Stories
Trump Reveals Psychological Reason Behind His Decades-Long Daily Aspirin Habit
- •US President Donald Trump admitted he takes a daily aspirin primarily for psychological reasons, stating he needs it even though he does not know if it works.
- •Trump takes a high dose of 325 milligrams daily for over 25 years, ignoring doctors' advice to switch to a lower 81-milligram tablet.
- •Aspirin acts as an antiplatelet agent that prevents blood clots, but high doses also significantly increase the risk of bruising and bleeding.
- •Medical experts caution against starting daily aspirin for primary prevention without consulting a doctor, as side effects include stomach and intestinal bleeding.
Key Questions Answered
Donald Trump takes 325 milligrams daily, a higher-than-usual dose he has maintained for over 25 years. He has admitted he takes it partly for psychological reassurance, describing himself as superstitious about the routine, even though doctors have advised him to switch to a smaller tablet.
At low doses, aspirin acts as an antiplatelet agent that makes platelets less sticky, reducing the risk of clot-related heart attacks and ischemic strokes in patients with established cardiovascular disease. However, its main downside is an increased risk of bleeding from the stomach, intestines, or other internal areas, which can be influenced by age, medications, and overall health.
No, current medical guidelines are cautious regarding primary prevention for healthy individuals who have never experienced a cardiovascular event. Research like the ASPREE trial showed that the risk of major bleeding can outweigh potential cardiovascular benefits, and task force guidance generally recommends against starting aspirin for primary prevention in adults aged 60 and older.
