Thứ Ba, 19 tháng 10, 2021

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 The question for aspirin and all medications is whether the benefits outweigh the risks. There isn't a single, one-size-fits-all answer. There are clearly some individuals who are at high risk for having a heart attack and stroke. For these people, specifically people with prior heart attacks or strokes, aspirin use continues to be recommended. There are others who may be at increased risk, for instance, people with hypertension, diabetes, and other factors that predispose them to cardiovascular disease. On a case-by-case basis, aspirin may still be recommended, depending on someone's age and other circumstances. Then there are some people on the opposite end of the spectrum, who may have bleeding disorders and probably should not be taking aspirin. I think what the task force is trying to say is that people shouldn't assume they need to be on aspirin. There needs to be a careful weighing of risks and benefits. Second, the authors of the draft guidelines specifically say that people shouldn't stop their aspirin if they are already taking them. There could be risks associated with suddenly stopping any medications, including aspirin. Most importantly, make sure your doctor is aware that you're taking aspirin. I've found that because aspirin is an over-the-counter medication, patients often don't mention they are taking it unless they are specifically asked. Please make sure your doctor knows you're taking aspirin, and any other nonprescription medication or dietary and herbal supplement. If your doctor is the one who recommended aspirin to you, you could still have a conversation. Make sure you understand why it is that you're taking it. Discussing the risks and benefits of every medication is always a good idea, as is ongoing reevaluation. Just because something was recommended to you before doesn't mean that it's always going to be right, especially as your medical circumstances and clinical guidelines change. Talk to your doctor before starting aspirin. I've found that many people start taking aspirin because they think it's the thing to do once they turn a certain age. That's not the case, and I think that's the most important takeaway from the guideline change. Aspirin is a medication like other medications. The risks and benefits need to be carefully considered and weighed, together with your medical provider.

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