Ecosprin 75mg

Ecosprin 75 is USV's Indian brand of low-dose aspirin 75 mg. Tata 1mg, PharmEasy, Truemeds and Apollo Pharmacy all list Ecosprin 75 under USV, sold in India in strips of 14 tablets. GNH India, an Indian export supplier, describes it as "a 75mg enteric-coated aspirin tablet", and PharmEasy's product FAQ refers to its "gastro-resistant coating"; both terms mean a coating that carries the tablet past the stomach before it dissolves. We sell Ecosprin 75mg in packs of 140, 280 and 560 tablets, from $0.11 a tablet in the largest pack before shipping.

Three points before you order. First, low-dose aspirin is a heart and stroke medicine, not a painkiller: the UK label says a 75 mg gastro-resistant tablet "is not suitable for use as an anti-inflammatory/ analgesic/ antipyretic", and that "The advice of a doctor should be sought before commencing therapy for the first time". Take it for heart protection only on a doctor's advice. Second, for people who have never had a heart attack or stroke, the US Preventive Services Task Force recommends against starting aspirin at age 60 and over; details below. Third, on price, plainly: low-dose aspirin is sold without a prescription in the US and Canada, and US pharmacies pay under 2 cents a tablet for enteric coated 81 mg aspirin. If you live in the US or Canada, a local pack will almost certainly cost you less than ours once shipping is added. The doses and warnings below come from the UK aspirin 75 mg gastro-resistant tablet label, the US professional labelling for aspirin in federal regulations, and the USPSTF, listed at the end.

Ecosprin 75mg at a glance

Who low-dose aspirin is for

People who have had a heart attack, angina, a stroke or a TIA, or heart bypass surgery. The UK label licenses aspirin 75 mg gastro-resistant tablets "For the secondary prevention of thrombotic cerebrovascular or cardiovascular disease and following by-pass surgery" (4.1). The US professional labelling lists reducing the risk of death and non-fatal stroke after an ischaemic stroke or TIA, reducing the risk of death and non-fatal heart attack after a previous heart attack or unstable angina, and reducing the risk of heart attack and sudden death in chronic stable angina (21 CFR 343.80, Indications and Usage). In the trials summarised there, aspirin cut the combined risk of death or a further heart attack by about 20% in people who had already had a heart attack (343.80, Clinical Studies). This is the group the treatment is meant for, and it is usually long term: the US labelling says "Continue therapy indefinitely" for these uses (343.80), and the UK label says "Treatment should be reviewed at regular intervals" (4.2).

People who have never had heart disease or a stroke (primary prevention). This is where the evidence changed. The USPSTF, in its April 2022 final recommendation, says: "The USPSTF recommends that the decision to initiate low-dose aspirin use for the primary prevention of CVD in adults aged 40 to 59 years who have a 10% or greater 10-year CVD risk should be an individual one and recommends against initiating low-dose aspirin use for the primary prevention of CVD in adults 60 years or older." It concludes "with moderate certainty that initiating aspirin use for the primary prevention of CVD events in adults 60 years or older has no net benefit", and that for adults aged 40 to 59 with a 10% or greater 10-year risk the net benefit is small. The reason is bleeding: the USPSTF says the absolute risk of bleeding "increases with age, and more so in adults 60 years or older". The recommendation applies to adults 40 and over without known cardiovascular disease and not at increased risk of bleeding; it is not about people who already take aspirin after a heart attack or stroke.

So, plainly: aspirin for heart protection should be on a doctor's advice. Do not start it to prevent a first heart attack without talking to your doctor, and never stop it after a stent or a heart attack without your cardiologist (see below).

Price per tablet

Prices below are as of October 2026; the pack selector shows the current price.

All three packs are under the $149 free shipping line, so a single pack carries $25 shipping, which more than doubles the cost of the 140 pack. The larger packs are cheaper per tablet before shipping too.

How long a pack lasts. At one 75 mg tablet a day, the packs last 140, 280 and 560 days; at two tablets (150 mg) a day, 70, 140 and 280 days (our arithmetic). The 560 pack is about 18 months at one a day. Before buying it, check that the expiry date on the strips covers the months you need; we have not confirmed Ecosprin's shelf life.

Compared with US and Canadian low-dose aspirin

NADAC is the average price US pharmacies pay to buy a medicine, published by the US Medicaid programme; it is not the shelf price. In the NADAC file of 28 October 2026, all 32 NDC rows for enteric coated aspirin 81 mg tablets (generic and store brand) are at $0.01421 a tablet and all 16 rows for chewable aspirin 81 mg at $0.02528, all with an effective date of 21 October 2026. There is no 75 mg aspirin in the US file: 81 mg is the usual US low dose, and the USPSTF calls 81 mg a day "the most commonly prescribed dose in the US".

Say it plainly: US low-dose aspirin is far cheaper than ours. Our tablet costs about 7.5 to 10 times what US pharmacies pay for enteric coated 81 mg aspirin before our shipping, and about 11 to 23 times with it (our arithmetic). Shelf prices are higher than NADAC, but if you live in the US or Canada, compare a local pack of 81 mg aspirin before you order from us. In our view, Ecosprin mainly suits people who want the 75 mg dose used in the UK and India, or who cannot easily buy low-dose aspirin locally.

Is 75 mg the same as 81 mg? Both are low doses. In its review of prevention trials, the USPSTF says the benefits of aspirin "appear similar for a low dose (≤100 mg/d) and for all doses that have been studied in CVD prevention trials (50 to 500 mg/d)". We have not seen data comparing Ecosprin with any US, UK, Australian or Canadian product. If your doctor prescribed a specific dose or product, ask before switching.

Which strength to choose

Do not cut a tablet to get a different dose. The UK label says "do not cut, chew or crush the tablet. Swallow whole" (4.2), because breaking the coating defeats its purpose.

How to take Ecosprin 75mg

1. Take the dose your doctor set, once a day. Swallow the tablet whole with water; do not cut, chew or crush it (UK label 4.2; UK leaflet 3).
2. Apollo's Ecosprin listing says to take it with food. The UK leaflet does not tie it to meals but says: "Do not take any medications for indigestion either immediately before or after taking this medicine"; the UK label says antacids "will reduce the effect of aspirin" (4.5).
3. If you miss a dose, "wait until it is time for your next dose, then go on as normal. Do not take a double dose to make up for a forgotten dose" (UK leaflet 3).
4. Do not stop taking it on your own. The NHS says: "If you're regularly taking low-dose aspirin, keep taking your medicine unless you're advised to stop."
5. Tell every doctor, dentist and pharmacist that you take aspirin, including before you buy any other medicine; the UK leaflet says "If you are using aspirin regularly you should seek advice before taking any other medicine (including medicine you may have bought)".

Stents, heart attacks, surgery and dental work

After a stent or a heart attack, never stop aspirin without your cardiologist. A joint science advisory from the American Heart Association, the American College of Cardiology, the American College of Surgeons, the American Dental Association and others says that stopping dual antiplatelet therapy (aspirin plus a second antiplatelet medicine) too early after a coronary stent "greatly increases the risk of stent thrombosis, myocardial infarction, and death" (Grines 2007). If a dentist, surgeon or any other doctor asks you to stop, tell them about your stent or heart attack and ask them to speak to your cardiologist first.

Surgery and dental work. The UK label says there is "an increased risk of haemorrhage particularly during or after operative procedures (even in cases of minor procedures, e.g. tooth extraction)" and that "Temporary discontinuation of treatment may be necessary" (4.4). The label says prolonged bleeding, such as nosebleeds and bleeding gums, may persist for 4 to 8 days after stopping (4.8). Whether to stop, and for how long, is a decision for the surgeon or dentist together with the doctor who prescribed the aspirin. Do not stop it yourself before a procedure.

Bleeding: the main risk

"Increased bleeding tendencies" are common with aspirin (UK label 4.8). Even low doses inhibit platelet function and lengthen bleeding time, which "can adversely affect patients with inherited (hemophilia) or acquired (liver disease or vitamin K deficiency) bleeding disorders" (21 CFR 343.80, Warnings). The UK label says bleeding time is extended by about 50% to 100% on average (5.1).

The stomach bleeding warning that US rules require on over-the-counter NSAID labels for adults, including aspirin, reads: "This product contains an NSAID, which may cause severe stomach bleeding." It says the chance is higher if you are age 60 or older, have had stomach ulcers or bleeding problems, take a blood thinning (anticoagulant) or steroid drug, take other prescription or non-prescription NSAIDs, have 3 or more alcoholic drinks every day, or take more or for longer than directed (21 CFR 201.326). Older people are "particularly susceptible" to gastrointestinal bleeding and perforation "which may be fatal" (UK label 4.4).

The enteric coating is designed to dissolve after the stomach, but the labels give no exemption for coated tablets: the UK gastro-resistant label lists gastric or duodenal ulcers, perforation and severe gastrointestinal haemorrhage among its side effects (4.8).

Side effects

The UK label lists side effects by frequency. Selected rows (UK label 4.8):

The UK leaflet adds anaemia from bleeding and kidney stones under "Not known". Low-dose aspirin reduces uric acid excretion, so people who already excrete less uric acid may get gout attacks (UK label 4.4).

When to get urgent help

Call emergency services (911 in the US and Canada, 999 in the UK, 000 in Australia) or get medical help straight away if you have any of the following (our advice; what each label says is given in each point):

• Signs of bleeding in the gut: black, tarry stools, vomiting blood or material like coffee grounds, or coughing up blood or blood in your urine. The UK leaflet says to stop taking aspirin and tell your doctor immediately if you have unusual bleeding, "such as coughing up blood, blood in your vomit or urine, or a stroke due to bleeding in brain or black stools". The US over-the-counter label lists feeling faint, vomiting blood, bloody or black stools, and stomach pain that does not get better as signs of stomach bleeding (21 CFR 201.326).
• Signs of a stroke. The NHS uses FAST: face, arms, speech "and time to call 999": a face that has dropped on one side, weakness in an arm, slurred speech. Aspirin can rarely cause bleeding in the brain (UK label 4.8), and a stroke needs emergency care whatever the cause. Do not take extra aspirin for stroke symptoms, because some strokes are caused by bleeding (our advice).
• Signs of a heart attack: chest pain that may feel like crushing or squeezing and may spread to the arm, neck or jaw, shortness of breath, sweating, feeling sick (NHS). Call emergency services first. The NHS advises taking aspirin (300 mg) if you have any, unless the person is allergic to it, and the call handler "will give you advice about what to do". The International Academies of Emergency Dispatch's MPDS protocol tells callers to chew the aspirin, even an enteric coated one; the IAED says "Swallowing an enteric coated aspirin delays absorption, and this is not optimal in the potential heart attack setting" (IAED, 2020). Ecosprin is described as an enteric coated 75 mg tablet, so it is not ideal for this, and one tablet is a quarter of the NHS dose. Follow the call handler's instructions about any aspirin you have (our advice).
• Signs of a serious allergic reaction: sudden wheezing, swelling of your lips, face or body, rash, fainting or difficulty swallowing; or reddening of the skin with blisters or peeling, perhaps with fever and joint pains. The UK leaflet says stop taking it and tell your doctor immediately. It also says to seek medical care immediately for chest pain with allergic reactions such as skin rashes or shortness of breath (Kounis syndrome).
• Taking too much: symptoms include ringing in the ears, hearing problems, headache, dizziness, confusion, nausea, vomiting and stomach pain; a large overdose can cause fast breathing, fever, sweating, seizures, hallucinations, low blood sugar, coma and shock (UK leaflet 3). The UK leaflet says tell your doctor at once or go to the nearest casualty department, and take the pack. In the US call Poison Control on 1-800-222-1222; in Australia the Poisons Information Centre is on 13 11 26 (our additions). Overdose can be fatal, particularly in small children (UK label 4.9): keep the strips out of their reach.

Tell the medical staff that you take aspirin 75 mg a day, when you last took it, and every other blood thinning medicine you take.

Who should not take Ecosprin 75mg

Never take it if (UK label 4.3):

• you are allergic to aspirin, other salicylates or prostaglandin synthetase inhibitors (NSAIDs), for example if aspirin or an NSAID has brought on an asthma attack, fainting, bronchospasm, rhinitis or hives, or you are allergic to any ingredient of the tablet
• you have an active stomach or gut ulcer, a history of recurrent peptic ulcer or stomach or gut bleeding, or other kinds of bleeding such as a bleed in the brain
• you have a bleeding tendency or clotting disorder, such as haemophilia or a low platelet count (thrombocytopenia)
• you have gout
• you have severe liver or severe kidney impairment
• you take methotrexate at more than 15 mg a week
• you are in the third trimester of pregnancy and the dose is more than 100 mg a day (so two Ecosprin 75 tablets a day are ruled out then)

The US professional labelling contraindicates aspirin in known allergy to NSAIDs and in "the syndrome of asthma, rhinitis, and nasal polyps", and says patients with a history of active peptic ulcer disease "should avoid using aspirin" (21 CFR 343.80).

Children and teenagers. The UK label says it is not indicated under 16 (4.2), because aspirin "may be a contributory factor in the causation of Reye's Syndrome in some children" (4.4). The US professional labelling says aspirin "should not be used in children or teenagers for viral infections, with or without fever, because of the risk of Reye's syndrome" (343.80).

Blood thinners: the UK label and leaflet differ. The UK leaflet lists "taking medicines to thin your blood" under "Do not take". The UK label puts it as a warning: combining aspirin with anticoagulants such as warfarin, thrombolytics, other antiplatelet medicines, anti-inflammatory drugs and SSRIs "is not recommended, unless strictly indicated", with close observation for bleeding if it cannot be avoided (4.4). Doctors prescribe aspirin together with clopidogrel or a similar medicine after a stent (Grines 2007), and in some cases with an anticoagulant where the UK label's "strictly indicated" applies; that is a deliberate decision. Never add aspirin yourself to a blood thinner.

Use only with care or after talking to your doctor (UK label 4.4 and leaflet 2):

• asthma, hay fever, nasal polyps or chronic lung disease (aspirin may bring on bronchospasm or an asthma attack)
• high blood pressure; a past stomach or duodenal ulcer or bleeding episode
• moderate kidney or liver impairment, or dehydration
• G6PD deficiency (UK leaflet)
• heavy periods: "Aspirin is not recommended during menorrhagia where it may increase menstrual bleeding" (4.4)
• older age: treatment should be reviewed regularly (4.2, 4.4)
• galactose intolerance, total lactase deficiency or glucose-galactose malabsorption: the UK tablet contains lactose and these patients "should not take this medicine" (4.4). We have not confirmed the excipients of Ecosprin, so read the strip.

Pregnancy. UK label 4.6: doses up to 100 mg a day "for restricted obstetrical use, which require specialised monitoring, appear safe"; in the first and second trimester aspirin "should not be given unless clearly necessary"; above 100 mg a day it is contraindicated in the third trimester. The US professional labelling says aspirin should be avoided 1 week before and during labour and delivery (343.80). If you are pregnant or planning a pregnancy, take aspirin only as your obstetric team directs.

Breastfeeding. UK label 4.6: short term use of the recommended dose does not require stopping breastfeeding, but "In cases of long-term use and/or administration of higher doses, breastfeeding should be discontinued." The UK leaflet says breastfeeding women "should not take Aspirin tablets unless advised by their doctor".

Medicines and drinks that interact

• Methotrexate: above 15 mg a week, contraindicated; at 15 mg a week or less, weekly blood counts in the first weeks (UK label 4.3, 4.5).
• Anticoagulants (coumarins such as warfarin, heparin and phenindione): more bleeding; bleeding time should be monitored (UK 4.5). The US labelling adds that aspirin can displace warfarin from protein binding and increase heparin's effect (343.80).
• Other antiplatelets and SSRIs (clopidogrel, dipyridamole; sertraline, paroxetine): more gastrointestinal bleeding (UK 4.5).
• Ibuprofen and other NSAIDs. NSAIDs together with aspirin raise the risk of ulcers and gut bleeding (UK 4.5); the US labelling says the combination "should be avoided" (343.80). Ibuprofen may also blunt aspirin's effect on platelets: in one study, ibuprofen 400 mg taken within 8 hours before or 30 minutes after immediate release aspirin 81 mg reduced aspirin's effect, although the UK label says no firm conclusions can be drawn for regular ibuprofen use and no clinically relevant effect is likely for occasional use (5.1). The FDA's advice on timing (ibuprofen at least 30 minutes after, or at least 8 hours before, immediate release aspirin) does not cover enteric coated aspirin: it says recommendations for enteric coated low-dose aspirin "cannot be made based upon available data" (FDA, 2006). For pain, ask a pharmacist; the NHS says you can take aspirin at the same time as paracetamol.
• Metamizole may reduce aspirin's platelet effect; use with caution in people taking low-dose aspirin for heart protection (UK 4.5).
• Corticosteroids (by mouth or injection) and deferasirox: more risk of ulcers and gut bleeding (UK 4.4, 4.5).
• Diabetes medicines: salicylates may increase the effect of sulphonylureas (UK 4.5); the UK label ties the low blood sugar risk with sulfonylureas and insulin to overdose (4.4).
• Digoxin and lithium: levels can rise; monitoring is recommended when aspirin is started or stopped (UK 4.5).
• Blood pressure medicines and diuretics: aspirin may reduce their effect; with ACE inhibitors or diuretics there is a risk of acute kidney problems (UK 4.5; 343.80 also names beta blockers).
• Acetazolamide: may cause severe acidosis (UK 4.5).
• Ciclosporin and tacrolimus: kidney function should be monitored (UK 4.5).
• Valproate and phenytoin: aspirin changes their protein binding (UK 4.5).
• Probenecid and sulfinpyrazone: the combination should be avoided (UK 4.5).
• Alcohol: the UK label says alcohol with aspirin "increases the risk of gastrointestinal bleeding" (4.5), and the UK leaflet says "Do NOT drink alcohol whilst taking this medicine". The US labelling says people who have three or more alcoholic drinks every day should be counselled about bleeding risks (343.80).

Prescription and legal status

In the US, aspirin is sold without a prescription; professional labelling for its heart and stroke uses is set out in federal regulations "for health professionals (but not for the general public)" (21 CFR 343.80), and the usual US low-dose tablet is 81 mg. The FDA says personal importation of unapproved medicines is illegal in most circumstances. In the UK, Dexcel's aspirin 75 mg gastro-resistant tablets are a pharmacy medicine (P) in packs of up to 100 (PL 14017/0022) and on general sale (GSL) in packs of 28 (PL 14017/0060) (emc). In Australia, the Poisons Standard (October 2026) excludes from Schedule 2 aspirin tablets of 100 mg or less in blister or strip packs (or child-resistant containers) of up to 100, labelled for preventing cardiovascular disease or inhibiting platelet aggregation; small packs of standard-strength aspirin (not more than 25 tablets of 325 mg or less, or 16 tablets of 500 mg or less) are also excluded, most other aspirin tablets are Schedule 2 pharmacy medicines, and aspirin combined with caffeine, paracetamol or salicylamide is Schedule 4. healthdirect lists the smaller Cartia 100 mg enteric coated packs as not scheduled and the 168 pack as Schedule 2. In Canada, Bayer's Aspirin 81 mg enteric coated tablet (DIN 02237726) is a marketed non-prescription drug (Health Canada). In India, Tata 1mg, Truemeds and Apollo mark Ecosprin 75 as prescription. Check the rules where you live.

Buying genuine Ecosprin

The MHRA warns that "Any medicine not authorised for sale in the UK can be unsafe or ineffective and there is no way of knowing what is in them or the negative health effects they can have", and it advises UK buyers to "Only use UK-registered pharmacies, including online pharmacies displaying the official green cross logo". That warning covers this Indian Ecosprin pack. When your order arrives, read the strip: it should say Ecosprin 75 and aspirin 75 mg, name USV, and carry a batch number and expiry date. We have not confirmed what the tablet looks like. These checks cannot prove that tablets are genuine, because counterfeiters copy packaging. If a batch causes unusual symptoms, seek medical advice and report it to your medicines regulator (the MHRA Yellow Card scheme in the UK, FDA MedWatch in the US, the TGA in Australia or Health Canada) as well as to us.

Storage. The UK label says do not store above 25°C (6.4). Truemeds shows below 30°C in one place and 15°C to 25°C in another, and says protect from light and moisture; Apollo says 20°C to 25°C. Keeping it below 25°C, dry, in the strip covers all of them (our advice). No refrigeration is needed. Aspirin breaks down in moisture into salicylic and acetic acids and "gives off a vinegary-odor" (21 CFR 343.80); a strong vinegar smell from a strip suggests moisture damage, so do not use those tablets (our advice).

Delivery

We ship Ecosprin 75mg to the US, UK, Australia and Canada in plain packaging with tracking. Standard delivery takes 7 to 14 business days. Shipping costs a flat $25 on orders under $149 and is free from $149. Order well before your current supply runs out, and do not stop or ration your tablets while you wait; if you take aspirin after a stent, a gap can be dangerous, so buy locally if your supply will run out first. See our shipping page and refund policy.

Related guides

• Atorva 40mg and Atorva 20mg: atorvastatin, the cholesterol medicine NICE recommends at 80 mg for people who already have cardiovascular disease (NG238 1.7.2)
• Blood pressure medications: types, side effects and which works best

Sources

• Aspirin 75mg Gastro-Resistant Tablets, UK Summary of Product Characteristics, Dexcel Pharma Ltd, PL 14017/0022, text revised 09/10/2026 (emc 2614, updated 16 October 2026; legal category Pharmacy): sections 2, 4.1 to 4.9, 5.1, 5.2, 6.1, 6.4, 6.5. emc
• Aspirin 75mg Gastro-Resistant Tablets (GSL), UK SmPC, Dexcel Pharma Ltd, PL 14017/0060, 28 tablets (emc 13152; legal category General Sales List). emc
• Aspirin 75mg Gastro-Resistant Tablets, UK patient leaflet, Dexcel Pharma Ltd, revised August 2026 (emc, updated 14 October 2026): sections 2 to 6. emc
• US Code of Federal Regulations, 21 CFR 343.80, Professional labeling (internal analgesic, antipyretic and antirheumatic drug products for over-the-counter human use; 63 FR 56814, 23 October 1998): Clinical Studies, Indications and Usage, Contraindications, Warnings, Precautions, Dosage and Administration. 21 CFR 201.326, NSAID stomach bleeding warning. eCFR
• US Preventive Services Task Force. Aspirin Use to Prevent Cardiovascular Disease: Preventive Medication. Final recommendation statement, 26 April 2022. USPSTF
• Grines CL, et al. Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association. Circulation 2007 (PMID 17224480).
• US Food and Drug Administration. Concomitant Use of Ibuprofen and Aspirin: Potential for Attenuation of the Anti-Platelet Effect of Aspirin, 8 September 2006. FDA
• Centers for Medicare and Medicaid Services. NADAC 2026, file as of 28 October 2026: aspirin EC 81 mg tablet $0.01421 (32 NDC rows); aspirin 81 mg chewable tablet $0.02528 (16 NDC rows); all effective 21 October 2026. data.medicaid.gov
• Therapeutic Goods (Poisons Standard, October 2026) Instrument 2026, F2026L01327, Schedule 2 entry for aspirin. Federal Register of Legislation
• healthdirect Australia: Cartia (aspirin 100 mg enteric coated tablet), checked 30 October 2026. healthdirect
• Health Canada Drug Product Database: Aspirin 81mg, DIN 02237726, Bayer Inc, tablet (enteric-coated), non-prescription, marketed; checked 30 October 2026. Health Canada
• NHS: Heart attack (reviewed 31 March 2026); Stroke symptoms (reviewed 12 September 2024); Aspirin: medicine for pain relief or preventing blood clots (nhs.uk/medicines/low-dose-aspirin, reviewed 3 July 2026). NHS
• Patterson B. Non-Chewable Aspirin. IAED Journal, 10 April 2020. IAED
• Indian pharmacy listings for Ecosprin 75 (Tata 1mg, PharmEasy, Truemeds, Apollo Pharmacy) and the GNH India product page, checked 30 October 2026.
• NICE. Cardiovascular disease: risk assessment and reduction, including lipid modification (NG238), recommendation 1.7.2. NICE
• MHRA. 20 million illegal erectile dysfunction pills seized as MHRA warns against risky online buys, 13 February 2026. GOV.UK
• US Food and Drug Administration. Personal Importation. FDA

This page is for information and is not medical advice. Low-dose aspirin is for preventing heart attacks and strokes in people whose doctor has advised it. Do not start it for prevention without your doctor, and do not stop it after a heart attack, stroke or stent without your cardiologist or the doctor who prescribed it.