WHAT’S THE DEAL WITH ASPIRIN?

Aspirin was invented by Bayer Inc. a little over 100 year ago.  Some of you may remember that in my previous essay  it was expected to be a small seller, compared with Bayer’s more exciting product that had such high hopes….HEROIN!   Yes….aspirin and herion were born in the same year.

But you are concerned about aspirin and whether you should take one every day to prevent heart attacks and cancer to help you live longer.

The most recent article in the New England Journal of Medicine sheds more light on this topic and suggests that the pro’s and con’s of baby aspirin fall slightly to the negative due to the increased bleeding that results from regular low dose aspirin use.   They did not see any definitive benefits in heart attack/stroke prevention or in cancer risk to support the use of regular baby aspirin.

This issue has been controversial for many years.  In England, they have never recommended daily aspirin use due to the controversy with the data.

I think this latest study is interesting, but not the ‘nail in the coffin’ for regular aspirin use.   This study was looking at 70 year olds across the board, without specific concerns in which aspirin would test to have a more positive result.

So….who should take aspirin:

  1.  Anyone with a history of heart disease or arrhythmia or a strong family history of heart disease.
  2. Anyone on statin medications
  3. Anyone with a strong family history of colon cancer, breast cancer, or prostate cancer
  4. Anyone with a history of colon polyps

Who should NOT TAKE aspirin:

  1.  Anyone with a history of stomach ulcer
  2. Anyone with a history of bleeding issues (gastrointestinal bleeding primarily)

For the rest…it’s a toss of a coin and you could consider taking or not taking aspirin.   For today (until the next study)……if you are in the more general category, you can hold.