Aspirin at 40

MTS1980

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Tablets (oral)
Should I be taking aspirin at age 40 I’m type 2 any help and input is greatly appreciated best regards to all of you
 

HSSS

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What benefit do you think it would give? Has a dr recommended it?
 
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DavidGrahamJones

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Should I be taking aspirin at age 40

A question for your doctor really. Age is not so relevant if the doctor considers you at risk of a heart attack. Here's what the Mayo Clinic say:

Talk with your doctor about whether daily aspirin therapy might help you prevent a heart attack. Your doctor may suggest daily aspirin therapy if:
  • You've already had a heart attack or stroke.
  • You haven't had a heart attack, but you have had a stent placed in a coronary artery, you have had coronary bypass surgery, or you have chest pain due to coronary artery disease (angina).
  • You've never had a heart attack, but you're at high risk of having one.
  • You have diabetes and at least one other heart disease risk factor — such as smoking or high blood pressure — and you're a man older than 50 or a woman older than 60. The use of aspirin to prevent heart attacks in people with diabetes but no other risk factor is controversial.
The NHS say something similar:

2. Key facts

  • Daily low-dose aspirin makes the blood less sticky and helps to prevent heart attacks and stroke.
  • It's usual to take a dose of 75mg once a day. Sometimes doses may be higher.
  • It's best to take low-dose aspirin with food so it doesn't upset your stomach.
  • Taking low-dose aspirin isn't safe for everyone. Only take low-dose aspirin if your doctor recommends it.
  • Low-dose aspirin is also called by the brand names Caprin, Danamep, Micropirin and Nu-seals.
It's probably prescribed in the same way that statins get prescribed. Your doctor should tell you, ask.
 
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JohnEGreen

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I had an Abdominal Aortic Aneurysm fixed with a stent graft so am recommended to take aspirin daily to cut down on the risk of blood clots forming .

Abdominal Aortic Aneurysms mainly affect men above 55 years of age but do rarely affect much younger people so again age is not always a major factor but risk is.
 

MTS1980

Well-Known Member
Messages
129
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I had an Abdominal Aortic Aneurysm fixed with a stent graft so am recommended to take aspirin daily to cut down on the risk of blood clots forming .

Abdominal Aortic Aneurysms mainly affect men above 55 years of age but do rarely affect much younger people so again age is not always a major factor but risk is.

Yes the doctor has recommended but what I read on the internet is different it says risk of bleeding is more with daily use of aspirin I already take ssri so I’m confused looking for a some expert advice thanks for trying to help me I really appreciate it
 

MTS1980

Well-Known Member
Messages
129
Type of diabetes
Type 2
Treatment type
Tablets (oral)
A question for your doctor really. Age is not so relevant if the doctor considers you at risk of a heart attack. Here's what the Mayo Clinic say:

Talk with your doctor about whether daily aspirin therapy might help you prevent a heart attack. Your doctor may suggest daily aspirin therapy if:
  • You've already had a heart attack or stroke.
  • You haven't had a heart attack, but you have had a stent placed in a coronary artery, you have had coronary bypass surgery, or you have chest pain due to coronary artery disease (angina).
  • You've never had a heart attack, but you're at high risk of having one.
  • You have diabetes and at least one other heart disease risk factor — such as smoking or high blood pressure — and you're a man older than 50 or a woman older than 60. The use of aspirin to prevent heart attacks in people with diabetes but no other risk factor is controversial.
The NHS say something similar:

2. Key facts

  • Daily low-dose aspirin makes the blood less sticky and helps to prevent heart attacks and stroke.
  • It's usual to take a dose of 75mg once a day. Sometimes doses may be higher.
  • It's best to take low-dose aspirin with food so it doesn't upset your stomach.
  • Taking low-dose aspirin isn't safe for everyone. Only take low-dose aspirin if your doctor recommends it.
  • Low-dose aspirin is also called by the brand names Caprin, Danamep, Micropirin and Nu-seals.
It's probably prescribed in the same way that statins get prescribed. Your doctor should tell you, ask.

Yes the doctor has recommended but what I read on the internet is different it says risk of bleeding is more with daily use of aspirin I already take ssri so I’m confused looking for a some expert advice thanks for trying to help me I really appreciate it
 

MTS1980

Well-Known Member
Messages
129
Type of diabetes
Type 2
Treatment type
Tablets (oral)
What benefit do you think it would give? Has a dr recommended it?

That’s the issue Im not sure about the benefits but the risk of bleeding is there I already take ssri I need a an expert advice bro or a second opinion
 

JohnEGreen

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If you are worried about regular use of aspirin even at non therapeutic levels you could discuss with your doctor alternative anticoagulants there are several including some newer ones that are believed to be safer.
 
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DavidGrahamJones

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. . . . risk of bleeding is more with daily use of aspirin. . . .

It thins the blood, which is exactly why it can be prescribed. When I read a statement like the one above I first ask myself 'how much more'. The answer is probably 'an acceptable level'.

I did take aspirin for a while and the only thing I noticed was bruising more easily.
 
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grabarry

Active Member
Messages
25
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Low dose Aspirin won’t do you any harm but does have many benefits, if you can have a gut bacteria test, it appears some people are more susceptible to problems with Aspirin if their gut bacteria is out of balance, I was asked to get involved in a study for this problem through my Dr Surgery but my gut was OK so couldn’t get involved.
I’ve been on low dose Aspirin for years, never had a problem, I find taking it before I go to bed helps me sleep Like there’s no tomorrow 7-8 hours.
 
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Muddy Cyclist

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4,692
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Type 2
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Diet only
I can only relate to an experience I had with an older friend a few years ago whilst skiing in Switzerland. Friend had a sudden nose bleed on the slopes, it would not stop and eventually ended up in a Swiss hospital. The doctors were unable to stop the bleed and friend could not fly because of bleed and so was transported back to his home by ambulance via his travel insurance company. He was admitted to hospital in England and eventually the bleed was stopped and he was taken off asprin. The one thing that really stuck in my mind was the reaction of the Swiss Doctors to the UK NHS's insistence of prescribing Aspirin. They spoke of Incompetence, irresponsibility and where quite outraged by the frequency of this drug, in their opinion, being missused and inappropriately handed out to thin blood, in the UK.

I am not a medical person but having seen the reaction of these Swiss doctors and the state my friend found themselves in I would certainly question my GP if prescribed Aspirin.
 
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tom58

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56
Type of diabetes
Type 1
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Pump
My doctor regularly prescribes a daily dose of Kardegic, which is 75mg of aspirin powder, even though I was getting regular nose bleeds. He insists on still prescribing and I have responded, for the past five years, by chucking these prescriptions in the bin. I can't be bothered to argue and this way we're both happy.

:DAnd it isn't just English doctors who dole out aspirin willy nilly because I live in France.
 
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DorsetJon

Member
Messages
14
Type of diabetes
Type 1
The NICE recommendations for doctors in the UK are: "Do not offer antiplatelet therapy (aspirin or clopidogrel) for adults with type 2 diabetes without cardiovascular disease".

Aspirin can reduce the risk of future heart attacks or stroke in people who already have established cardiovascular disease. However there is no clear evidence that it has the same beneficial effect in people who don't have cardiovascular disease and, because it can have side-effects like gastric (stomach) bleeding, it is generally not recommended for such people. The risk of gastric bleeding could be further increased if you were to take both an SSRI and aspirin.

So, on this basis I would advise against taking aspirin. However, I don't know your medical history (particularly whether you already have cardiovascular disease, etc.), so you need to discuss this further with your GP or diabetes doctor. Has your doctor told you why they are recommending that you take aspirin?
 
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MTS1980

Well-Known Member
Messages
129
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Diabetes is a disease of heart and is and we are equivalent to some who had acid event in the Past atent we ?? I don’t live in Uk I’m from Pakistan Pakistani doc saying take this
 
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Should I be taking aspirin at age 40 I’m type 2 any help and input is greatly appreciated best regards to all of you
I'm coming at this as a pharmacist. Low-dose aspirin does reduce the risk of clots, but it also increases the risk of gastro-intestinal bleeding (every coin has two sides). Genetics, diet and probably microbiome (gut bacteria) imbalances may aggravate the risks. Statistically, the risks increase significantly with age, with 70-75 being a milestone.

At 40, you're not in the high-risk group for bleeds. If it was prescribed, I'm guessing there was a good reason. However, if circumstances have changed (e.g. if was prescribed while recovering from an operation), it'd be worth reviewing with your doctor.

Many people suffer some gastrointestinal discomfort even with low-dose aspirin. Others may notice micro-bleeds or blotches under the skin. In those situations, it's worth noting that the anti-clotting effect of aspirin lasts far longer than its painkilling effects (days rather than hours). This might permit dosing frequency to be reduced from daily to every second day or a couple of times per week. Obviously, that needs to be discussed with your prescriber.

Another option is to take an acid-blocking medication (a PPI). These have been shown to reduce bleeding risk with low-dose aspirin, but (if taken long-term) reduce the amount of acid available to digest your food and aid absorption of micronutrients.
 
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marzak

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Messages
40
Type of diabetes
Type 2
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Diet only
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inactivity, being stuck indoors
Diabetes is a disease of heart and is and we are equivalent to some who had acid event in the Past atent we ?? I don’t live in Uk I’m from Pakistan Pakistani doc saying take this
I'm not sure any doctor I know would say diabetes is disease of the heart. It may be a disease of the pancreas but most commonly (type 2) is a disease of insulin resistance related to genetics but mainly lifestyle such as poor diet and too little exercise (too much sugar and starchy food). So not quite sure what you are saying. It may become a disease of the circulation if no changes are made to reverse its effects.
 
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IanRA

Member
Messages
11
Type of diabetes
Type 1
The worlds largest and ongoing study into the benefits of aspirin suggests that here is no benefit in taking aspirin for prevention of heart attacks and this is double blind study discontinued after the results became clear. As a type 1 I was enrolled in the study and took a daily tablet. Placebo or not I had no clue. But after a number of years the study coordinators contacted me to inform me of the study out come. To find out more google Monash Aspree. I do have heart arrhythmias, a noisy aortic valve, and hypertension, all closely monitored by various specialists as is my diabetes. In regard to both arrhythmias and prophylaxis against clotting my Professor who treats my cardiac issues and hypertension recommended daily 10ml of fish oil. It does help and at 79 the greatest help, which my endocrinologist highly endorses, is my daily 2 km swim.
 
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MTS1980

Well-Known Member
Messages
129
Type of diabetes
Type 2
Treatment type
Tablets (oral)
All of you are right but I would slightly disagree with one gentleman according to my doctor diabetes is a disease of heart now he is not god he could be wrong too but my concern is bleeding are thee any other more safer options ?
 

DorsetJon

Member
Messages
14
Type of diabetes
Type 1
Your doctor has over-simplified things: it's not really a disease of the heart. It's a disease of the pancreas (as pointed out above) but diabetes, especially if poorly-controlled, can damage the lining of the blood vessels, including blood vessels in the heart. One effect of this damage is to increase the risk of having a heart attack, so there is an indirect effect of diabetes on the heart. This is probably what your doctor means. (Poorly-controlled diabetes may also damage eyes, nerves, kidneys, etc.). If you are otherwise healthy and don't have other risk factors such as being a smoker, being obese, or having a high blood cholesterol level, as a 40-year old type 2 diabetic your risk of having a heart attack is low, so aspirin is not recommended. A safer option than taking aspirin is not to take it.

If you are obese or overweight, losing weight will help to reduce your diabetes and may even stop it altogether. There is a lot of research, advice and personal experiences online that could help you with this.
 
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