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Editor's Correspondence
November 23, 1998

Are We Still Abusing Aspirin?

Arch Intern Med. 1998;158(21):2398-2399. doi:

There is a consensus about the beneficial effect of prophylactic and therapeutic use of aspirin in reducing the mortality of those who have had atherosclerotic heart attacks and strokes. The American Heart Association and the Food and Drug Administration recommend that aspirin, 75 to 325 mg/d, be given to those who have had ischemic cardiac or neurologic symptoms.1 Whether aspirin has value in lessening the occurrence of such symptoms in the asymptomatic elderly remains questionable. However, the literature contains evidence that some patients admitted to intensive care units with acute respiratory distress syndrome (ARDS) have inadvertently medicated themselves with too much aspirin for intercurrent illnesses.2,3

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