Aspirin Low-Dose
Prescription ·Exploratory record · not publication-reviewed ·Updated July 13, 2026
Low-dose aspirin (75–100 mg) is an antiplatelet agent widely used for secondary prevention of cardiovascular events including myocardial infarction and ischemic stroke. Its role in primary prevention has been narrowed based on recent trials (ASPREE, ARRIVE, ASCEND) showing modest benefit with increased bleeding risk in low-risk populations.
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What the research says.
A quick, data-only summary. The full evidence, dosing, and sources are below.
Low-dose aspirin (75–100 mg) is an antiplatelet agent widely used for secondary prevention of cardiovascular events including myocardial infarction and ischemic stroke. NutriStack rates the supporting evidence as strong. Common adult dosing is 75–100 mg once daily for cardiovascular prevention (as prescribed by your physician), though a prescriber sets the actual dose. This profile indexes 13 sources.
The bottom line
Evidence rating strong. Most-documented uses: reduces risk of recurrent mi and stroke (secondary prevention), essential in acute coronary syndromes, required after coronary stent placement (with p2y12 inhibitor). 13 sources indexed (2009–2025), with 0 interaction records on file.
How it works, mechanistically.
Core mechanism
Irreversibly acetylates cyclooxygenase-1 (COX-1), blocking the formation of thromboxane A2 (TXA2), a potent platelet aggregator and vasoconstrictor. Since platelets lack nuclei and cannot synthesize new COX-1, the antiplatelet effect lasts the entire platelet lifespan (~7–10 days). Low doses selectively inhibit platelet COX-1 while relatively sparing endothelial COX-2/prostacyclin production.
Dosing & protocol.
Enteric-coated tablets may delay absorption; can be taken with food to reduce GI upset; chew non-enteric-coated tablet during suspected ACS for rapid onset1,2
Full safety detail.
Side effects
- GI bleeding and dyspepsia
- Bruising
- Epistaxis
- Tinnitus (at higher doses)
- Gastric ulceration
- Allergic reactions (aspirin-exacerbated respiratory disease)
Sources, by evidence tier.
Numbered references. Citations throughout the page link here.
Meta-analyses & systematic reviews
8- 1Evaluation of Low-Dose Aspirin on Pregnancy Outcomes: A Systematic Review and Meta-analysisPMIDWang W, Chang G · Archives of Iranian medicine · 2025
Wang W, Chang G. Evaluation of Low-Dose Aspirin on Pregnancy Outcomes: A Systematic Review and Meta-analysis. Archives of Iranian medicine. 2025
- 2Preventing Preeclampsia With Low-Dose Aspirin: A Systematic Review of Efficacy Across Diverse PopulationsPMIDGeorge R, Sayed Z, Gundala Raja H et al. · Cureus · 2025
George R, Sayed Z, Gundala Raja H et al.. Preventing Preeclampsia With Low-Dose Aspirin: A Systematic Review of Efficacy Across Diverse Populations. Cureus. 2025
- 3Clinical efficacy of low-dose aspirin combined with calcium in preventing preeclampsia: A systematic review and meta-analysisPMIDChen WY, Sun SF · Medicine · 2023
Chen WY, Sun SF. Clinical efficacy of low-dose aspirin combined with calcium in preventing preeclampsia: A systematic review and meta-analysis. Medicine. 2023
- 4Impact of low-dose aspirin on adverse perinatal outcome: meta-analysis and meta-regressionPMIDTurner JM, Robertson NT, Hartel G et al. · Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2020
Turner JM, Robertson NT, Hartel G et al.. Impact of low-dose aspirin on adverse perinatal outcome: meta-analysis and meta-regression. Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology. 2020
- 5Association of Aspirin Use for Primary Prevention With Cardiovascular Events and Bleeding Events: A Systematic Review and Meta-analysisPMIDZheng SL, Roddick AJ · JAMA · 2019
Low-dose aspirin for primary cardiovascular prevention was associated with reduced risk of cardiovascular events (ARR 0.38%) but increased risk of major bleeding (ARI 0.47%), suggesting a marginal net clinical benefit
- 6Aspirin for primary prevention of cardiovascular disease: a meta-analysis with a particular focus on subgroupsPMIDGelbenegger G, Postula M, Pecen L, Halvorsen S et al. · BMC Medicine · 2019
Aspirin reduced cardiovascular events more clearly in high-risk subgroups (diabetes, high cholesterol), while bleeding risk remained consistent across subgroups, suggesting risk-stratified prescribing
- 7Low-dose aspirin and cancer mortality: a meta-analysis of randomized trialsPMIDMills EJ, Wu P, Alberton M et al. · The American journal of medicine · 2012
Mills EJ, Wu P, Alberton M et al.. Low-dose aspirin and cancer mortality: a meta-analysis of randomized trials. The American journal of medicine. 2012
- 8Aspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis of individual participant data from randomised trialsPMIDAntithrombotic Trialists' (ATT) Collaboration, Baigent C, Blackwell L, Collins R et al. · Lancet · 2009
In secondary prevention, aspirin reduced serious vascular events by approximately 20% per year; in primary prevention, the absolute reduction was much smaller and largely offset by major bleeding
Reference material
5- 9Antithrombotic Trialists' Collaboration. Aspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis. Lancet. 2009.Source linkedPMID
- 10McNeil JJ et al. Effect of aspirin on cardiovascular events and bleeding in the healthy elderly (ASPREE). N Engl J Med. 2018.Source linkedPMID
- 11Rothstein A et al. Switching From Aspirin Monotherapy After Noncardioembolic Stroke: A Systematic Review and Network Meta-Analysis. Stroke. 2026.Source linkedPMID
- 12Richards EMF, Giorgione V, Stevens O et al.. Low-dose aspirin for the prevention of superimposed preeclampsia in women with chronic hypertension: a systematic review and meta-analysis. American journal of obstetrics and gynecology. 2023Source linkedPMID
- 13Ghesquiere L, Guerby P, Marchant I et al.. Comparing aspirin 75 to 81 mg vs 150 to 162 mg for prevention of preterm preeclampsia: systematic review and meta-analysis. American journal of obstetrics & gynecology MFM. 2023Source linkedPMID
Common questions.
Quick answers about Aspirin Low-Dose, drawn from the data on this page.
What is Aspirin Low-Dose?
Low-dose aspirin (75–100 mg) is an antiplatelet agent widely used for secondary prevention of cardiovascular events including myocardial infarction and ischemic stroke. Its role in primary prevention has been narrowed based on recent trials (ASPREE, ARRIVE, ASCEND) showing modest benefit with increased bleeding risk in low-risk populations.
What is Aspirin Low-Dose used for?
Commonly cited benefits of Aspirin Low-Dose include: Reduces risk of recurrent MI and stroke (secondary prevention); Essential in acute coronary syndromes; Required after coronary stent placement (with P2Y12 inhibitor); Inexpensive and widely available. NutriStack rates the overall evidence as strong.
What is a typical dose of Aspirin Low-Dose?
A typical adult dose of Aspirin Low-Dose is 75–100 mg once daily for cardiovascular prevention (as prescribed by your physician). The commonly recommended form is Enteric-coated oral tablet (81 mg in the US). These are general ranges, not personalized advice; confirm the right dose with a clinician.
What are the side effects of Aspirin Low-Dose?
Reported side effects include gi bleeding and dyspepsia, bruising, epistaxis, tinnitus (at higher doses), gastric ulceration, allergic reactions (aspirin-exacerbated respiratory disease). This is educational information; check with a healthcare professional before use.
How strong is the evidence for Aspirin Low-Dose?
NutriStack rates this as Strong, meaning multiple high-quality meta-analyses or systematic reviews converge on the same finding. Full tier criteria are at https://nutristackapp.com/methodology/evidence-tiers.
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Aspirin Low-Dose in NutriStack.
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