Saturday 10 March 2012

ASA Risks and Benefits


This won’t surprise anyone who’s followed what I’ve had to say over the years but yet another study has concluded that for most of us, taking ASA regularly to prevent a first heart attack or stroke, is actually a crap shoot, that is, it’s very hard to determine if the undoubted benefits of taking the drug will actually outweigh the huge and severe potential risks of taking ASA regularly.

In this analysis which looked at several studies involving over 100,000 patients for about 6 years, the researchers concluded that for a large population, the overall risks of taking ASA regularly – which is mainly due to a higher risk of suffering a severe bleeding incident, either into the brain to cause a hemorrhagic stroke or more commonly from the stomach causing a severe gastrointestinal hemorrhage - might actually be slightly higher than the overall benefits, which do include a slightly lower risk of non-fatal first heart attacks.

In other words, people taking ASA regularly in this analysis didn’t live any longer than people who weren’t taking it, and in the end, living longer is what this issue is mainly about.

A couple of important considerations, though: this caution applies only to people looking to prevent a first heart attack because the date is pretty clear that for those folks who already had a heart attack, the overall benefits of ASA outweigh the potential risks.

And second, if you are taking ASA, please do not stop it just on the basis of a report like this.
Rather, sit down with your own doctor and go over the potential risks and the potential benefits – to you as a unique individual – and then you can decide what to do.

Originally posted on the London Drugs Blog - January 10th, 2012