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Is it safe to suddenly stop taking Aspirin or do I need to gradually bring it down?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been taking tablet Aspirin 325 mg twice daily for years because I have a phobia about blood clots. Is it safe to just suddenly stop this, or do I need to wean off to be safe?

Kindly help.

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I would like to know why you took aspirin for so long and whether the medication was prescribed by a doctor. It is risky to stop at once. Do you have a history of high blood pressure?

Kindly revert back to help further.

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Patient's Query

Hello doctor,

Thank you for the reply.

I have had a relative drop dead in front of me from a blood clot; that incident has affected me a lot. Later, when I gave birth, I had a suspected blood clot and was put on blood thinners for a while. Whenever I used to stop them, I would start having anxiety.

So, I used to take one 325 mg Aspirin tablet in the morning and at night. Recently, I have not been feeling great and have really bad anxiety about taking Aspirin as I feel dizzy and get rashes and want to stop it safely without putting myself at risk of a clot. I am not able to get an appointment with my general practitioner right now because of the pandemic situation. I think I have circulation problems because my feet are purple while standing. I am worried that I am damaging my kidneys and liver and want to know what I should do.

Please help me out.

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

So sorry to hear about your loss. We generally do not suggest patients withdraw suddenly from a prescription medication. This can be very dangerous, especially in the case of Aspirin. This can put you at risk for stroke; it has happened to some patients based on my experience. I suggest you step down the medication gradually but not abruptly.

I suggest you reduce the dosage to 75 mg daily for the next week, then subsequently take alternate days for another week before finally quitting. I would like to know details on the following.

  1. Have you gotten your blood pressure and cholesterol levels checked recently?
  2. Have you ever been treated with medication for anxiety?

Hope this was helpful.

Kindly revert for further queries.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

Can I go from 650 mg daily to 75 mg daily safely?

Please suggest.

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Since you take 650 mg, I suggest you can step down to 150 mg daily and then subsequently drop to 75 mg before you can totally stop. But please make sure to take note of any changes in your body.

Regards.

Patient's Query

Hello doctor,

Thank you for your reply.

I will keep an eye on any changes. What changes should I keep a look out on?

Please help.

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

You should watch out of for petechiae (small purple-brown spots on the skin), discoloration, redness in any part of the body, sudden breathlessness, etc.

I hope this helps.

Answered by Dr. Isaac Gana
Medically reviewed by Dr. Infanteena Marily F.
Published At March 10, 2022
Reviewed At April 24, 2026

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Infanteena Marily F. is a dedicated Dental Surgeon, having graduated with a BDS degree from J.K.K.N. Dental College and Hospital in 2018. With 5 years of clinical experience, she provides personalized treatment plans to patients by emphasizing effective communication. She serves as a Medical Quality Assurance Analyst at iCliniq.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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