Aspirin Dosage?

"h1clock" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Many people have told me that I should take one aspirin a
day to possibly prevent a future heart attack.

Half of those people suggest a baby aspirin a day.

Any thoughts on this subject?

I am a 56 year old male in relatively good shape.

Thanks

H1

If you have any risk factors such as smoking, obesity, high
BP, high cholesterol, or history of heart attacks in your
family I would do that, but it is a personal choice.
Aspirin does cause an increased risk of stomach bleeding
and, probably, a type of stroke. As far as dosage, there is
some debate.

You may wish to discuss this with your Dr.

Here is a link if you wish to explore further.

annals.org161Open ↗
key=9929b9660e6a953fea59a6a92514cba4f0d7ad2c&keytype2=t-
f_ipsecsha

or

tinyurl.com2v7fuOpen ↗

Bill - not a Dr.

Bayer Entec Encoated 81mg is fine if you have no prior
condition. However, 160 mg to 325 mg if you do have a prior
condition. If worried about stomach bleeding, take either
81mg or 2 of them, for 162 mg.

"h1clock" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Many people have told me that I should take one aspirin a
day to possibly prevent a future heart attack.

Half of those people suggest a baby aspirin a day.

Any thoughts on this subject?

I am a 56 year old male in relatively good shape.

Thanks

H1

I was taking a baby aspirin (80 mg) before I had a stent in
my LAD artery. My cardiologist said take a full aspirin (325
mg) plus Plavix, unless I had stomach bleeding problems.
That is what I am doing and have had no bleeding problems.

On 30 Apr 2004 16:25:17 -0700, [email hidden]

(h1clock) said:

Many people have told me that I should take one aspirin a
day to possibly prevent a future heart attack.

Half of those people suggest a baby aspirin a day.

Any thoughts on this subject?

I am a 56 year old male in relatively good shape.

Thanks

H1

h1clock said:

Many people have told me that I should take one aspirin a
day to possibly prevent a future heart attack.

Half of those people suggest a baby aspirin a day.

Any thoughts on this subject?

I am a 56 year old male in relatively good shape.

Thanks

H1

The optimal dose may be around 150 mg. YMMV.

Since most people can take 325 mg daily, the convenience of
one adult (325 mg) aspirin over two baby (81 mg) makes
recommending the former easier. Your doctor would be best
able to advise you on this.

Past discussions on this topic should be accessible via
Google archives.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

Yes, there sure seems to be some debate on the dosage.
I have cardiovascular disease and had a heart bypass
in December.

My doctor told me to take 81 mg of aspirin daily. I asked
him about more, possibly 81 mg in the AM and another 81 mg
in the PM. He said, no, that makes it worse.

So, I'm taking 81 mg every day. I take the enteric coated so
I believe this bypasses any stomach problems.

I know people whose doctors have told them to take 325
mg daily who have had bypass surgery. Don't know why
there is such a discrepancy, but would welcome comments
on the subject.

Don

"]news:[email hidden]...

Quoted message said:

"h1clock" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Many people have told me that I should take one aspirin
a day to possibly prevent a future heart attack.

Half of those people suggest a baby aspirin a day.

Any thoughts on this subject?

I am a 56 year old male in relatively good shape.

Thanks

H1

If you have any risk factors such as smoking, obesity,
high BP, high cholesterol, or history of heart attacks in
your family I would do that,

but

Quoted message said:

it is a personal choice. Aspirin does cause an increased
risk of stomach bleeding and, probably, a type of stroke.
As far as dosage, there is some debate.

You may wish to discuss this with your Dr.

Here is a link if you wish to explore further.

annals.org161Open ↗
9929b9660e6a953fe
a59a6a92514cba4f0d7ad2c&keytype2=tf_ipsecsha

Quoted message said:

or

tinyurl.com2v7fuOpen ↗

Bill - not a Dr.

Dr. Andrew B. Chung said:

h1clock said:

Many people have told me that I should take one aspirin a
day to possibly prevent a future heart attack. Half of
those people suggest a baby aspirin a day. Any thoughts
on this subject? I am a 56 year old male in relatively
good shape.

Thanks

H1

The optimal dose may be around 150 mg. YMMV.

Bwah.

Chung has changed the prescription. He argued rather
vociferously that 325mg was *it* and that's all there was to
it. <http://tinyurl.com/yuz6u>. Chung kept insisting that
less than 325mg gave less protection.

The paper I cited url='http://tinyurl.com/x1kz'http://tinyurl.com/x1kz/url said:

Quoted message said:

"Aspirin was the most widely studied antiplatelet drug,
with doses of 75-150 mg daily at least as effective as
higher daily doses. The effects of doses lower than 75 mg
daily were less certain.

"Low dose aspirin (75-150 mg daily) is an effective
antiplatelet regimen for long term use

Seems like chung's medical advice has slyly changed.
Different dosage since January.

Quoted message said:

Since most people can take 325 mg daily, the convenience
of one adult (325 mg) aspirin over two baby (81 mg) makes
recommending the former easier. Your doctor would be best
able to advise you on this.

So it's convenience, not efficacy?

Quoted message said:

Past discussions on this topic should be accessible via
Google archives.

They certainly are. More embarrassment for Chung.

Here's some new info about the whole question from a study
published by the American Academy of Family Physicians about
aspirin dosages for carotid Endarterectomy that also tracked
MI figures. Says that no differences between 81mg and 325mg,
and that more than 325mg results in increased mortality.
<http://www.aafp.org/afp/991115ap/tips/26.html> "Because no
significant differences were noted between the two lower
aspirin dosages (81 mg and 325 mg) and the two higher
dosages (650 mg and 1,300 mg), the authors reported the
results in these two groups. Efficacy analysis of 1,116
patients revealed that stroke occurred in
18 (3.2 percent) of those receiving low-dose aspirin and in
38 (6.9 percent) of those receiving high-dose aspirin.
Myocardial infarction was also less frequent in the
low-dose group (five patients, or 0.9 percent, versus
18 patients, or 3.3 percent). The mortality rate was
19.6 percent in the patients who received low-dose aspirin,
compared with a mortality rate of 2.2 percent in those
who received high-dose aspirin."

Here's another one, this meta-analysis from the University
of Illinois at Chicago College of Pharmacy in 2003. <http:/-
/www.uic.edu/pharmacy/services/di/ASAmetaanalysis.htm> "The
optimal starting dose of aspirin for primary prevention is
unclear; however, doses of 75 mg/day appear to be as
effective as higher doses."

Here's a PubMed abstract that looked at 100mg for acute MI
patients and said it was effective.
<http://tinyurl.com/35ezd> "However, early low-dose
aspirin effectively decreased the risk of reinfarction.
Therefore, the favor able results of early aspirin on
mortality in acute myocardial infarction are probably due
more to prevention of reinfarction than to decrease of
infarct size."

Bob

"Pat" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

Bayer Entec Encoated 81mg is fine if you have no prior
condition. However, 160 mg to 325 mg if you do have a
prior condition. If worried about stomach bleeding, take
either 81mg or 2 of them, for 162 mg.

...and if you are doing well on 325 mg a day without stomach
problems, there really is no reason to decrease it.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

"Don" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Yes, there sure seems to be some debate on the dosage. I
have cardiovascular disease and had a heart bypass in
December.

My doctor told me to take 81 mg of aspirin daily. I asked
him about more, possibly 81 mg in the AM and another 81 mg
in the PM. He said, no, that makes it worse.

So, I'm taking 81 mg every day. I take the enteric coated
so I believe

this

Quoted message said:

bypasses any stomach problems.

Enteric coating only bypasses one type of stomach problem --
namely, the irritation that occurs when an aspirin lands
directly on the stomach wall and dissolves.

An enteric coating can't help problems associated with
bleeding ulcers, simply because if the aspirin works to help
your heart, it is creating an antiplatelet effect, which
also enhances stomach bleeds.

At high enough doses (murky in the literature, perhaps 650
mg per day), aspirin also suppresses the mucin response in
your stomach (and intestine), exposing the linings to
stomach acid.

"Bob (this one)" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Dr. Andrew B. Chung, MD/PhD wrote:

[...]

Quoted message said:

Quoted message said:

The optimal dose may be around 150 mg. YMMV.

Bwah.

Chung has changed the prescription. He argued rather
vociferously that 325mg was *it* and that's all there was
to it. <http://tinyurl.com/yuz6u>. Chung kept insisting
that less than 325mg gave less protection.

The paper I cited url='http://tinyurl.com/x1kz'http://tinyurl.com/x1kz/url said:

Quoted message said:

"Aspirin was the most widely studied antiplatelet drug,
with doses of 75-150 mg daily at least as effective as
higher daily doses. The effects of doses lower than 75
mg daily were less certain.

"Low dose aspirin (75-150 mg daily) is an effective
antiplatelet regimen for long term use

So what's the problem? My own cardiologist has changed
his ideas in the last year, as more studies were
completed and more results became available. The studies
are, like all large population studies, a bit murky and
statistical in nature. That's the nature of medical
science -- ideas evolve.

"H.W. Stockman" <stockman3@earth-REMOVE_THIS-link.net> wrote in message
"]news:[email hidden]...

Quoted message said:

"Don" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Yes, there sure seems to be some debate on the dosage. I
have cardiovascular disease and had a heart bypass in
December.

My doctor told me to take 81 mg of aspirin daily. I
asked him about

more,

Quoted message said:

Quoted message said:

possibly 81 mg in the AM and another 81 mg in the PM. He
said, no, that makes it worse.

So, I'm taking 81 mg every day. I take the enteric
coated so I believe

this

Quoted message said:

bypasses any stomach problems.

Quoted message said:

An enteric coating can't help problems associated with
bleeding ulcers, simply because if the aspirin works to
help your heart, it is creating an antiplatelet effect,
which also enhances stomach bleeds.

What about using Aloe Vera juice to counter bleeding?
What it does in burn clinics to help heal damaged tissue
is amazing.

H.W. Stockman said:

"Bob (this one)" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Dr. Andrew B. Chung, MD/PhD wrote:

[...]

Quoted message said:

Quoted message said:

The optimal dose may be around 150 mg. YMMV.

Bwah.

Chung has changed the prescription. He argued rather
vociferously that 325mg was *it* and that's all there was
to it. <http://tinyurl.com/yuz6u>. Chung kept insisting
that less than 325mg gave less protection.

The paper I cited url='http://tinyurl.com/x1kz'http://tinyurl.com/x1kz/url said:

>"Aspirin was the most widely studied antiplatelet drug,
>with doses of 75-150 mg daily at least as effective as
>higher daily doses. The effects of doses lower than 75
>mg daily were less certain.
>
>"Low dose aspirin (75-150 mg daily) is an effective
>antiplatelet regimen for long term use

So what's the problem? My own cardiologist has changed
his ideas in the last year, as more studies were
completed and more results became available. The studies
are, like all large population studies, a bit murky and
statistical in nature. That's the nature of medical
science -- ideas evolve.

Understood and agreed, with normal people. It's the
steadfastness that Chung offered that makes it so funny.
The absolute insistence, the 100% argument, the uniqueness
of his notion. So typically Chung in his insistence that
only he knows THE TRUTH and then, a couple months later
it's not just a different song, but the very one that was
being played to him that he so fiercely and illogically
argued against.

<LOL>

Bob

Quoted message said:

As far as dosage, there is some debate.

Most studies I've read put no further benefit beyong 5omg,
thus the populairty of the 81mg baby aspirin. A "normal"
aspirin has 325mg I believe.

Chuck

How many mg's is 5omg?

"ChuckMSRD" <[email hidden]> wrote in message news:20040501055239.19969.00000621@mb-
m10.aol.com...

Quoted message said:

Quoted message said:

As far as dosage, there is some debate.

Most studies I've read put no further benefit beyong 5omg,
thus the

populairty

Quoted message said:

of the 81mg baby aspirin. A "normal" aspirin has 325mg I
believe.

Chuck

"H.W. Stockman" <stockman3@earth-REMOVE_THIS-link.net> wrote in message news:<[email hidden]>...

Quoted message said:

"Bob (this one)" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Dr. Andrew B. Chung, MD/PhD wrote:

[...]

Quoted message said:

Quoted message said:

The optimal dose may be around 150 mg. YMMV.

Bwah.

Chung has changed the prescription. He argued rather
vociferously that 325mg was *it* and that's all there
was to it. <http://tinyurl.com/yuz6u>. Chung kept
insisting that less than 325mg gave less protection.

The paper I cited url='http://tinyurl.com/x1kz'http://tinyurl.com/x1kz/url said:

> "Aspirin was the most widely studied antiplatelet
> drug, with doses of 75-150 mg daily at least as
> effective as higher daily doses. The effects of doses
> lower than 75 mg daily were less certain.
>
> "Low dose aspirin (75-150 mg daily) is an effective
> antiplatelet regimen for long term use

So what's the problem?

In a word:

Obsession.

Bob is unable to shake it.

Quoted message said:

My own cardiologist has changed his ideas in the last
year, as more studies were completed and more results
became available.

Has your cardiologist started to advise you to take less
aspirin or is he recommending you take more?

Quoted message said:

The studies are, like all large population studies, a bit
murky and statistical in nature. That's the nature of
medical science -- ideas evolve.

God's gift of truth discernment is very helpful in this
setting :-)

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote
in message
"]news:[email hidden]... .>
Has your cardiologist started to advise you to take less
aspirin or is

Quoted message said:

he recommending you take more?

He is leaning toward a lower dose, depending on whether one
shows symptoms of digestive maladies. He had weighed the
various studies that purported 81, 162, 325 mg/day were
best. He initially recommended 325/day, deciding to err on
possibly overkill for the antiplatelet effect.

Dual 81s, I say!

"H.W. Stockman" <stockman3@earth-REMOVE_THIS-link.net> wrote
in message
"]news:[email hidden]...

Quoted message said:

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]>
wrote in message
"]news:[email hidden]... .>
Has your cardiologist started to advise you to take less
aspirin or is

Quoted message said:

he recommending you take more?

He is leaning toward a lower dose, depending on whether
one shows symptoms of digestive maladies. He had weighed
the various studies that purported 81, 162, 325 mg/day
were best. He initially recommended 325/day, deciding to
err on possibly overkill for the antiplatelet effect.

H.W. Stockman said:

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]>
wrote in message
"]news:[email hidden]... .>
Has your cardiologist started to advise you to take less
aspirin or is

Quoted message said:

he recommending you take more?

He is leaning toward a lower dose, depending on whether
one shows symptoms of digestive maladies. He had weighed
the various studies that purported 81, 162, 325 mg/day
were best. He initially recommended 325/day, deciding to
err on possibly overkill for the antiplatelet effect.

Sounds like your cardiologist also has God's gift of truth
discernment
:-)

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

Thanks for all your input people. It is much appreciated.

Man, there are a couple of weirdo doctors here, huh?

I've never seen anything like this on any newsgroup.

h1

h1clock said:

Thanks for all your input people. It is much appreciated.

Man, there are a couple of weirdo doctors here, huh?

I've never seen anything like this on any newsgroup.

h1

Fyi,

Bob is not a doctor though he seems to have this "weird"
obsession of calling real doctors "quacks" thereby implying
he is a doctor <shrug>

He remains in my prayers to God in Christ's name.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗