2. Taking aspirin for a long time can also cause subcutaneous hemorrhage. Patients show blue skin or bleeding spots, even bleeding gums or nosebleeds, especially elderly women. Because aspirin has anticoagulant effect, it will increase the risk of surgical bleeding. These should cause widespread concern.
3, long-term use of aspirin can also cause poisoning, causing patients to have symptoms such as headache, dizziness, nausea, vomiting, tinnitus, hearing and vision loss.
4. Pregnant women taking aspirin within 3 months of pregnancy will lead to abnormal fetal development. Long-term use can delay delivery and have the risk of bleeding, so it is forbidden 2~3 weeks before delivery.
2 Take 8 aspirin items and pay attention to 1. Take the appropriate dose and choose the right time to take the medicine.
Based on the comprehensive analysis of a large number of data, it is considered that the dosage of preventive application of ASA is 50 ~ 100mg/ day (most recommend 75mg/ day) for long-term use. This can not only achieve the best preventive effect, but also minimize the toxic reaction of drugs.
Should aspirin be taken in the morning or at night? At present, this issue is still controversial. It is different to take medicine in the evening or in the morning. Some people think that taking aspirin at night is more effective according to the fact that platelets are more active between 2 pm and 10 pm, which is also the high incidence of cardiovascular diseases. Some studies have also found that taking prostacyclin in the morning and evening can effectively prevent the onset of cardiovascular diseases at night, and it is recommended to take it in the morning.
In fact, it doesn't matter when you take the medicine. As long as you insist on taking aspirin for a long time, you can get a sustained platelet inhibition effect. In terms of curative effect, the current understanding of experts is that the effect of taking aspirin for a long time is persistent, with little difference in the morning and evening. The key is persistence.
2. Avoid sharing with other antithrombotic drugs or drugs that cause peptic ulcer.
Aspirin may also interact with non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and naproxen, hemodilution drugs such as warfarin, and antiplatelet drugs such as clopidogrel or ticlopidine, and should be taken strictly according to the doctor's advice.
3. The adaptability of gastric mucosa to injury factors in the elderly is reduced, which is more likely to cause gastric mucosal injury.
4. In order to prevent gastrointestinal bleeding complications caused by ASA, drugs to prevent gastric mucosal injury can be taken at the same time, and preventive acid inhibitors and gastric mucosal protective agents can be used at the same time.
5. Choose the appropriate ASA dosage form.
At present, long-term clinical use of low-dose ASA to prevent ischemic cardiovascular and cerebrovascular diseases can reduce local direct damage to gastric mucosa.
6. Pay attention to the patient's medical history.
At present, it is agreed that those who have a history of gastrointestinal ulcer or bleeding in the past, especially those who have a similar history when taking non-carrier anti-inflammatory drugs (NSAID) or aspirin (ASA), are high-risk groups who are prone to gastrointestinal bleeding after taking ASA, and should be used with caution and prohibited.
7. Check before and during medication.
It is best to check the blood before taking the medicine, such as red blood cells, platelets, clotting time, etc. If the patient has epigastric discomfort during the period, he should check or stop taking the medicine in time.
8. How should stent patients take aspirin?
Clinically, patients who have received stent implantation for coronary heart disease often stop taking aspirin and clopidogrel after taking dual antiplatelet drugs 1.2 months. This is not true. At present, it is confirmed that clopidogrel can not replace aspirin for secondary prevention.
The correct way is to take aspirin and clopidogrel, a dual antiplatelet drug 12 months later, stop clopidogrel and use aspirin alone. If the patient cannot tolerate aspirin or aspirin allergy, clopidogrel can be used instead of aspirin.
3 5 Misunderstanding of Taking Aspirin Many people take aspirin through "self-diagnosis". A new study involving 68,000 patients published in the Journal of American Heart Association found that more than110 patients took aspirin inappropriately.
1, taking aspirin, have you been evaluated by a professional doctor?
Don't take aspirin regularly without the evaluation of a professional doctor. The risk of heart disease or stroke depends on many known and unknown factors. If the doctor's assessment of the risk of heart disease and stroke is inaccurate, aspirin may not be appropriate to prevent heart disease and stroke. Of course, if you stop using it, you can't stop using it at will, and you need to go through professional evaluation.
2. Did you conceal the history of taking aspirin?
When seeing a doctor for other diseases, you should explain it to the doctor. Because it interacts with other drugs, more commonly, if you have to undergo other operations during this time, you should be aware of the additional risks of the operation. Because aspirin has anticoagulant effect, it will increase the risk of surgical bleeding. For flat surgery, doctors will advise patients to stop taking aspirin at least 5 days before surgery, examination or tooth extraction. If it is an emergency operation, re-evaluate the operation if necessary.
Aspirin is not a panacea.
Aspirin, penicillin and diazepam are considered as three classic works in medical history. Aspirin plays a great role in the field of disease health, including antipyretic, analgesic and anticancer, so its role is sometimes exaggerated. But aspirin is not everything, not everything. In the prevention of heart disease and stroke, maintaining a healthy lifestyle is more important than taking aspirin, rather than simply taking aspirin to sit back and relax and avoid cardiovascular and cerebrovascular diseases. Some people regard it as a lipid-lowering drug and mistake it for statins.
4. Aspirin is one of the three lifesaving treasures beside the bed? Is it really so amazing?
It is widely rumored on the Internet that aspirin is one of the three treasures of bedside life-saving, and all people who suspect a heart attack need to take aspirin immediately to save their lives. Is it really so amazing? When myocardial infarction occurs, aspirin can quickly inhibit platelet aggregation and delay the development of the disease. When giving first aid to myocardial infarction, taking aspirin can reduce the death rate by 20 ~ 30%.
European chest pain guidelines suggest that patients with suspected myocardial infarction should call the emergency department immediately and take aspirin at the same time. However, non-professionals lack differential knowledge about heart disease, and taking aspirin for digestive tract diseases or aortic dissection is harmful. It is suggested that when a heart attack is suspected, first call the emergency number and take medicine under the guidance of emergency professionals. In first aid, the dose should not be too small, but should reach 300 mg. Chew it, absorb it quickly, and exert its efficacy as soon as possible.
5, combined with other drugs, with caution.
When used with other drugs, it will increase additional risks:
① Taking aspirin together with vitamin B 1 will increase the gastrointestinal reaction of patients;
② Aspirin combined with dicoumarin anticoagulants can easily lead to bleeding;
③ When combined with D860, it is easy to cause hypoglycemia in patients.
④ Combined with adrenocortical hormone, it is easy to induce ulcer;
⑤ Combined with methotrexate can enhance its toxicity;
⑥ When used together with diuretics, it is easy to cause salicylic acid poisoning in patients.
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