Question:

Which patients would use aspirin with caution?

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Which patients would use aspirin with caution?

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  1. Add up all the above and add in the possibility of triggering asthma attacks in asthmatics and you got it!


  2. Basically, because aspirin is a blood-thinning agent, anyone with a blood coagulation (clotting) issue is advised to avoid using it.

    This includes hemophiliacs, stomach ulcer patients and others with coagulation problems.

    In addition, anyone with a suppressed immune system (from medications, illness, AIDS, etc.) or aspirin allergies may be advised to refrain from taking aspirin as well.

    Also, children under age 12 are not supposed to take aspirin (even baby aspirin) because of the increased risk of Reye Syndrome. Children's aspirin is generally only used by adults who take tiny doses for heart health. (Because aspirin has a blood-thinning effect, many older adults take a single aspirin, or even a baby aspirin, each day to prevent heart disease.)

  3. The main undesirable side effects of aspirin are gastrointestinal—ulcers and stomach bleeding—and tinnitus, especially in higher doses. Hence it is not advisable to take aspirin in patients with peptic ulcer.

    In children under 16 years of age, aspirin is no longer used to control flu-like symptoms or the symptoms of chickenpox, due to the risk of Reye's syndrome

    Reye's syndrome is a potentially fatal disease that causes numerous detrimental effects to many organs, especially the brain and liver. It is associated with aspirin consumption by children with viral diseases such as chickenpox.

    Aspirin should be avoided by those known to be allergic to ibuprofen or naproxen, or to have salicylate intolerance or a more generalized drug intolerance to NSAIDs, and caution should be exercised in those with asthma or NSAID-precipitated bronchospasm. Due to its effect on the stomach lining, manufacturers recommend that patients with kidney disease, peptic ulcers, mild diabetes, gout or gastritis talk to their doctors before using aspirin. Even if none of these conditions are present, there is still an increased risk of stomach bleeding when aspirin is taken with alcohol or warfarin. Patients with hemophilia or other bleeding tendencies should not take aspirin or other salicylates. Aspirin should not be taken by the patients with hemorrhagic stroke. Aspirin is known to cause hemolytic anemia in people who have the genetic disease glucose-6-phosphate dehydrogenase deficiency (G6PD), particularly in large doses and depending on the severity of the disease. Use of aspirin during Dengue Fever is not recommended due to increased bleeding tendency. For some people, aspirin does not have as strong an effect on platelets as for others, an effect known as aspirin "resistance" or insensitivity. One study has suggested that women are more likely to be resistant than men and a different, aggregate study of 2,930 patients found 28% to be resistant.

  4. A haemophiliac , as aspirin can thin the blood

  5. those on Warfarin.

  6. Those under 16 or with disorders of the blood

  7. Those with stomach disorders...especially ulcers.

  8. Those with stomach ulcers and those with blood that won't clot correctly

  9. Those allergic to aspirin

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