Do you generally recommend low dose aspirin for patients with giant cell arteritis?

I generally do not use aspirin routinely in patients with GCA. While several retrospective series suggested a benefit to ASA for preventing ischemic complications in GCA (e.g. Nesher et al., PMID 15077317), this data is limited by its retrospective nature, small numbers, and significant confounding....

I usually recommend low-dose ASA, e.g., 81 mg to patients with GCA. However, because these patients are typically elderly, and on steroids, to prevent GI bleeding from the above combination, I usually also recommend an H2 antagonist or a PPI. And because of their age and the steroids, osteoporosis p...