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  • 1. Ask the doctor. I have atherosclerosis in the arteries of my heart and neck, and my doctors want me to take aspirin. I also have arthritis and take Naprosyn for it every day. I have heard that Naprosyn can prevent blood clots, just like aspirin does. Can I just take Naprosyn, or do I still need to take aspirin, too, to protect my heart and brain from blood clots?
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  • 2. Ask the doctor. I am a 60-year-old man with several risk factors for heart disease. I take Aleve twice a day. Do I still need to take aspirin, or is the Aleve enough? I often take ibuprofen for my headaches or aching back. Now my doctor wants me to start taking aspirin, and she suggested that I ease up on the ibuprofen. Why?
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  • 3. Ask the doctor. I've heard you should take an aspirin if you think you are having a heart attack. I already take aspirin (325 mg) every day. Should I still take an aspirin if I feel a heart attack coming on?
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  • 4. I'm taking over-the-counter ibuprofen every day for neck pain. Recently, my doctor gave me a prescription for naproxen for my arthritis. Should I be concerned about taking these two together?
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  • 5. My doctor recently recommended that I take low-dose aspirin to minimize the risk of a heart attack or stroke. I routinely take ibuprofen for arthritis pain. Do I need both, and is it safe to combine the two?
    Schafer A
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  • 6. Ask the doctor. Because I take the blood thinner warfarin (Coumadin), my doctor said I shouldn't take aspirin. Aren't there any anti-inflammatory drugs I can take for my arthritis that won't increase my chances of a bleeding problem?
    Lee TH
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  • 7. [Comparative effectiveness of acetylsalicylic acid, naprosyn and their combinations with prednisolone in the treatment of inactive rheumatism].
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  • 8. Ask the doctors. I have arthritis and take Motrin. Is there a problem with also taking aspirin, since my doctor has told me to do this ever since my heart attack?
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  • 9. Ask the doctor. The news that Vioxx was pulled from the market rattled me, since I had been taking it for my arthritis for almost two years. I have heard both that it is okay for people like me with heart disease to take one of the other Vioxx-like drugs and that it isn't okay. What do you recommend?
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  • 10. Ask the doctor. Is it okay to take both aspirin and ibuprofen therapies?
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  • 11. Ask the doctor. Every day I take a baby aspirin (81 milligrams) that is coated to protect my stomach. Out of curiosity, I dropped a tablet into a glass filled with equal parts water and vinegar. Two days later, it hadn't dissolved. That has me wondering if the aspirin inside the coating gets into my stomach and bloodstream, or whether I've been unprotected against heart disease all this time?
    Januzzi JL
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  • 12. Naproxen's interaction with aspirin may affect its cardioprotective effect.
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  • 13. Ask the doctor. In October 2007, I had three Cypher stents placed in my left anterior descending artery. My doctor told me to take Plavix and aspirin indefinitely. Now I need to have a hernia repaired. My surgeon refuses to operate while I'm taking Plavix and aspirin, and said I would have to stop taking the two drugs five to six days before the operation. My cardiologist says that stopping the Plavix and aspirin, as well as the stress of the operation itself, would throw me into a "hypercoagulable state," greatly increasing my chance of developing a blood clot inside one of the stents. What should I do?
    Lee R
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  • 14. Celecoxib plus aspirin versus naproxen and lansoprazole plus aspirin: a randomized, double-blind, endoscopic trial.
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  • 15. Ask the doctor. Sometime soon I will need to have my aortic valve replaced. I like the fact that mechanical valves last longer than biological valves, but I don't like the fact that they require you to take the blood thinner Coumadin to prevent blood clots. I have heard that one of the new mechanical valves won't require Coumadin, just aspirin. Is that so?
    Lee TH
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  • 16. Ask the doctors. Why does my doctor tell me not to take ibuprofen as a painkiller until four or five hours after I take a daily aspirin pill? Doesn't ibuprofen also help prevent heart attacks, and if so, why not double up?
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  • 17. On call. I've read that aspirin may help prevent colon cancer as well as heart attacks. I take an aspirin every day, and I wonder if it may also help with prostate cancer.
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  • 18. By the way, doctor. At my annual physical, I received cards to return to my doctor after collecting small samples of stool to test for fecal occult blood. I'm having trouble getting around to collecting these samples, because it is hard to get along without the motrin I take for back pain. The test materials instruct me to discontinue aspirin or NSAIDs and some foods for at least a week before collecting the samples. What should I do?
    Nicholson CR
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  • 19. Naproxen (Naprosyn) and ketoprofen (Orudis).
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