Friday, February 21, 2014

ASPIRIN REALLY IS THE WONDER DRUG. I guess.


Linda and Carolyn pose in front of Linda's mobile home on Lake Samish
Probably about 1980
 
Way back on April 2nd, 2012 I wrote about aspirin as a potential weapon against cancer.  At the time the evidence was ambiguous.  Now, however – thanks to my good friend Kathy O’Briant of Fred Hutch – I can tell you of more definitive results from a “meta study” involving an artfully statistical blending of the findings from 12 separate investigations conducted all over the place.  The research was authored by about four dozen people from at least three dozen distinct institutions, making it, no doubt, absolute gospel.  At least current absolute gosple; these things have a way of evolving or becoming “inoperative”.  (Some recent politician was ridiculed for saying his previous statements were “inoperative”.  Who was that?  Can't remember/).  So this may not be the last time I write about aspirin – but I hope it is.
Anyway, this study was specific to ovarian cancer.  In addition  to aspirin, the effects of taking non- aspirin, non-steroidal anti-inflammatory drugs (NSAID) (would that be ibuprofen?) and acetaminophen (Tylenol?) were investigated.  The results were as follows:
Regular use of small-dose (<100 mg) aspirin significantly reduced the risk of contracting epithelial ovarian cancer, the most common kind, and the most deadly.
Large (>400 mg) daily doses of aspirin also helped, but not as much.
Large doses of non-aspirin NSAIDs also gave some benefit.
Acetaminophen didn’t help at all.
Small doses of aspirin also are known to reduce the risk of heart disease, and now seem to be effective against ovarian cancer as well.  So, one might ask: WHY IN HELL DON’T ALL WOMEN TAKE A BABY ASPIRIN EVERY DAY?  Sadly, there are reasons.  Side effects of aspirin include peptic ulcers, upper gastrointestinal bleeding, and even hemorrhagic stroke.  It seems that the best course of action is for women in high-risk categories to take low-dose aspirin but for the general population to hold off, awaiting the results of new and even bigger “meta studies” that surely will be performed, NIH and the Federal budget willing.
 


7 comments:

  1. I just pulled out my bottle of low-dose apirin. My doctor had me on it a few years ago for heart disease prevention, but later said it was not necessary. Lots of information to support your blog entry when I googled "ovarian cancer aspirin" just now. Thanks for a tip that I can actually do today.
    On another note, look at those young and thin women with hair like the Beck sisters.

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  2. Medical science. I am tempted to write Medical "science". The FDA has weighed in once again, in all its awesome majesty. It says - don't take aspirin to prevent heart problems UNLESS you already have experienced one. They describe the risks. Nowhere is the value of aspirin against cancer mentioned. Good Lord!

    Read it yourself: http://www.healthline.com/health-news/aspirin-heart-attack-stroke-050614

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  3. As always, consult your doctor.

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  4. Okay, so Carolyn spotted this little article on Yahoo. Read it, then explain to me why your MDs don't prescribe aspirin. Then go argue with them.

    https://www.yahoo.com/health/daily-aspirin-can-cut-risk-of-some-cancers-93962544527.html

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  5. The new Fred Hutch Newsletter weighs in on the use of aspirin for cancer with what is – I think – some fairly dubious reasoning. The link below will take you to the article, which you should read. It is concerned almost exclusively with pancreatic cancer for which – God knows – we need all the help we can get. Faithful readers will remember that aspirin also has been shown to help prevent several other kinds of cancer, including ovarian. Apparently it is especially useful for the pancreatic kind. However, the advice advanced here is to be very careful about taking cancer as a preventative, because of the dreaded potential of internal bleeding. What to think? I guess you should, as they recommend, consult with your doctor before you start an aspirin regime., Personally, though, I think you should insist that he/she think very hard about rejecting aspirin, especially if you have a family history of cancer. Hell, even at 81 I would be taking a baby aspirin every day – if they didn’t have me on another kind of blood thinner.
    Always remember – M.D.s put their pants on one leg at a time, just like the rest of us – and many (most?) of them are too damned busy to keep up with the literature.
    But anyway, read this
    http://www.fhcrc.org/en/news/center-news/2014/06/truth-about-aspirin-cancer-heart-disease.html

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  6. The retiring head of the N.I.H. Takes aspiring regularly. Read my blog "An early morning exercise."

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