doses For Heart Disease

Research shows that an increased risk of bleeding occurs relatively soon after someone starts taking aspirin regularly.

“We don’t recommend that anyone stop without talking to a clinician, and certainly not if they’ve already had a heart attack or stroke,” he added.

The US Preventive Services Task Force recommends that many people at risk for heart disease should not start a new low-dose aspirin regimen.

Is It Safe To Take Aspirin Everyday

If completed, the recommendation will affect most people in their 40s and 50s, whose doctors may have prescribed low-dose aspirin as a preventative measure in the past. For years, people have been advised to take a pill every day to avoid their first heart attack or stroke. Patients who have questions should talk to their doctors.

Aged Over 70 And Healthy? A Daily Aspirin Won’t Help

The panel also said that no one over the age of 60 should take low-dose aspirin as a new treatment unless they have had a heart attack or stroke.

The team cited recent studies that found an increased risk of bleeding in the digestive tract and brain associated with starting daily aspirin therapy. This risk increases with age and outweighs any benefit from prevention.

Because people can better control risk factors like high blood pressure and drugs like cholesterol-lowering statins, “now there’s less room for aspirin to make a difference,” said Dr. Donald M. Lloyd-Jones, president of the American Heart Association.

“We don’t recommend that anyone stop without talking to a clinician, and certainly not if they’ve already had a heart attack or stroke,” said Dr. Chien-Wen Tseng, member of the national working group.

Daily Aspirin No Longer Recommended For Most Adults’ Heart Health

If you have chest pain that could be the start of a heart attack, call 911 first. You may be advised to chew the full dose of an aspirin tablet.

The committee’s draft report also repeals a landmark 2016 recommendation to use low-dose aspirin to prevent colon cancer.

The task force now says the research has raised questions about the recommendation and has called for more research.

Is It Safe To Take Aspirin Everyday

The 16-member committee will accept public comments on its recommendations until Nov. 8. Its draft guidelines are usually approved after a comment period.

Should All Adults Take A Daily Aspirin?

The task force includes 16 experts in disease prevention and evidence-based medicine who periodically evaluate screening tests and preventive treatments. Members are appointed by the director of the federal Agency for Healthcare Research and Quality, but the group is independent and its recommendations often help shape medical practice in the US.

The guidelines, which are not yet final, have the potential to affect tens of millions of adults at high risk for cardiovascular disease, which remains the leading cause of death in the United States, even in the age of Covid. The committee will accept public comments on its recommendations until Nov. 8, and its draft guidelines are usually approved after the comment period ends.

Two years ago, the American College of Cardiology and the American Heart Association jointly narrowed their recommendations to prescribe aspirin very selectively to people ages 40 to 70 who have never had a heart attack or stroke. As for aspirin, the agencies say “generally no, occasionally yes” for primary prevention. This advice differs from the new draft of the task force’s guidelines for stopping at age 60.

“When we looked at the literature, most suggested that the net balance was not favorable for most people – there were more bleeds than heart attacks that were prevented,” said Dr. Amit Khera, one of the authors of the manual for the medical team. “And it’s not a nosebleed, it could be a brain bleed.”

Daily Aspirin Regimen May Cause Bleeding

And in 2014, a Food and Drug Administration review concluded that aspirin should not be used for primary prevention, such as preventing a first heart attack or stroke, and noted the risks.

The task force, which previously made a universal recommendation that high-risk adults in their 50s take baby aspirin if their chances of an adverse reaction are low, now recommends that high-risk adults in their 40s and 50s talk to their doctors and give an individual decision on whether to start a daily regimen. (The commission defined “high risk” as anyone with a 10 percent or greater risk of having a heart attack in the next 10 years, according to the American College of Cardiology/American Heart Association calculators used to estimate risk.)

When the task force issued its latest set of recommendations in 2016, supporting the widespread use of aspirin for primary prevention in high-risk people and saying the benefits outweighed the risks, some critics said the panel got it wrong. Ph.D. Steven Nissen, chairman of cardiology at the Cleveland Clinic, said at the time that he was concerned that more aspirin would do more harm than good. Gastroenterologists have said they fear patients taking aspirin will skip colon cancer screenings.

Is It Safe To Take Aspirin Everyday

The first large national clinical trial showing that aspirin reduced the risk of heart attack involved only male doctors and was stopped early after five years because the benefits were dramatic and seemed to far outweigh the risks. But that was in 1988, and medical practice has evolved since then, said Dr. Donald M. Lloyd Jones, president of the American Heart Association.

Low Dose Aspirin Too Risky For Most People, Studies Find

As people can now better control risk factors such as high blood pressure and use new drugs to keep cholesterol under control, “there is now less room for aspirin to make a difference,” said Dr. Lloyd-Jones. But, he said, “there is still a risk of bleeding.”

The research also found that although aspirin use by people who had not had a heart attack or stroke reduced the risk of these events, it did not reduce the number of deaths from heart disease or other causes.

The draft national task force report also questions other uses of aspirin, whether it reduces the risk of colon cancer, one of the leading causes of cancer death in the United States and increasing among younger adults for reasons that are not clear.

Replacing aspirin’s five-year approval to prevent colon cancer, the report highlighted new data from a randomized controlled trial called Aspirin in Reducing Events in the Elderly. In this study, aspirin use was associated with a nearly doubling of colon cancer deaths after nearly five years of follow-up.

Should You Take A Daily Aspirin?

Some experts have not given up on aspirin’s promise, saying there is still “basic evidence” for its role in cancer prevention.

Ph.D. Andrew Chen, director of cancer epidemiology at Mass General Cancer Center, said randomized controlled trials show that aspirin inhibits the growth of colon polyps and makes them less likely to become cancerous.

“This once again emphasizes the need to think.”

Is It Safe To Take Aspirin Everyday

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