Should I take an aspirin a day?
- Saneka Chakravarty, MD, FACC
- May 1, 2021
- 2 min read
Updated: Jun 5

Aspirin: Benefits and Considerations
We're quite familiar with the fact that aspirin can help prevent heart attacks, strokes, and blood clots. Plus, there's growing evidence that it might offer some protection against certain types of cancer. But, hold on a sec, is aspirin the right fit for you?
Who Should Consider Aspirin?
The benefits of a daily preventive dose of aspirin might apply to a very specific group of folks, typically those aged 50-60.
When is Aspirin Essential?
Now, let's clarify the scenario where aspirin is essential – if your doctor recommends it for particular heart and vascular conditions, stroke, or during complicated pregnancies.
Risks of Aspirin Use
But here's the kicker: aspirin isn't a one-size-fits-all solution. For most healthy individuals, the risks associated with taking aspirin might actually outweigh the potential benefits.
Consult Your Doctor
Bottom line? Don't take matters into your own hands. During your preventive checkup, have a chat with your doctor to figure out if aspirin is the right route for you. Self-medication isn't the way to go here. Your doctor's guidance is key.
FAQs
1. What are the main benefits of aspirin?
Aspirin is primarily used to prevent heart attacks, strokes, and blood clots. There is also emerging evidence suggesting it may help protect against certain types of cancer.
2. Who should not take aspirin?
Individuals without specific heart or vascular conditions, especially those who are healthy, may find that the risks of taking aspirin outweigh the benefits. Always consult a healthcare professional before starting any medication.
3. Can aspirin be taken during pregnancy?
Aspirin may be prescribed during complicated pregnancies, but it should only be taken under medical supervision. Always consult your doctor for guidance.
4. How does aspirin work in the body?
Aspirin works by inhibiting the aggregation of platelets, which helps prevent the formation of blood clots. It also has anti-inflammatory properties.
5. What are the potential side effects of aspirin?
Common side effects include gastrointestinal issues, bleeding, and allergic reactions. Long-term use can increase the risk of bleeding complications.
References
Antman, E. M., et al. (2004). "Aspirin and Cardiovascular Disease: A Review." Journal of the American College of Cardiology, 43(6), 1035-1044.
Rothwell, P. M., et al. (2010). "Effect of daily aspirin on risk of cancer metastasis: a randomized controlled trial." The Lancet, 375(9727), 1616-1623.
Baigent, C., et al. (2009). "Aspirin in the primary and secondary prevention of vascular disease." BMJ, 338, b2241.
Patrono, C., et al. (2005). "Low-dose aspirin for the prevention of atherothrombosis." New England Journal of Medicine, 353, 2373-2383.
Very informative. Keep them coming.