Random question about multi vitamins and asprin regimen

Multi Vits

by Gemita - 2020-01-06 19:15:58

Your Pharmacist is always a good place to go for help with medication interaction and advice on supplements. I am not a pharmacist or a doctor but a baby aspirin and a regular multi Vitamin together should do no harm. It is when we start taking mega doses of one particular vitamin or mineral we may get into trouble. You need to tell us or your pharmacist what other meds you are on and the multi Vitamin you are taking (especially if high dose ingredients). Your pacemaker should be unaffected by a multi vitamin tablet but speak to nurse, pharmacist or your doctors and tell them about the supplements you are taking.  Stay safe

Multi vit

by benne81 - 2020-01-06 19:23:36

I have yet to take one but I will ask a nurse at my cardiologist office or I will leave a email for my primary dr.. Don't take any other meds other then the asprin.

I

by Pacer2019 - 2020-01-06 20:55:21

Suggest getting vitamins and minerals from food ...that's ideal . 
it you can't supplement with vitamins .... won't be as good but better than nothing .

i would also suggest getting checked for definicies ...vitamin pills metabolize pretty quickly so don't do much good any way but it's good to know 

vitamins and a baby aspirin ? Not a problem IMO.

Supplement with fish oil for sure if you don't eat it a couple of times a week - not talkinhg long John silvers ....Cold water salmon is best source 

fish oil

by benne81 - 2020-01-07 09:09:06

I don't east seafood :( I remeber that a few years ago before I had my surgeries I started to take a fish oil suppliment and I ahd to stop because I had an alergic reaction witrh my hands.

It all depends...........

by IAN MC - 2020-01-07 11:01:12

I assume that you are taking baby aspirin to help prevent the formation of blood clots because of your mitral valve replacement.

I would avoid any supplements which contain Vitamin K because it could possibly reverse aspirin's anti-clotting action. It is not a risk worth taking in my opinion .

 Is there Vitamin K in your multi vitamins ?

Are you sure that you really need supplements..... most people don't !

Ian

Aspirin and vitamins

by AgentX86 - 2020-01-07 13:58:57

As long as you don't take mega doses of vitamins they're at least benign. As we grow older it's not unusual that we don't process vitamins as well as we used to. Taking recommend amounts of any of the vitamins over what's needed isn't going to cause any harm and may be beneficial. The metals, Bs, and D in particular. With all of them it's better to get  little too much than not enough.

Aspirin and Vitamin K are no problem together either. Vitamin K and warfarin don't mix because warfarin is a Vitamin K antagonist and of course you don't mix an effect that you do want with one you don't. Aspirin, on the other hand, is a platelet aggregation inhibitor.  Two totally different coagulation chains. No drug interactions have been shown between it and vitamin K.

Benne81

by Pacer2019 - 2020-01-07 22:52:10

When you took a fish oil supplement was it OTC ?  I take a pharmaceutical supplement called Lovaza that's said to be pure and tested for content- maybe that's an option ?

Aspirin - to do or die?

by Selwyn - 2020-01-08 13:43:49

Personally, I would be dubious about the benefit of aspirin compared to the risk.

https://cks.nice.org.uk/antiplatelet-treatment  ( last reviewd Sept 2018)/

I quote:

'There is limited evidence of benefit even in people with multiple risk factors and there is a risk of harm.'

Evidence has progressed since aspirin was recommended and there are better alternatives.

I take clopidogrel and apixaban. I would not take aspirin as I have a number of risk factors for stroke and coronary thrombosis. 

As I remember, one of the big studies was done on UK GPs, who took aspirin without any risk factors, to see if this would prevent strokes and heart attacks. Sadly, the asprin taking group had a significantly excessive mortality. 

There is some evidence of effect, offset by the mortality of side effects.Aspirin can be used in a higly selected group of individuals. Is that you?

You should read the NICE evidence. As Clint Eastwood says in' DIrty Harry',

"Are you feeling lucky, punk?"

If you do take aspirin it should be at the 75-100mg dose as side effects are more common at standard dosage.

For those with valves, perhaps see

https://www.sciencedaily.com/releases/2018/08/180814101407.htm

Aspirin

by Gemita - 2020-01-08 14:22:45

Selwyn, I am afraid aspirin is still sadly widely used here in UK. for stent protection.  Benne81 is only on baby aspirin dosage directed by his cardiologist following mitral valve repair, so presumably it is necessary to protect him in the short to medium term but I really dont know ?  

My husband was given triple therapy Clopidogrel, Aspirin, Apixaban for stent protection.  Clopidogrel for 3 months, Aspirin for 12 months, then Apixaban for stroke protection for life.  He unfortunately had a bleed during pacemaker implant because treatment was not stopped early enough prior to procedure.  We were told it may take up to 10 days for aspirin's effects to wear off after taking it and believe Clopidogrel is much the same.  Fortunately he is now only on low dose Edoxaban.  But I agree Aspirin is not a benign option for many of us.  

My anticoagulation clinic said I would be safer taking nothing for AF stroke protection than taking an Aspirin.  Made me wonder !

aspirin and vitamins

by islandgirl - 2020-01-08 16:57:08

I've been taking 325 mg aspirin every morning with my morning multi vitamin for about 10 years with no problems.  I also take Xarelto in the evening.  My EP says the aspirin and the Xarelto work differently.  I trust my EP with my life (and he's saved it twice) and have been going to him close to when he started his career....in my 21st year with him.  Check with your pharmacist and primary as well, as we are all different medication needs.

Selwyn

by ROBO Pop - 2020-01-08 20:25:31

Odd, my Cardiologist just told me just last week there were studies that proved a daily 81mg aspirin dosage significantly reduced the risk of clot in high risk patients. I've been taking that plus Clopidigral for 13 years to no I'll effect. The risk of aspirin and that's really 325mg or more is internal bleeding...pantoprazole solves that problem. He's kept me alive for 13 years against the odds, I'll trust his guidance...

Aspirin

by AgentX86 - 2020-01-09 08:30:36

Aspirin is used after valve repair, stents, and Watchman implant. Apaxiban ( or any of the NOACs, AFAIK) is not used , or approved for use, for valve repair or replacement. The commercials for Eliquis even say so. ;-)

Clarification

by benne81 - 2020-01-09 20:30:00

I take 81mg as directed by my cardiologist for my mitral valve repair not replacement big difference. Apparently I need it for its anti inflammatory properties and I guess to keep blood thin. I have been taking it for over a year now. Post surgery I was on 325 for a few months. I talked to a nurse at the cardiologist office and she looked at the whole food multi I wanted to start and said it was fine.

The reason I wanted to start one temporarily is because I am having some issues related to abdominal gas , bloating, and diarrhea so I had to cut back on some of the good foods I normally eat that are high in gas. Origonally I saw my primary for acid reflux which went away but had me see a gastroenterologist while I was on the prescription prilosec. My gastroenterologist is having me do a test for bacterial overgrowth in March after ruling out hpylori and celiacs.

Fish oil

by benne81 - 2020-01-09 20:43:35

It was Otc. After I stopped taking my allergic reactions went away. Was getting itchy, rashy fingers and had hard time making a grip.