A study has shown that the indiscriminate use of aspirin in age, senior in healthy patients, without a history of previous STROKE, can lead to bleeding.
Several news reports have emerged about a new research conducted in the United States and Australia which suggests that the aspirin age, senior, elderly people with good health conditions can lead to more risks than benefits.
But first, let’s realize, because it is so used aspirin? What is it for?
ASPIRIN: IN WHAT SITUATIONS IS IT USED?
Aspirin has, among other things, the ability to reduce the aggregation of platelets, a component of blood, essential for the formation of blood clots. This mechanism of action allows for beneficial action in diseases in which is involved the aggregation of platelets, and in that there can be risk of blood clots formation (thrombi) in the blood vessels, as happens in certain cardiovascular diseases.
Aspirin is used in situations in which it is desirable a reduction of the aggregation of blood platelets, in particular:
- In angina pectoris unstable;
- In myocardial infarction acute;
- To reduce the risk of new infarction in patients who have already suffered a heart attack after vascular surgery or certain operations in which there is a tendency to thrombus formation;
- To avoid the occurrence of accidents, transient ischemic and cerebral thrombosis;
- To prevent the occurrence of thrombosis of the blood vessels coronary in patients with various risk factors;
- To prevent the occurrence of thrombosis of the veins and of pulmonary embolism (severe obstruction of blood flow in the lungs).
On the other hand, should not be taken Aspirin:
- If you know you are allergic to salicylates or substances of the same type (salicylates and nsaids) or any of the other components of the medicine;
- If you know you suffer from a tendency to bleeding, or have history of gastrointestinal bleeding or perforation, related to therapy earlier with anti-inflammatory non steroids (Nsaids);
- If you suffer from ulcers of the stomach or intestines (peptic ulcer);
- During pregnancy (unless under the advice of a doctor).
WHAT ARE THE RISKS OF TAKING ASPIRIN AGE SENIOR?
The undesirable effects referred to in the news that indicate the risk associated with taking aspirin in the age senior, are duly mentioned in the package leaflet of the medicinal product.
The unwanted effects most frequently observed are of a gastrointestinal nature. Can occur, particularly in the elderly, peptic ulcers, perforation or gastrointestinal haemorrhage, potentially fatal. Nausea, digestion difficult, vomiting with blood, flatulence, abdominal pain, diarrhea, constipation, bloody stools, stomatitis-mouth disease, exacerbation of colitis or Crohn’s disease have been observed following administration of these drugs. Less frequently have been observed in cases of gastritis.
WHAT ARE THE CONCLUSIONS OF THE STUDY THAT ADVISES AGAINST THE INTAKE OF ASPIRIN AT AGE SENIOR?
A study published in The New England Journal of Medicine, researchers, australian and north-american, has evaluated more than 19 thousand elderly above 65 years, followed for more than four years.
These elderly people were divided into two groups, one received 100 mg of aspirin per day and the other received a placebo (substance with no pharmacological properties). Were followed up for 4.7 years and evaluated on the development of cardiovascular events, such as stroke, dementia, STROKE (stroke) or disability.
The findings of this study did not show benefit in the use of aspirin in the reduction of cardiovascular disease in patients healthy elderly without a history of previous STROKE. Being that the group that received aspirin daily had a higher rate of bleeding, upper gastrointestinal and intracranial.
Thus, it is suggested that the indiscriminate use of aspirin in primary prevention, that is, in healthy patients who have never had the event, should not be recommended for routine use, since there is an increased risk of bleeding.
Each case is different and every person has particularities in their health that must be properly evaluated by a physician. So, taking of aspirin, age a senior can be totally discouraged in some cases, but be of extreme importance in others, that even without a history of heart disease, may be present aggravating factors, including family history, that should not be overlooked.
Always consult your doctor before deciding to start or stop the intake of aspirin.