The once-standard advice to take low-dose aspirin daily as a preventive measure against heart attack and stroke has evolved. Medical professionals still recommend aspirin for those with a history of heart attack or stroke, but the approach has become more nuanced.
While aspirin is effective at reducing blood clots and preventing cardiovascular events, its benefits must be weighed against potential risks, particularly bleeding. The American Heart Association warns that people without significant cardiovascular risk should not take daily aspirin without consulting their doctor first.
Medical experts now require more evidence of high-risk cardiovascular status before prescribing aspirin to those without a history of heart attack or stroke. They also ask more questions about potential bleeding risks. This shift has led to a decrease in aspirin prescriptions but an increased emphasis on individualizing its use for the right patients.
Aspirin works by inhibiting platelets and reducing blood clots, making it a valuable option for those at high risk of cardiovascular events. However, for others, the benefits do not outweigh the risks. The Centers for Disease Control and Prevention (CDC) and other health organizations recommend that individuals discuss their aspirin use with their doctor to determine if it is safe and effective for them.
It’s essential to remember that nearly one in three Americans over 60 take daily aspirin, while millions more report taking it without consulting a medical professional first. The CDC warns against low-risk patients taking aspirin without discussing its safety with their doctor.
Before discontinuing aspirin use, individuals should consult their doctor, especially if they have a history of heart attacks or stroke. Aspirin can weaken the stomach’s protective lining and increase the risk of bleeding.
Source: https://eu.usatoday.com/story/life/health-wellness/2025/02/02/why-is-aspirin-no-longer-recommended/77840304007