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What is the most important information I should know about aspirin?
• Take aspirin with milk, food, or an antacid to lessen stomach upset heart attack and aspirin. Enteric-coated aspirin is specially formulated to be gentle on your stomach heart attack and aspirin. Enteric-coated aspirin can be, but does not have to be, taken with milk or food heart attack and aspirin. Enteric-coated aspirin should not be taken with an antacid heart attack and aspirin.
• Do not break, chew, or crush the enteric-coated tablets heart attack and aspirin. These have aspecial coating to protect your stomach heart attack and aspirin. Swallow them whole heart attack and aspirin.
• Avoid alcohol or use it in moderation while taking aspirin heart attack and aspirin. If you drinkmore than three alcoholic beverages a day, the risk of stomach bleeding mayincrease heart attack and aspirin.


What is aspirin?
• Aspirin is in a class of drugs called salicylates heart attack and aspirin. It works by reducingsubstances in the body that cause pain and inflammation heart attack and aspirin.
• Aspirin is used to reduce pain, inflammation, and fever heart attack and aspirin. Aspirin is alsoused under medical supervision to treat and/or prevent heart attacks, transientischemic attacks (TIAs or "mini-strokes"), strokes, and angina incertain individuals heart attack and aspirin.
• Aspirin may also be used for purposes other than those listed in thismedication guide heart attack and aspirin.


Who should not take aspirin?
• Before taking this medication, tell your doctor if you
· have an allergy to aspirin;
· have an allergy to nonsteroidal anti-inflammatory drugs (NSAIDs) suchas ibuprofen (Motrin, Advil, others), naproxen (Aleve, Naprosyn, Anaprox, others),indomethacin (Indocin), ketoprofen (Orudis KT, Orudis, Oruvail), nabumetone(Relafen), oxaprozin (Daypro), and others;
· have an allergy to tartrazine;
· drink more than three alcoholic beverages a day;
· have an ulcer or bleeding in your stomach;
· have liver disease;
· have kidney disease;
· have a coagulation (bleeding) disorder (e.g., hemophilia);
· have congestive heart failure;
· have fluid retention;
· have heart disease;
· have high blood pressure;
· have gout;
· have asthma; or
· have nasal polyps heart attack and aspirin.
• You may not be able to take aspirin, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove heart attack and aspirin.
• The FDA has not formally evaluated the effects of aspirin taken duringpregnancy heart attack and aspirin. However, it is known that aspirin taken during pregnancy may affectan unborn baby's heart, reduce birth weight, and have other dangerous effectson the unborn baby heart attack and aspirin. Do not take aspirin without first talking to your doctorif you are pregnant heart attack and aspirin.
• Aspirin passes into breast milk and may harm a nursing infant heart attack and aspirin. Do nottake this medicine without first talking to your doctor if you are breast-feedinga baby heart attack and aspirin.
• Do not use aspirin to treat a child or teenager who has a fever, flusymptoms, or chicken pox without first talking to the child's doctor heart attack and aspirin. In childrenyounger than 18 years of age, aspirin may increase the risk of Reye's syndrome,a rare but often fatal condition heart attack and aspirin.


How should I take aspirin?
• Take aspirin exactly as directed by your doctor, or follow the instructionsthat accompany the package if you are using an over-the-counter medicine heart attack and aspirin. Ifyou do not understand these instructions, ask your pharmacist, nurse, or doctorto explain them to you heart attack and aspirin.
• Take each dose with a full glass of water heart attack and aspirin. This may reduce the risk ofthe medication becoming lodged in your esophagus or throat heart attack and aspirin. Remaining uprightfor 15 to 30 minutes following a dose may further reduce this risk heart attack and aspirin.
• Take aspirin with milk, food, or an antacid to lessen stomach upset heart attack and aspirin. Enteric-coated aspirin is specially formulated to be gentle on your stomach heart attack and aspirin. Enteric-coated aspirin can be, but does not have to be, taken with milk or food heart attack and aspirin. Enteric-coated aspirin should not be taken with an antacid heart attack and aspirin.
• Do not crush, chew, or break any enteric-coated forms of aspirin heart attack and aspirin. Thesehave a special coating to protect your stomach heart attack and aspirin. Swallow them whole heart attack and aspirin.
• Do not take aspirin more often than is prescribed by your doctor or recommendedon the package heart attack and aspirin. If your condition does not improve within 3 to 4 days, talkto your doctor heart attack and aspirin.
• Be aware of the aspirin content of other prescription or over-the-countermedications to avoid taking too much aspirin heart attack and aspirin.
• Do not take any aspirin that smells strongly of vinegar heart attack and aspirin. This smell meansthat the aspirin has begun to break down heart attack and aspirin.
• Store aspirin at room temperature away from moisture and heat heart attack and aspirin.


What happens if I miss a dose?
• If you are taking aspirin regularly--for example, to treat arthritis--takethe missed dose up to 2 hours late heart attack and aspirin. If more than 2 hours have passed since themissed dose, skip the missed dose and take only your next regularly scheduleddose heart attack and aspirin. Do not take a double dose heart attack and aspirin.
• If you are taking aspirin on an as-needed basis, missing a dose is notusually a problem heart attack and aspirin. Take your aspirin as soon as you remember, and do not takeanother dose for the amount of time prescribed by your doctor or recommendedon the package heart attack and aspirin.


What happens if I overdose?
• Seek emergency medical attention heart attack and aspirin.
• Symptoms of an aspirin overdose include ringing in the ears, headache,nausea, vomiting, dizziness, confusion, hallucinations, coma, seizures, rapidbreathing, and fever heart attack and aspirin.


What should I avoid while taking aspirin?
• Avoid taking other over-the-counter or prescription medications containingaspirin; salicylates (forms of aspirin) such as magnesium and/or choline salicylate(Magan, Doan's, Bayer Select Backache Pain Formula, Mobidin, Arthropan, Trilisate,Tricosal) and salsalate (Disalcid); and NSAIDs such as ibuprofen (Motrin, Advil,Nuprin, others), naproxen (Aleve, Naprosyn, Anaprox, others), indomethacin (Indocin),ketoprofen (Orudis KT, Orudis, Oruvail), nabumetone (Relafen), oxaprozin (Daypro),and others heart attack and aspirin. Combined with aspirin, these medicines can be dangerous heart attack and aspirin.
• Avoid alcohol or use it with moderation while taking aspirin heart attack and aspirin. If youdrink more than three alcoholic beverages a day, aspirin may increase the riskof stomach bleeding heart attack and aspirin.
• Tell your doctor and dentist that you are taking aspirin, especiallyif you need to undergo a surgical procedure heart attack and aspirin. Aspirin may prolong bleeding heart attack and aspirin.


What are the possible side effects of aspirin?
• If you experience any of the following serious side effects, stop takingaspirin and seek medical attention or call your doctor immediately:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· black, bloody, or tarry stools;
· nausea, vomiting, or abdominal pain;
· uncontrolled fever;
· blood in your urine or vomit;
· decreased hearing or ringing in the ears;
· seizures; or
· dizziness, confusion, or hallucinations heart attack and aspirin.
• If you experience any of the following less serious side effects, notifyyour doctor:
· heartburn or indigestion,
· faint ringing in the ears,
· drowsiness, or
· headache heart attack and aspirin.
• Side effects other than those listed here may also occur heart attack and aspirin. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome heart attack and aspirin.


What other drugs will affect aspirin?
• Do not take aspirin without first talking to your doctor if you are takingany of the following medicines:
· an anticoagulant such as warfarin (Coumadin), heparin, enoxaparin (Lovenox),dalteparin (Fragmin), danaparoid (Orgaran), ardeparin (Normiflo), or tinzaparin(Innohep);
· a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin,Advil, Nuprin, others), ketoprofen (Orudis, Orudis KT, Oruvail), naproxen (Naprosyn,Anaprox, Aleve), diclofenac (Voltaren, Cataflam), nabumetone (Relafen), oxaprozin(Daypro), piroxicam (Feldene), etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen(Ansaid), indomethacin (Indocin), ketorolac (Toradol), sulindac (Clinoril),or tolmetin (Tolectin); or
· another salicylate such as aspirin (Acuprin, Ecotrin, Ascriptin, Bayer,others); choline salicylate and/or magnesium salicylate (Magan, Doan's, BayerSelect Backache Pain Formula, Mobidin, Arthropan, Trilisate, Tricosal), or salsalate(Disalcid) heart attack and aspirin.
• You may not be able to take aspirin, or you may require a dosage adjustmentor special monitoring if you are taking any of the medicines listed above heart attack and aspirin.
• If you have diabetes, moderate to large doses of aspirin may producefalse urine glucose test results heart attack and aspirin.
• Many drugs, including those not listed here, can interact with aspirin,resulting in side effects and/or decreased effectiveness of the medications heart attack and aspirin. Do not take any other prescription or over-the-counter medicines or herbal productswithout first talking to your doctor during treatment with aspirin heart attack and aspirin.


Where can I get more information?
• Your pharmacist has additional information about aspirin written forhealth professionals that you may read heart attack and aspirin.


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