Aspirin (aka acetylsalicylic acid) is a salicylate drug, often used to Tx pain, fever, and inflammation.
Patient information
What is aspirin? Isn't that what old people take when they're not feling too well?
Aspirin is just another word for acetysalicylic acid. And yes, we use it for numerous things, like pain, high temperature, and inflammation too.
Has has anti-platelet effect, by stopping the binding together of platelets, and preventing a patch over damaged walls of blood vessels. Low-dose aspirin use irreversibly blocks the formation of thromboxane A2 in platelets, producing an inhibitory effect on platelet aggregation during the lifetime of the affected platelet (8-9 days)
Its distinction from other NSAIDs is that it is an irreversible COX inhibitor (cyclooxygenase)
Unlike others, it affects COX-1 more than COX-2
Nonetheless, it has similar effects, including being antipyretic, anti-inflammatory, analgesic
Patient information
How exactly does aspirin work?
It's an irreversible COX inhibitor.
What's a COX inhibitor? What's COX?
COX stands for cyclooxygenase, which is an enzyme responsible for the formation of thromboxane and prostaglandins. Thromboxane is involved with clotting, and prostaglandin with protection of the GI tract.
Indications
Used long-term, at low doses, to help prevent, in Pt's at high risk ofd eveloping blood clots:
Heart attacks
Clot-related strokes
Blood clot formation
Low dose aspirin, given immediately after a heart attack, to reduce the risk of:
Another heart attack
Death of cardiac tissue
Prevent certain types of cancer, particularly colorectal cancer, may be
Dx
Salicylate blood test, to test for salicylate intoxication, caused by an overdose of aspirin
Side effects
GI ulcers
Stomach bleeding
Tinnitus (ringing in the ears), especially w/ higher doses
Increase risk of bleeding/hemorrhagic stroke
In kids, ebcause of the risk of Reye's syndrome, thus NOT recommended in kids for flu-like Sx or viral illnesses
Contrary to common thought, aspirin slightly INCREASES risk of hypertension
Epidemiology
The therapeutic properties of willow tree bark have been known for at least 2.4k years, w/ Hippocrates prescribing it for headaches
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