carolinemc
Well-known member
They did change guidelines. But it depends on your age, condition on the aspirin regiment. I was put back on the aspirin due to an eye stroke. And taking low dose warfarin has nothing to do with it. And when you have a different cardio, your condition will be treated differently, due to the doctor preference in treatment that is out there. Many of them to choose out there these days.I switched cardiologists recently due to moving to a different city. The new cardiologist was surprised my old one had me (St Jude mechanical valve) on low dose aspirin as that is no longer a guideline. The most recent consensus is that low dose aspirin may increase bleeding events without preventing strokes (see https://www.amjmed.com/article/S0002-9343(24)00045-7/fulltext).
You should of course do what your doctor tells you, and I think a lot of doctors will be hesitant to stop prescribing aspirin as they have been doing so for years. But the science seems to indicate that there is no good reason to take aspirin with warfarin unless you are following a low INR warfarin regimen or you are at above average risk for stroke.