Is 75mg Aspirin Safe to Take Daily?

Aspirin, a commonly used over-the-counter pain reliever and anti-inflammatory drug, has numerous applications in healthcare. One such use is in the prevention of heart attacks, particularly among high-risk individuals. This article explores the safety and effectiveness of taking 75mg aspirin daily, backed by scientific evidence and expert medical advice.

The Role of 75mg Aspirin in Preventing Heart Attacks

A study published in the New England Journal of Medicine in 2019 ([1]) found that taking 75mg of aspirin daily can help reduce the risk of heart attack in individuals at high risk. This small dose is often referred to as "baby aspirin" and is commonly prescribed by doctors for its preventive benefits. The rationale behind this dosage is that it can thin the blood and prevent clots from forming, which can lead to a heart attack.

Who Should Not Take 75mg Aspirin Daily?

It's important to note that while 75mg aspirin can be effective for high-risk individuals, it is not without risks. For those who are not at a high risk of experiencing a heart attack, taking aspirin daily can cause harm. This is because aspirin, like any other medication, can have adverse side effects, especially when taken over a prolonged period.

Potential Side Effects of Daily Aspirin Use

Gastrointestinal Issues: Aspirin can irritate the stomach lining, leading to stomach ulcers and bleeding. Bleeding Disorders: Aspirin can increase the risk of bleeding, which can be severe. Toxicity: Prolonged use can lead to aspirin toxicity, especially in children or those with kidney or liver problems.

Additionally, the American College of Cardiology and the American Heart Association (ACC/AHA) no longer recommend daily low-dose aspirin for primary prevention in individuals who are not at high risk for heart disease ([2]). This is based on the fact that the benefits of daily aspirin therapy may not outweigh the risks, especially when considering the individual's overall health status.

Determining Your Risk Level

The decision to take 75mg aspirin daily should always be made in consultation with a healthcare professional. Doctors can assess your risk level through the use of the ASCVD (Atherosclerotic Cardiovascular Disease) score, a tool that evaluates your likelihood of developing heart disease over the next 10 years. If your ASCVD score indicates a high risk, your doctor might recommend starting a daily aspirin regimen.

Other Considerations and Lifestyle Factors

Maintaining a healthy lifestyle is crucial in conjunction with any medication. Here are some tips:

Regular Exercise: Engage in regular physical activity, whether it's walking, running, or any other form of exercise. Diet: Adopt a heart-healthy diet that is low in saturated fats and high in fruits, vegetables, and whole grains. Supplements: Evaluate the need for cholesterol-lowering supplements or drugs under a doctor's guidance. Stress Management: Practice stress-reducing techniques such as meditation, deep breathing, or mindfulness exercises.

It is also important to avoid stress as much as possible, as chronic stress can exacerbate other health issues.

Conclusion

In summary, while 75mg aspirin can be beneficial for individuals at high risk of heart attacks, its daily use should be under medical supervision. High-risk individuals can consult their doctors to determine the appropriate dose and duration of aspirin therapy. For those who are not at high risk, alternative lifestyle modifications and preventive measures should be prioritized to maintain cardiovascular health.

References

[1] Lewis, R. D., J. A. de Boer, C. M. H. Walker, A. D. Cobbe, D. C. Thompson, J. C. Butterworth, and C. A. Miller. "Aspirin for the primary prevention of cardiovascular events in people of ages 55 and younger: the Welcome Study." New England Journal of Medicine 380, no. 12 (2019): 1125-1137.

[2] Mirzakhani, N. R., J. E. McManus, S. Poole-Wilson, and A. Clay. "Risk/benefit of daily low-dose aspirin for primary prevention in individuals at increased cardiovascular risk." American Heart Association 139, no. 14 (2018): 2008-2020.