Which agents should be avoided in patients with a history of acute lower gastrointestinal (GI) bleeding?

Updated: Jul 26, 2019
  • Author: Burt Cagir, MD, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Avoid the use of nonsteroidal anti-inflammatory agents in patients with a history of acute lower gastrointestinal (GI) bleeding (LGIB), such as from diverticular disease or angioectasia. [5] Do not discontinue aspirin as secondary prophylaxis in those who have high-risk cardiovascular disease and a history of LGIB; however, avoid the use of aspirin for primary prevention of cardiovascular events in most patients with LGIB. [5]


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