Does long-term use of aspirin dosages greater than 75 to 81 mg/d improve prevention of cardiovascular events compared to lower doses?
Routine long-term use of aspirin doses >81 mg/day for CVD prevention offers no additional benefit over lower doses but increases the risk of gastrointestinal bleeding.
Currently available clinical data do not support the routine, long-term use of aspirin dosages greater than 75 to 81 mg/d in the setting of cardiovascular disease prevention. Higher dosages, which may be commonly prescribed, do not better prevent events but are associated with increased risks of gastrointestinal bleeding.
Campbell et al. (Tue,) studied this question.