Is anyone taking aspirin to help stop recurrence

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Hi,  sorry about the typo earlier. There has been a lot in the media of late about the benefits of taking low dose aspirin to help stop recurrence or mets to over locations in the body.

Is anyone taking low dose aspirin for this reason, and if so, did your oncologist recommend it or OK you to use it.  I am on Femara and my doctor is very non commital about the use of low dose aspirin.

thanks, Ched

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  • chrissyb
    chrissyb Member Posts: 16,818
    edited April 2012

    Ched, I have been taking low dose aspirin for many years due to my high blood pressure as my doc wants it nice and thin.  Although it's not for the same purpose origionally I have been told of it's helpfull properties as well although for me it is a little late............maybe though it is helping to slow things down a little.  I find the baby aspirin is just fine and is less likely to cause any of the stomach problems.

    Hope you find your answers.

    Love n hugs.    Chrissy

    PS.  Ched if you make an error in a title, you can leave it there and PM the Mods and they will correct it for you.

  • Momine
    Momine Member Posts: 7,859
    edited April 2012

    I take a low-dose aspirin every other day (the dosage that is apparently best for cancer prevention). My radiation doc OKed it. She said that there was no downside in my case and that it would help protect my heart too with my estrogen gone.

  • Racy
    Racy Member Posts: 2,651
    edited April 2012

    Hi Aussieched, I am taking the MediChoice low dose aspirin. I buy it at Coles. My docs did not tell me to take it but I decided to anyway.

  • Crescent5
    Crescent5 Member Posts: 442
    edited April 2012

    Odd. I just came over here this am to see if there were any posts about this. I'm taking asprin so I can take tamoxifen (blood clot gene mutation). My onc is great about filtering the latest research, and of all the things I brought up to him, he felt aspirin/recurrences had the most merit. So my taking it as a blood thinner hopefully has a bonus. I'm just taking a baby aspirin/day. I have stomach issues, and the onc thinks that' dose is enough.

  • Husband11
    Husband11 Member Posts: 2,264
    edited April 2012

    My wife, Bev, who occassionally posts on here, is taking daily aspirin.  She was diagnosed with stage 3A ER+ PR+ BC a little over 3 years ago.  Hopefully enough evidence accumulates to support the use of daily aspirin.  Bev is taking 1/4 aspirin daily, that she cuts up herself.

     Here's a link to an interesting article that although it doesn't study breast cancer, it does show the strong link between aspirin use and reduction in metastasis in a number of other cancers.

    http://www.oncologystat.com/journals/journal_scans/Effect_of_Daily_Aspirin_on_Risk_of_Cancer_Metastasis_A_Study_of_Incident_Cancers_During_Randomised_Controlled_Trials.html;jsessionid=39FCF90266673116621459AC97FCC016

    Daily aspirin use reduces vascular events and is recommended for some groups of individuals as a prevention strategy. Previous study has suggested a role for aspirin in reducing cancer risks as well. A group of articles published simultaneously in The Lancet and The Lancet Oncology by Rothwell and colleagues at Oxford extend and refine the relationship between aspirin and cancer prevention. Analysis of all available randomized controlled trials showed that, after 3 or more years of therapy, aspirin reduced the absolute risk of cancer by 24% and the risk of 5-year cancer deaths by 37%. A further analysis revealed a fascinating corollary: aspirin reduced the risk of cancer metastases, particularly metastases from adenocarcinomas. Survival was better for individuals who took either high-dose or low-dose daily aspirin. A third study showed similar effects in observational trials, mirroring the randomized results. Taken together, the results of these trials strengthen the risk-benefit ratio toward using aspirin for prevention to reduce incidence of and death from cancer as well as vascular disease.

    Abstract

    Background: Daily aspirin reduces the long-term incidence of some adenocarcinomas, but effects on mortality due to some cancers appear after only a few years, suggesting that it might also reduce growth or metastasis. We established the frequency of distant metastasis in patients who developed cancer during trials of daily aspirin versus control.

    Methods: Our analysis included all five large randomised trials of daily aspirin (≥75 mg daily) versus control for the prevention of vascular events in the UK. Electronic and paper records were reviewed for all patients with incident cancer. The effect of aspirin on risk of metastases at presentation or on subsequent follow-up (including post-trial follow-up of in-trial cancers) was stratified by tumour histology (adenocarcinoma vs other) and clinical characteristics.

    Findings: Of 17,285 trial participants, 987 had a new solid cancer diagnosed during mean in-trial follow-up of 6.5 years (SD 2.0). Allocation to aspirin reduced risk of cancer with distant metastasis (all cancers, hazard ratio [HR] 0.64, 95% CI 0.48-0.84, p=0.001; adenocarcinoma, HR 0.54, 95% CI 0.38-0.77, p=0.0007; other solid cancers, HR 0.82, 95% CI 0.53-1.28, p=0.39), due mainly to a reduction in proportion of adenocarcinomas that had metastatic versus local disease (odds ratio 0.52, 95% CI 0.35-0.75, p=0.0006). Aspirin reduced risk of adenocarcinoma with metastasis at initial diagnosis (HR 0.69, 95% CI 0.50-0.95, p=0.02) and risk of metastasis on subsequent follow-up in patients without metastasis initially (HR 0.45, 95% CI 0.28-0.72, p=0.0009), particularly in patients with colorectal cancer (HR 0.26, 95% CI 0.11-0.57, p=0.0008) and in patients who remained on trial treatment up to or after diagnosis (HR 0.31, 95% CI 0.15-0.62, p=0.0009). Allocation to aspirin reduced death due to cancer in patients who developed adenocarcinoma, particularly in those without metastasis at diagnosis (HR 0.50, 95% CI 0.34-0.74, p=0.0006). Consequently, aspirin reduced the overall risk of fatal adenocarcinoma in the trial populations (HR 0.65, 95% CI 0.53-0.82, p=0.0002), but not the risk of other fatal cancers (HR 1.06, 95% CI 0.84-1.32, p=0.64; difference, p=0.003). Effects were independent of age and sex, but absolute benefit was greatest in smokers. A low-dose, slow-release formulation of aspirin designed to inhibit platelets but to have little systemic bioavailability was as effective as higher doses.

    Interpretation: That aspirin prevents distant metastasis could account for the early reduction in cancer deaths in trials of daily aspirin versus control. This finding suggests that aspirin might help in treatment of some cancers and provides proof of principle for pharmacological intervention specifically to prevent distant metastasis.

  • Husband11
    Husband11 Member Posts: 2,264
    edited April 2012

    Just a little terminology to help in interpretation.  As they mention the benefit was most pronounced for adenocarcinomas, I went to the American Cancer Society's web site for a definition.

    Adenocarcinoma

    An adenocarcinoma is a type of carcinoma that starts in glandular tissue (tissue that makes and secretes a substance). The ducts and lobules of the breast are glandular tissue (they make breast milk), so cancers starting in these areas are often called adenocarcinomas.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2012

    I am taking a daily 81mg aspirin with the specific approval/recommendation of my MO.

  • EmilyInOntario
    EmilyInOntario Member Posts: 626
    edited April 2012

    Thanks for the info Timothy. 
     
    Questions..is daily aspirin safe with Tamoxifen? Why is daily low dose better than regular dose aspirin? And somewhere I read aspirin 5 days a week was more effective than 7 days a week and I am wondering why. Does anyone have any info on this? 
  • Golden01
    Golden01 Member Posts: 916
    edited April 2012

    My MO wants me to take the low dose aspirin with my Tamoxifen to prevent clots and perhaps decrease risk of recurrence. I took it but have stopped to get ready for my next surgery as I really bled easily when I was on it. He was okay with me waiting to start it again after my nipple surgery and tattoos in a month or two.

  • Sugar77
    Sugar77 Member Posts: 2,138
    edited April 2012
    I posted this link a few weeks ago on the TN thread (where I post regularly). Anyway, it's about aspirin and the medical oncologist in the interview is a family friend so I thought I'd share it with you as well. I found it very interesting.http://www.wbir.com/video/default.aspx?bctid=1523248057001&odyssey=mod%7Cnewswell%7Ctext%7CFRONTPAGE%7Cfeatured
  • Kadia
    Kadia Member Posts: 314
    edited April 2012

    Talked with my MO today about aspirin. She recommended a daily baby aspirin (81 mg). Higher dosages can lead to stomach problems. She said it is fine to take with Tamoxifen.

  • DiDel
    DiDel Member Posts: 1,329
    edited April 2012

    Yes ...I take low dose baby aspirin daily...when I remember and yes it is safe with Tamoxifen and recommended by my BS and MO

  • momoschki
    momoschki Member Posts: 682
    edited April 2012

    Count me in, too:  a low dose, baby aspirin daily, as per my onc's instructions.  My only concern about this is research I recently came across that says this doubles the risk of macular degeneration (which my father has). Waiting to discuss further at upcoming onc and opthamologist appts., as this concerns me a great deal.

  • sweetbean
    sweetbean Member Posts: 1,931
    edited April 2012

    I take low dose baby aspirin on Monday, Wednesday, Friday, and Saturday.  I read something like 3-4 times a week was better than 7.  

    Just started listening to Anti-Cancer: A New Way Of Life for the first time.  I've been to the website and follow a strict anti-cancer diet, so I'm looking forward to hearing what David Servan-Schreiber had to say. 

    Good luck everyone!

  • PLJ
    PLJ Member Posts: 373
    edited April 2012

    I take an 81 mg. tablet, same schedule as Sweetbean.

    Here is another good link regarding aspirin and prevention of recurrence or death:

    http://www.medicalnewstoday.com/releases/179509.php

  • Anonymous
    Anonymous Member Posts: 1,376
    edited April 2012

    Nice to see info.  I just started Tamoxifen and Onc did say to take low dose aspirin with it everyday.  I think for recurrence, clotting as well as preventative.

    Sara ♥

  • aussieched
    aussieched Member Posts: 244
    edited April 2012
  • LittleMelons
    LittleMelons Member Posts: 273
    edited April 2012

    I take a low dose aspirin daily as there seems to be evidence that it prevents recurrence and also aids in cardiovascular health.  My Onc didn't recommend it, but I told him that I am doing it and he didn't say not to.  I hadn't heard that it is better to take it 3-4 days per week, rather than every day.  That is interesting.

  • jenlee
    jenlee Member Posts: 504
    edited April 2012

    aussieched, thanks for starting this thread.  I've been wondering about this since it hit the news.  Looking forward to discussing with my onc, but will probably do it, whether he likes it or not.   

  • sandilee
    sandilee Member Posts: 1,843
    edited April 2012

    My onc suggested I take a baby aspirin around two years ago.  I still take it, even though I had a recurrance. 

  • Joanne58
    Joanne58 Member Posts: 1,117
    edited April 2012

    Yep--my onc said she takes one 81mg every day and thought I should, too--said it wouldn't hurt and could possibly prevent recurrence.

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited April 2012

    I read a similar article that studied women who took low dose (81mg) 5x a week and women who took the same aspirin 7 x a week. The women who only took it 5x a week faired better. I take bayer 81mg mon-fri. Onc says as long as it makes me feel better he is ok with it. Only side effect I have heard about is possible stomach bleed. If that is the risk of not having this crap come back, let it bleed. There are many articles out there about the benefits.

  • AnnieBear
    AnnieBear Member Posts: 96
    edited April 2012

    I have been taking an 81 mg for years and I still ended up with breast cancer.  But, I continue to take it - I do think it has health benefits.

  • adgirl5
    adgirl5 Member Posts: 81
    edited May 2012

    My top-notch oncologist who is well-published and specializes in aggressive breast cancers at MD Anderson in Houston told me to take a low dose aspirin daily (81 mg).  It can't hurt.. unless you're allergic to aspirin and some studies shows it reduces recurrences.

  • LRM216
    LRM216 Member Posts: 2,115
    edited May 2012

    Diagnosed Stage 1, Grade 3 triple neg in Feb 2009.  As soon as I was done with my chemo and rads, I began to take the 81 grams of baby aspirin after reading the swedish studies done on cancer survivors.  Both my onc and my primary care doctor said "go for it."  Who knows if it's doing anything, but at least I feel more proactive taking something other than my Vit D and calcium everyday!  All the best to you,

    Linda

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited May 2012

    I've taken 81 mg enteric-coated aspirin every day for the past 15 years.

    I was dx'd with BC in September 2011.

    In March 2012 I started a medically-supervised liquid diet, and was taken off all my medications, including aspirin.

    When I'm back on regular meals in July, I'm not sure what they'll add back in. My MO hasn't mentioned anything about aspirin.

  • peggy_j
    peggy_j Member Posts: 1,700
    edited August 2012
    This new study looked at prostate cancer (and wasn't  a controlled study) but provides more data that taking aspirin could reduce the risk of recurrence.
     
     
     "Those taking aspirin were less than half as likely as those who were not to die of prostate cancer over a 10-year period, researchers calculated; the prostate cancer death rate for those taking aspirin was 3 percent, the researchers found, compared with 8 percent for those who did not.
     

    The aspirin users were also significantly less likely to experience a recurrence of prostate cancer or have the disease spread to the bones, the study found."

     
  • Heidihill
    Heidihill Member Posts: 5,476
    edited August 2012

    I like that part about "less likely to have the disease spread to the bones"!! Thanks, Peggy.

    My onc once prescribed it for me (required here for baby dose), but it made my mouth so dry, I stopped taking it. I was taking Femara then so maybe the combination was too much. Now that I'm on Tamoxifen, I will give it another try.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited August 2012

    A daily low dose aspirin also reduces chances of heart disease, attacks etc. Unless you have an allergy, stomach problems from it, or a bleeding disorder, it is probably something that everyone, with or without cancer, should be taking.

  • LRM216
    LRM216 Member Posts: 2,115
    edited August 2012

    When I finished my chemo 3 years ago next week, I read of the Nurse's study done in Sweden where they reported that over 5 years, those taking a baby aspirin a day (81 mgs.) had a very low relapse rate, especially if they were triple negative (which I am).  I told my onc about the paper I had read, and while she didn't put much stock in it, as she considered it too recent and small a study, she told me to go ahead as it would not hurt me and would help in other ways as well.  The study was based on the findings that the baby aspirin helped to stop inflammation, which they contributed to relapse.  Don't know if it works or not, but since I had nothing else to take being hormone negative, at least I had this to take each a.m.!  I was diagnosed 2/09 and so far so good.  I pray it continues - and I have had no problems whatsoever with taking it every day since chemo ended.  Good luck and I wish you all the best,

    Linda

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