F or many years, it's been a standard recommendation that PWD take aspirin to help protect against heart attacks and strokes, both if they've already had such an event (in which case, it's called "secondary prevention"), or even if they have never had either a heart attack or stroke (which is called "primary prevention"). The recommendation for use of aspirin in primary prevention is now being questioned.
According to an article recently published in the British Medical Journal , researchers found no evidence of benefit from either aspirin or antioxidant treatment given for about 7 years to adults with diabetes who were given it for primary prevention of heart attack and stroke. They state "This trial does not provide evidence to support the use of aspirin or antioxidants in primary prevention of cardiovascular events and mortality in the population with diabetes studied." The authors point out that aspirin should still be given for secondary prevention of cardiovascular disease ...
There has been a lot of news lately about medication overuse headaches (MOH) that may be linked to those of us who have chronic headaches each month. Do you think taking a 50mg tablet of Tramadol daily (for fibromyalgia) could be enough to cause MOH? Peggy.
Some patients can take tramadol daily without getting into a medication overuse headache. For others, that 50mg a day could cause MOH. If the tramadol IS causing you MOH, it should be relieved when you take the tramadol.
This is a rock-and-a-hard-place problem for people who have both headache and pain issues. Sadly, there's no good solution for it.
Good luck, John Claude Krusz and Teri Robert
To review other questions from our Ask the Clinician Column, browse the Ask the Clinician archives .
If you need help finding a Migraine and headache specialist, visit our listing of Patient Recommended Specialists .
The U.S. Food and Drug Administration (FDA) is warning consumers
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purity of their ingredients.
FDA advises consumers who have used any of these products to
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care provider before purchasing a product to treat this medical
"These products threaten the public health because they contain
undeclared chemicals that are similar or identical to the active
ingredients used in several FDA-approved prescription drug
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