Baby Aspirin before running (Read 2630 times)


We've Got Big Hills

    I still NEVER run marathons while menstruating.


    Doughboy

      I still NEVER run marathons while menstruating.

      Wait, you're a girl? No way! No. Way.

       

      mta:

      Well, that's still cool though.


      We've Got Big Hills

        Of course I am not a girl.  That's why I don't run while menstruating.  Der.


        Do not attempt

           

          There is no scientific evidence that rhabdo can interact with a placque to cause a clot to form, but lots and lots of evidence that exertion can itself cause coronary arteries to spasm or clot off directly...

           

          There you go bringing science into it again. 

          I'm curious about daily low-dose (81mg) aspirin, which seems to have evidence that it's beneficial. 

          Someone who has taken adult-dose aspirin all their lives without ill effect probably won't be harmed by an 81-mg dose. Right? Unless they have a stroke. I've never heard of someone having a stroke during a marathon. I wonder how common that is.

          "Able to function despite imminent catastrophe"

           

          "The most common question from potential entrants is 'I do not know if I can do this' to which I usually answer, 'that's the whole point'.--Paul Charteris, Tarawera Ultramarathon RD.

           

          ✓ Ice Age 50 Mile WI 12 May

          Tahoe Rim Trail 50 Mile NV 21 Jul

           JFK 50 Mile MD 17 Nov

             

            There you go bringing science into it again. 

            I'm curious about daily low-dose (81mg) aspirin, which seems to have evidence that it's beneficial. 

            Someone who has taken adult-dose aspirin all their lives without ill effect probably won't be harmed by an 81-mg dose. Right? Unless they have a stroke. I've never heard of someone having a stroke during a marathon. I wonder how common that is.

             

            Plenty of people have been told by their doctors to take a daily low-dose aspirin.  I doubt Trent is advising that those people should stop what they are doing, but Trent can speak for himself.  And aspirin might reduce the chance of having a stroke in the first place, if it makes the production of clots less likely.

            2012 goals:
            sub 6:00 pace 5k
            don't get injured


            We've Got Big Hills

              The NYC marathon is not your doctor and has no established doctor-patient relationship.  When it comes to deciding to put a medication into your body, follow your doctor's medical advice.  Not mine.  And certainly not the advice printed on some random marathon packet flyer. 

              It is commonly said that with all that we DON'T know about aspirin, it would not pass the FDA testing these days.  I believe that more people die from aspirin every year than ever died from Vioxx, but one is easily available and over the counter, while the other was pulled.


              mileage hound

                 

                Kill you.

                 

                Recommend it to 40,000 people, and chances are good that one of them will have an adverse reaction that they would otherwise not have had.  Anaphylaxis, wheezing, bleeding out, drug interaction, etc. Check it.

                 

                First, do no harm.

                 

                Heh.  Yeah.  Could drive large trucks through the holes in their logic there.  Online MDs or what now?

                Actually Trent, I am not aware of a single medication that does not cause adverse events.  All drugs can cause harm in certain individuals.  So one in 40,000 has an adverse reaction; by the same token, what if 10 of those 40,000 are saved from a heart attack?  Because one has a bad reaction, you doom the 10 who would have benefitted?  It is always a cost/benefit analysis.  The way I see "do no harm" interpreted by most docs is that the cost/benefit analysis must be positive, not that you cause no risk at all.  If that were the case, we certainly would not anesthetize people and do surgery on them.  People die during surgery.

                MTA:  I'm quite shocked they would put themselves at risk by recommending medication to participants.

                2012 goals:  Fastest race times since 2006.

                 

                "If you want to be a bad a$s, then do what a bad a$s does.  There's your pep talk for today.  Go Run." -- Slo_Hand

                  Actually Trent, I am not aware of a single medication that does not cause adverse events.  All drugs can cause harm in certain individuals.  So one in 40,000 has an adverse reaction; by the same token, what if 10 of those 40,000 are saved from a heart attack?  Because one has a bad reaction, you doom the 10 who would have benefitted?  It is always a cost/benefit analysis.  The way I see "do no harm" interpreted by most docs is that the cost/benefit analysis must be positive, not that you cause no risk at all.  If that were the case, we certainly would not anesthetize people and do surgery on them.  People die during surgery.

                   

                   

                  But as the adverse reactions of aspirin have been extensively researched and well-documented, whereas the benefits (in this context, and for the general population of runners rather than specific individuals) seem to be based on extremely sketchy "evidence", a cost-benefit analysis seems decidedly skewed towards cost, totally the opposite of what the advice is implying. 


                  mileage hound

                     

                    But as the adverse reactions of aspirin have been extensively researched and well-documented, whereas the benefits (in this context, and for the general population of runners rather than specific individuals) seem to be based on extremely sketchy "evidence", a cost-benefit analysis seems decidedly skewed towards cost, totally the opposite of what the advice is implying. 

                     

                    Perhaps I should have been more clear.  Yes, I agree, the cost/benefit equation will differ by the individual and for most people out running a marathon they do not fit the target population typically given for aspirin therapy for heart attacks/strokes.  I was contesting the assertion that aspirin is inherently harmful and should generally not be used.

                    2012 goals:  Fastest race times since 2006.

                     

                    "If you want to be a bad a$s, then do what a bad a$s does.  There's your pep talk for today.  Go Run." -- Slo_Hand


                    We've Got Big Hills

                      I did not make that assertion.

                      I was responding to a post that implied that aspirin is likely harmless and so there was no risk and possible benefit.  Well, it is not entirely harmless and without risk.


                      mileage hound

                        primum non nocere

                        (Modified upon further reading of link.  Yes, I get it, but see below).

                         

                        There's a difference between saying you should talk to your doc before starting aspirin therapy and taking medical advice from a race packet is bad, and telling people it could kill you and calling it worse than a drug that was pulled from the market in causing deaths (without providing evidence to this fact, by the way).  In essence this is fear mongering inciting people to potentially disregard the advice of their doc.

                        2012 goals:  Fastest race times since 2006.

                         

                        "If you want to be a bad a$s, then do what a bad a$s does.  There's your pep talk for today.  Go Run." -- Slo_Hand


                        We've Got Big Hills

                          Read.   I was not fear mongering.  I was simply pointing out to the poster who suggested that aspirin is harmless that it, in fact, is not.  Poster asked a simple question: "what can popping a low dose of aspirin do to harm you before a run?"  And I answered with a fact.  If my answers frighten you then you should cease asking scary questions.

                          And aspirin (along with other salycilates) kill more people every year than Vioxx did.  Every medicine, whether over the counter or not, can kill you.  Period.  A doctor with an established relationship with a patient can weigh the risks and benefits.  An informed patient can as well.  A race packet cannot

                             

                             

                            MTA:  I'm quite shocked they would put themselves at risk by recommending medication to participants.

                             

                            agreed.  I finished one race and went to the medical tent looking for some ibuprofen or something because I had some pain walking. they could not give me anything but ice.  And I was at the damn medical tent.  It seemed very odd but I realized they probably felt like the nurse at school who can't give anything to a kid without some signed parental consent form. 

                            In an infinite universe, the one thing sentient life cannot afford to have is a sense of proportion

                            http://htwins.net/scale2/scale2.swf?bordercolor=white&fb_source=message

                             

                             

                             


                            A Saucy Wench

                              Of course I am not a girl.  That's why I don't run while menstruating.  Der.

                               Oh, I thought it was because you had reached menopause.

                               

                              (I know I am late posting this, but I was out running a PR.  How is your running going Trent?)

                              I have become Death, the destroyer of electronic gadgets

                               

                              "When I got too tired to run anymore I just pretended I wasnt tired and kept running anyway" - dd, age 7