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Safe and effective Aspirin regimen

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A look at safe and effective Aspirin administration

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Page 1: Kaul.DailyAspirinUse

Safe and effective Aspirin regimen

Page 2: Kaul.DailyAspirinUse

Indication for Use Anti-platelet Pain Fever Anti-inflammatory

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Effective Dose Minimum dose with maximum effect is 75 mg daily

Randomized Control Trial

Level of Evidence 2

Second loading dose effective in AMI’s

Gurbel et al., 2007

Fuchs et al., 2010

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Things that affect Efficacy

Ranitidine Effect of ranitidine on the antiplatelet effects of aspirin in

healthy human subjects.

Level 2

Randomized control study

Lev et al., 2007

Page 5: Kaul.DailyAspirinUse

Thing That Affect Efficacy

Page 6: Kaul.DailyAspirinUse

Things That affect efficacy

Enteric Coating Effect of enteric coating on antiplatelet activity of low-dose

aspirin in healthy volunteers.

Level 2

Randomized Control Trial

Cox et al., 2006

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Contraindications

Asthma

GI-Bleeding

Allergy

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References Cox, D., Maree, A., Dooley, M., Conroy, R., Byrne, M., & Fitzgerald, D. (2006).

Effect of enteric coating on antiplatelet activity of low-dose aspirin in healthy volunteers. Stroke (00392499), 37(8), 2153-2158.

Fuchs, I., Spiel, A., Frossard, M., Derhaschnig, U., Riedmüller, E., & Jilma, B. (2010). Platelet hyperfunction is decreased by additional aspirin loading in patients presenting with myocardial infarction on daily aspirin therapy. Critical Care Medicine, 38(6), 1423-1429. doi:10.1097/CCM.0b013e3181de8b1e

Gurbel, P., Bliden, K., DiChiara, J., Newcomer, J., Weng, W., Neerchal, N., & ... Tantry, U. (2007). Evaluation of dose-related effects of aspirin on platelet function: results from the Aspirin-Induced Platelet Effect (ASPECT) study. Circulation, 115(25), 3156-3164.

Lev, E., Ramabadran, R., Guthikonda, S., Patel, R., Kleiman, A., Granada, J., & ... Kleiman, N. (2007). Effect of ranitidine on the antiplatelet effects of aspirin in healthy human subjects. American Journal Of

Cardiology, 99(1), 124-128.

Würtz, M., Grove, E., Kristensen, S., & Hvas, A. (2010). The antiplatelet effect of aspirin is reduced by proton pump inhibitors in patients with coronary artery disease. Heart, 96(5), 368-371. doi:10.1136/hrt.2009.181107