Should a person who has had a major hemorrhage stroke take aspirin?

A fellow caregiver asked...

Should a person who has had a major hemorrhage stroke take aspirin. Your advice would be appreciated.

Expert Answer

James Castle, M.D. is a neurologist at NorthShore University HealthSystem (affiliated with The University of Chicago) and an expert on strokes.

I'm not sure if this question is from the same person who asked a very similar question recently. I assume it probably is. However, in case it is not, the general rule is that someone who had a hemorrhagic stroke would not typically be treated with aspirin unless they also have a history of heart attack or other ischemic vascular event such as an ischemic stroke (different than a hemorrhagic stroke). If aspirin is indicated, it is crucially important that the blood pressure be extremely well controlled to limit the chance of another hemorrhage.

For further details, please see my other response from today on a very similar question. I will assume this is the same person asking the question.

Good luck!!