Re: aspirin question -- enteric coated

[Guest guest]

Does enteric coated aspirin always avoid stomach problems?

I seem to remembers some posts from years past which indicated that problems

were encountered despite the coating.

Is there anyone here now who has, or has had, stomach problems attributable

to aspirin even though coated? (I assume that such members are, or were,

doing desensitization.)

From my personal experience: I had no problems with enteric coated aspirin

during the time I was desensitized.

Bayer, or course, claims that problems are, in fact, rare, whether coated or

not.

http://www.bayeraspirin.com/

Ken West

> From: " " <jpr9@...>

>

> I got around this by switching to Ecotrin or generic enteric coated

> aspirin. It dissolves (or is supposed to do so) in your intestines

> instead of your stomach. When I took Ascriptin I could only go a few

> days before my stomach rebelled.

>

> -

>

>

>> what do you take to counter act the upset stomach you get from taking the

>> aspirin after desensitation? can you get it over the counter? thanks.

>>

[Guest guest]

Hi Ken and all,

I don't have any problems with the enteric coated, but my doctor warned that

the ulcer could happen below the stomach where the enteric does dissolve.

I didn't have problems with regular aspirin back when I could take it, but I

didn't take it everyday then either.

Pam

On 3/30/06 5:23 PM, " Ken West " <kenwest@...> wrote:

> Does enteric coated aspirin always avoid stomach problems?

> I seem to remembers some posts from years past which indicated that problems

> were encountered despite the coating.

[Guest guest]

HI all,

as far as I know the stomach is sensitive to aspirin (and other NSAIDs,

substances working in the same way, e.g. Ibuprofen) no matter how it is

taken or how it gets into the bloodstream - the coated tablets may help

avoid problems, but some people even get stomach pains when they apply

creams containing diclofenac of ibuprofen on the skin of their arm for

arthritis etc., you just have to experiment. My Samter's symptoms came

about in this way! I had not taken aspirin for years, but used Voltaren

Cream for problems of the joints.

The drug you can take to avoid stomach problems is Omeprazole (that's

the name of the the substance), it seems to have been tested well for

stomach ulcers, gastritis and for long-term use and is especially

advised for people who are on NSAIDs for other reasons. You may not get

it OTC, try to find that out, the rules are different in every country

and not very liberal over here - but I think there is also a generic

product that is not as expensive as the original.

Good luck,Cori

[Guest guest]

Yes. After going through desensitization, I was off the aspirin

within a month because of stomach problems. I started with enteric

coated right away. I had pretty severe pain. Even taking prilosec

didn't help substantially, and I wasn't willing to stay on a product

like that continuously anyway. I wanted to keep my gut out of the

loop of problems I've had, since its been happy throughout.

So now I'm back to never taking aspirin or NSAIDs. Luckily, through

other means, I'm pretty stable and comfortable.

Alice

> >> what do you take to counter act the upset stomach you get from

taking the

> >> aspirin after desensitation? can you get it over the counter?

thanks.

> >>

>

[Guest guest]

Alice,

I am curious, did you absolutely always take the aspirin on a

completely full stomach? And did you take Ascriptin or Ecotrin?

Lori

[Guest guest]

I could be wrong, but my understanding is that omeprazole (Prilosec,

which is available over the counter in the States -- there are other

drugs of this class, as well, called proton pump inhibitors, or

PPIs) is not really protective of the stomach, but rather moves the

contents through the digestive system faster so that they do not

stay in any one place for a long period of time.

This does not really go with the theory that if aspirin gets into

the bloodstream it affects the stomach the same way ...

I think aspirin certainly CAN affect the stomach from the

bloodstream as well, because of the chemicals, however, I also think

that direct contact between aspirin and the stomach is most likely

much worse. And that is what omeprazole protects against. I

believe a full stomach with every single dose of aspirin (not a

snack, but a meal) and Ascriptin and maybe Ecotrin can have a

similar effect.

I guess theoretically there is some other reason that omeprazole

would " protect " the stomach from the chemicals in aspirin through

the blood, but if there is I haven't heard of it and would like to

know about it.

Lori in NY

[Guest guest]

>

> Alice,

>

> I am curious, did you absolutely always take the aspirin on a

> completely full stomach? And did you take Ascriptin or Ecotrin?

>

> Lori

>

I think it was Ecotrin, and I usually took it with a meal, but might

not have a few times

[Guest guest]

>Omeprazole and the other proton pump inhibitors do not work by

accelerating gastric emptying. They work by markedly reducing acid

secretion, more than the H2 blockers such as pepcid. The drugs that

accelerate gastric emptying are not used for treatment of ulcers, one

such drug is reglan.

There is some data to suggest that people who have H pylori which

is an infection that causes gastric ulcers are more susceptible to

the negative effects of aspirin. If one cannot tolerate aspirin at

all it might be worth being tested. Treatment is omeprazole with a

combination of antibiotics. Other alternatives might be misoprostol

( if you are not at risk of pregnancy ) and carafate.

I hope this information helps someone tolerate aspirin. It is such a

valuable drug for the syndrome.

> I could be wrong, but my understanding is that omeprazole

(Prilosec,

> which is available over the counter in the States -- there are

other

> drugs of this class, as well, called proton pump inhibitors, or

> PPIs) is not really protective of the stomach, but rather moves the

> contents through the digestive system faster so that they do not

> stay in any one place for a long period of time.

>

> This does not really go with the theory that if aspirin gets into

> the bloodstream it affects the stomach the same way ...

>

> I think aspirin certainly CAN affect the stomach from the

> bloodstream as well, because of the chemicals, however, I also

think

> that direct contact between aspirin and the stomach is most likely

> much worse. And that is what omeprazole protects against. I

> believe a full stomach with every single dose of aspirin (not a

> snack, but a meal) and Ascriptin and maybe Ecotrin can have a

> similar effect.

>

> I guess theoretically there is some other reason that omeprazole

> would " protect " the stomach from the chemicals in aspirin through

> the blood, but if there is I haven't heard of it and would like to

> know about it.

>

> Lori in NY

>

[Guest guest]

>Omeprazole and the other proton pump inhibitors do not work by

accelerating gastric emptying. They work by markedly reducing acid

secretion, more than the H2 blockers such as pepcid. The drugs that

accelerate gastric emptying are not used for treatment of ulcers, one

such drug is reglan.

There is some data to suggest that people who have H pylori which

is an infection that causes gastric ulcers are more susceptible to

the negative effects of aspirin. If one cannot tolerate aspirin at

all it might be worth being tested. Treatment is omeprazole with a

combination of antibiotics. Other alternatives might be misoprostol

( if you are not at risk of pregnancy ) and carafate.

I hope this information helps someone tolerate aspirin. It is such a

valuable drug for the syndrome.

> I could be wrong, but my understanding is that omeprazole

(Prilosec,

> which is available over the counter in the States -- there are

other

> drugs of this class, as well, called proton pump inhibitors, or

> PPIs) is not really protective of the stomach, but rather moves the

> contents through the digestive system faster so that they do not

> stay in any one place for a long period of time.

>

> This does not really go with the theory that if aspirin gets into

> the bloodstream it affects the stomach the same way ...

>

> I think aspirin certainly CAN affect the stomach from the

> bloodstream as well, because of the chemicals, however, I also

think

> that direct contact between aspirin and the stomach is most likely

> much worse. And that is what omeprazole protects against. I

> believe a full stomach with every single dose of aspirin (not a

> snack, but a meal) and Ascriptin and maybe Ecotrin can have a

> similar effect.

>

> I guess theoretically there is some other reason that omeprazole

> would " protect " the stomach from the chemicals in aspirin through

> the blood, but if there is I haven't heard of it and would like to

> know about it.

>

> Lori in NY

>

[Guest guest]

Thanks for correcting me on this, sorry to give wrong information.

I must have been confused -- when I got these from my GI doc that

was how they explained it to me, but maybe I am confusing it with

something else.

Thanks!

Lori

> >Omeprazole and the other proton pump inhibitors do not work by

> accelerating gastric emptying. They work by markedly reducing

acid

> secretion, more than the H2 blockers such as pepcid. The drugs

that

> accelerate gastric emptying are not used for treatment of ulcers,

one

> such drug is reglan.

> There is some data to suggest that people who have H pylori

which

> is an infection that causes gastric ulcers are more susceptible to

> the negative effects of aspirin. If one cannot tolerate aspirin

at

> all it might be worth being tested. Treatment is omeprazole with

a

> combination of antibiotics. Other alternatives might be

misoprostol

> ( if you are not at risk of pregnancy ) and carafate.

> I hope this information helps someone tolerate aspirin. It is

such a

> valuable drug for the syndrome.

> > I could be wrong, but my understanding is that omeprazole

> (Prilosec,

> > which is available over the counter in the States -- there are

> other

> > drugs of this class, as well, called proton pump inhibitors, or

> > PPIs) is not really protective of the stomach, but rather moves

the

> > contents through the digestive system faster so that they do not

> > stay in any one place for a long period of time.

> >

> > This does not really go with the theory that if aspirin gets

into

> > the bloodstream it affects the stomach the same way ...

> >

> > I think aspirin certainly CAN affect the stomach from the

> > bloodstream as well, because of the chemicals, however, I also

> think

> > that direct contact between aspirin and the stomach is most

likely

> > much worse. And that is what omeprazole protects against. I

> > believe a full stomach with every single dose of aspirin (not a

> > snack, but a meal) and Ascriptin and maybe Ecotrin can have a

> > similar effect.

> >

> > I guess theoretically there is some other reason that omeprazole

> > would " protect " the stomach from the chemicals in aspirin

through

> > the blood, but if there is I haven't heard of it and would like

to

> > know about it.

> >

> > Lori in NY

> >

>