The Reality of Aspirin

by Michael_Koger

The use of aspirin is not new to clinicians; however, the guidelines for that have changed in many ways.

Medical literature has long described the use of these substances for many things. For example, it is an inflammatory agent. Since bleeding can pose a problem for some people, it is necessary. In any event, the American College of Cardiology and the American Heart Association have examined the applications of these well-known medications. Moreover, the United States Preventive Services Task Force and the European Society of Cardiology have drawn interest. Moreover, there are other well-known organizations such as the American Diabetes Association and the American Academy of Family Physicians (2, 3,4).

Clinical Trials

     Without question, it is well-known as a medicinal agent.  It has been a subject of clinical research trials, and there is much debate about them.  For example, researchers say there is not enough statistical power.  There is also discussion over the ASPREE trial.  It encompasses Aspirin in Reducing Events in the Elderly (ASPREEtrial.  Hispanic and African Americans are at times participants though there is controversy over whether this trial necessitates more data (1, 2, 3, 4).

     The literature addresses pathologic effects and the diseases which may be, along with other treatments, ways to diagnose and manage them.  For example, there is information about coronary calcium, and these may suffer from cardiovascular events.  It has to do with plaque burden, and there is much that doctors have written.  This observation has some advantages even though there are comorbitities and age consideration.  In general, healthy behaviors are still the best approaches.  According to some practitioners, the use of it may range from 75 to 100 milligrams daily, and ages for which the client is between 50 and 59.  The U.S. Preventive Services Task Force recommends daily intake (1, 2, 3, 4).

Management of Side Effects

     Many procedures, therefore, remain as important in management of these individuals.  For example, primary care physicians still follow good histories and physicals as they assess the patient.  Those matters also include weight, blood sugar, hypertension, and lipid control.  These well-known parameters enable the medical team to observe the matter of primary care prevention (1, 2, 3, 4).

      The writers in some of these articles have long had to deal with bleeding.  The client may suffer from cancer, and prior occurrences of some of these variables.  One must also recall that aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) are similar.  An item which some do not understand is that many physicians suggest that its daily use is risky.  Hence, some clients require regular supervision as this may better control them.  Dietary supplements are of concern, as they may lead to bleeding.  Examples include antidepressants, corticosteroids, and heparin.  It may lead to that, and others too because they may need dental cleaning or other medical procedures  (1, 2, 3, 4).

Conclusion

     There is much discussion about aspirin and other NSAIDs.  Primary care doctors have much experience with their management, and clinical trials are abundant today.  These new materials will provide readers with good information which will help patients as well as practitioners.

References

  1. Mayo Clinic. (2021).  Daily aspirin therapy:  Understand the benefits and risks.
  2. Michos, E.  (2021).  Is taking aspirin good for your heart?  Johns Hopkins Medicine.
  3. Morbidity and Mortality Weekly Report (MMWR). (2015).  Use of aspirin for prevention of recurrent Atherosclerotic Cardiovascular Disease Among Adults—20 states and the District of Columbia, 2013.
  4. Schenone, A. and Lincoff, A.  (2020). Aspirin for primary prevention of atherosclerotic cardiovascular events.  Cleveland Clinic Journal of Medicine, 87, 300-310.
  5. Copyright 2021.  All rights reserved. Michael Koger, Sr., M.D.

Disclaimer

     The information in this article is for educational purposes, and one should not use it for diagnosis or treatment without the opinion of a health professional.  Any reader who has concerns should contact his or her physician for advice.

Updated: 05/28/2021, Michael_Koger
 
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frankbeswick on 05/26/2021

Thanks for this advice.

DerdriuMarriner on 05/26/2021

MichaelKoger, Thank you for the practical information.
It's troubling to think that an easy, uncomplicated treatment, such as aspirin, can be a double-edged sword in creating more problems as it tackles one.

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