Medications
Resources
Basic InformationLatest News
Over 40% of Antibiotics Could Be 'Inappropriately' PrescribedFDA Testing Levels of Carcinogen in Diabetes Drug MetforminTaking Several Prescription Drugs May Trigger Serious Side EffectsPenicillin Allergy Less Common Than Thought: StudyMany Older Americans Misuse Antibiotics: PollAntibiotics Not Recommended for Most Toothaches, New Guideline SaysHealth Tip: Taking Anti-Inflammatory DrugsMany Common Meds Could Alter Your MicrobiomeWhen Meds Are Free, Patients Take Them More OftenMaker Halts Distribution of Generic Zantac Due to Possible CarcinogenKids Often Prescribed Drugs 'Off-Label,' Raising ConcernsHeartburn Drug Zantac May Contain Small Amounts of Known Carcinogen, FDA SaysHealth Tip: Take Over-the-Counter Medication WiselyA Prescription for Medicating Your Child SafelyHealth Tip: Taking Dietary SupplementsTrump Administration Announces Plan to Allow Cheaper Drug Imports From CanadaAre Too Many Kids Prescribed Antihistamines?Some Meds and Driving a Dangerous DuoHealth Tip: Giving Medicine Safely to ChildrenHigher Cost of New Cholesterol Drugs Putting Patients at Risk: StudyMany Americans Take Antibiotics Without a PrescriptionAmericans Aware of Antibiotic Resistance, but Don't Always Follow Rx: PollHealth Tip: CBD Oil Fast FactsHealth Tip: Effects of Allergy MedicationAntibiotics Pollute Rivers Worldwide: StudyHealth Tip: Nasal Spray SafetyHealth Tip: Over-the-Counter Drugs That Don't Mix With AlcoholMany Patients Don't Need Opioids After SurgeryYour Gut Bacteria Could Affect Your Response to MedsPatients Who Read Doctors' Notes More Likely to Take Their MedsRising Rx Drug Costs Continue to Create Tough Choices for SeniorsBrain Bleed Risk Puts Safety of Low-Dose Aspirin in DoubtAmericans' Prescription Med Use Is DecliningFDA Puts Tough Warning Label on Ambien, Lunesta, Other Sleep AidsDietary Supplements Do Nothing for You: StudyAre 'Inactive' Ingredients in Your Drugs Really So Harmless?Which Misused Prescription Meds Send Americans to the ER?Health Tip: What You Should Know About AntibioticsWhite House Plan to Disclose Drug Prices May Not Drive Down Costs: StudyWhen Your Medications Are the News1 in 4 Antibiotic Prescriptions Isn't Needed: StudyDermatologists Cut Back on Antibiotics But Still Prescribe the MostEven Older Drugs Are Getting Steep Price Hikes, Study FindsNew Cholesterol Drug's High Price May Not Be Worth It: StudyHealth Tip: Packing Prescriptions for Travel
Questions and AnswersVideosLinksBook Reviews
Related Topics

Anxiety Disorders
Depression: Depression & Related Conditions
Medical Disorders
Mental Disorders
Mental Health Professions

Brain Bleed Risk Puts Safety of Low-Dose Aspirin in Doubt

HealthDay News
by By Amy Norton
HealthDay Reporter
Updated: May 14th 2019

new article illustration

TUESDAY, May 14, 2019 (HealthDay News) -- Let's say you're one of the millions of older adults who takes a low-dose aspirin religiously, in the belief that it will guard against heart disease and heart attacks.

Now, a new review suggests your risk of a brain bleed outweighs any heart benefit that a daily aspirin might bring you.

Researchers said the findings support a recent change to guidelines on low-dose aspirin: The blood thinner should now be reserved for people at high risk of heart attack or stroke.

Others can skip it.

The change was issued in March by the American College of Cardiology (ACC) and the American Heart Association (AHA). The groups said that while the bleeding risk with aspirin has always been known, it now appears the risk is not worth it for most people.

Instead, the average person should focus on controlling their blood pressure, blood sugar and cholesterol, eating a healthy diet, getting regular exercise and not smoking.

"All of those things are more important than taking low-dose aspirin in preventing future heart attacks and strokes," said Dr. Meng Lee, one of the authors of the new report.

"Our findings do support the latest change to the ACC/AHA guidelines," said Lee, of Chang Gung University College of Medicine, in Taiwan.

For the study, the investigators pooled the results from 13 clinical trials testing low-dose aspirin in older adults with no history of heart problems or stroke. On average, aspirin raised the risk of bleeding in or around the brain by 37%, the findings showed.

The risk was still small: The researchers estimate that a daily aspirin would cause an additional two brain bleeds for every 1,000 people.

But for people at lower risk of heart attack or stroke, that's a chance they probably should not take, according to the new guidelines.

And, based on two trials, people of Asian ethnicity might be at particular risk of brain bleeding. Patients in those studies saw their risk rise by 84%.

It's not clear why, according to Lee -- but other studies have found the same pattern.

The latest finding was published online May 13 in JAMA Neurology.

If it has long been known that aspirin carries a bleeding risk, why is the advice changing now?

Research in recent years has shown that the balance of risks versus benefits has changed, explained Dr. Eugene Yang, a member of the ACC's Prevention Section and Leadership Council.

Earlier studies did suggest that the bleeding risks with aspirin were generally outweighed by its ability to curb the odds of a first-time heart attack and stroke.

But things are different today, Yang explained. People are smoking less and there have been improvements in controlling high blood pressure and cholesterol. That means for lower-risk people, the heart benefit of aspirin has diminished -- making the bleeding risk more of a concern.

Yang stressed, however, that the guideline change applies only to people without "overt" cardiovascular disease. For people with a history of heart attack or stroke, or significant narrowing in the arteries supplying the heart, brain or legs, the advice stays the same.

"In those cases, you're trying to prevent further complications," said Yang, who is also a clinical associate professor of medicine at the University of Washington, in Seattle.

In addition, he pointed out, aspirin is not an absolute "no" for preventing first-time complications, either.

The guidelines say people over age 70 should avoid aspirin if they do not have overt cardiovascular disease. But it may still be considered for certain people ages 40 to 70 who are at heightened risk of cardiovascular complications.

"It's not a simple, black-and-white decision," Yang said.

If you are currently taking aspirin and wondering if you should stop, talk to your doctor first, Yang advised.

"There could be other reasons it was prescribed, such as lowering the risk of colon cancer or to prevent blood clots," he said.

More information

The American Heart Association has more on low-dose aspirin.




Facebook

Amazon Smile

 

Children and Adult services are available now with no wait time.  

Please contact HBH at 860-548-0101, option 2.

 


powered by centersite dot net