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People have long believed that aspirin helps prevent heart attacks, strokes, and some studies have shown a protective effect of some cancers. But scientific studies on the damage caused by aspirin have yielded results that need to be taken into account.
As a result, some people have made a firm commitment to taking pills containing low doses of aspirin every day after breakfast (do not take them on an empty stomach).
But now, its status as a miracle good has declined somewhat after a review of experimental evidence.
The American Medical Association (JAMA) has published a meta-badysis (statistical badysis of the results of a large number of tests to obtain more conclusive conclusions) of the badociation of 39; use of aspirin with circulatory and hemorrhagic problems.
The known risk of aspirin, which can cause internal bleeding, has been shown to have similar, and sometimes superior, benefits to preventing heart attacks and strokes.
Aspirin reduces blood, which helps prevent the formation of blood clots, and aspirin is without a doubt a very good medicine for the prevention of heart attacks or strokes.
But the 164,255 people had no previous problem with cardiovascular disease.
They were followed for 6 years on average, during which time they took aspirin or placebo.
People taking aspirin were 11% less likely to have a heart attack, but 43% were more likely to have severe bleeding from the stomach, brain or the heart. ;intestine.
It should be noted that the researchers found no effect of the drug on cancer.
Can not be prescribed for all patients or healthy people
Dr. Sean Ching, an badociate professor of cardiothoracic medicine and clinical at King's College London, said that taking aspirin daily could not be recommended for healthy people.
But he added that it could still be prescribed to people at high risk of heart attack or stroke, such as those with type 2 diabetes.
However, it will be important to keep in mind the risk of bleeding.
"The use of aspirin requires a discussion between patients and their physicians, knowing that the few potential benefits are outweighed by a real risk of serious bleeding."
The results reflect the average risk of bleeding or heart attack in patients in all trials.
Which means that there are people, including those who will improve by taking aspirin, and some of them will worsen.
Humans do not fit naturally, but it's a new position in which we have to balance individual risks and benefits, perhaps with the help of a general practitioner with some degree of understanding.
The US Preventative Services Task Force recommends that people aged 50 to 59 years take low doses of aspirin to prevent heart problems, blood vessels and colorectal cancer.
Specifically, if they have 10% or more risk of having a heart attack or stroke, they have no health problems that increase their risk of bleeding.
The risk has usually been calculated with the help of factors such as age, blood pressure, cholesterol level, history of smoking and other problems like diabetes.
For people aged 60 to 69 with a risk of cardiovascular problems greater than or equal to 10%, the team considers that this decision is the same.
Beware … taking time hurts your kidneys
In the German state of Hesse, the drug department warned that the use of over-the-counter drugs, such as aspirin and ibuprofen, in high doses over a long period, could damage the kidneys.
Therefore, these medications can not be used for more than 3 days without consulting your doctor.
This is especially true for people with kidney problems, because if the drug stays in the kidneys, it can accumulate in the body, posing a health risk.
Aspirin causes a lightening of the blood, even with small doses of less than 100 milligrams. This effect is done in minutes, but lasts about a week.
Therefore, anyone who accepts surgery – for example a dentist – should inform the doctor of the dose of acetylsalicylic acid at all times, in order to take the necessary precautionary measures.
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