Aspirin

Introduction To Aspirin

Aspirin treats and prevents heart attacks, strokes and angina. It also reduces pain, fever and inflammation. This medication contains aspirin, an anti-inflammatory, and an antiplatelet drug - a blood thinner at low doses and a painkiller at high doses. Your doctor might prescribe it for inflammation, fever and the prevention of blood clots.

Aspirin should be taken as advised by your doctor. It is best to take them as a whole before or after food. Depending on the condition, your doctor might adjust the doses to make it act like an anti-inflammatory or an antiplatelet medicine. Follow your doctor's prescription for the best results.

Side effects of Aspirin include nausea, vomiting, heartburn, stomach pain and heartburn. They typically last for a short period and usually go away on their own. Contact your doctor if the problems persist.

Aspirin is contraindicated (unsafe) for people with bleeding disorders, asthma and hypersensitivity to aspirin. Always let your doctor know of any health conditions you might have. Generally, this medication is considered safe for most people.

Uses of Aspirin

Aspirin is used to treat and prevent myocardial infarctions (heart attacks), angina (heart-related severe chest pain) and strokes. It is also used for headaches, joint pain, muscle pain, dysmenorrhoea (menstrual cramps), backache, gout, rheumatic fever, osteoarthritis and rheumatoid arthritis.

The main ingredient of Aspirin is aspirin, aka salicylic acid. It is an anti-inflammatory (reduces inflammation and swelling), antiplatelet (removes blood clots and prevents heart attacks and strokes), analgesic (relieves pain) and an antipyretic drug (reduces fever).

This medicine's effect is dose-dependent; at lower doses, it is used as a blood thinner (for heart attacks), and at higher amounts, it works similarly to paracetamol by lowering pain and fever.

Aspirin helps people with joint and muscle pain by reducing pain and inflammation, allowing them to carry out day-to-day tasks without an aching body getting in their way. This medication, however, is used mainly as a preventive measure for heart attacks and strokes.

How Aspirin works

Aspirin contains aspirin, which stops platelets in your blood from sticking together. It partially treats and prevents heart attacks, strokes and angina (severe chest pain). It also lowers pain and inflammation by blocking an enzyme called cyclooxygenase.

Aspirin is anti-inflammatory (reduces inflammation and swelling), antiplatelet (removes blood clots and prevents heart attacks and strokes), analgesic (relieves pain) and an antipyretic drug (reduces fever).

Its anti-inflammatory properties are due to its ability to prevent the formation of a chemical called prostaglandin. This is done by inhibiting an enzyme called cyclooxygenase-2 (COX-2). The decrease in prostaglandins synthesis at the thermoregulatory centres (hypothalamus) and peripheral target sites results in the desensitisation of pain receptors. The inhibition of COX-2 also produces anti-inflammatory effects on the tissue level.

Its antiplatelet properties are granted by its ability to non-selectively inhibit cyclo-oxygenase-1 (COX-1), associated with the inhibition/blocking of platelet aggregation (blood cells sticking together).

This inhibition allows the medication to prevent heart attacks and strokes since they occur due to blood being unable to flow freely through the blood vessels. And this obstruction of the blood flow is usually caused by a clot formed by platelets. Aspirin prevents such clots by blocking the grouping of these platelets.

Thus, aspirin can both reduce pain and fever (by inhibiting COX 2) as well as prevent heart attacks, strokes and angina (by inhibiting COX 1 and preventing platelet aggregation).

Dosage

Always take Aspirin medicine as prescribed by your doctor. Do not consume more than the prescribed daily dose. Take this medicine as a whole with ample water. Do not chew or crush the tablet. You may take this medicine before or after your meals. To prevent an upset stomach, you may take it after your meals.

Your doctor may prescribe Aspirin at a low dose (75-81 mg/day) for its antiplatelet effect (blood thinning) to treat and prevent heart attacks and strokes. If it's inflammation or pain you're given this medicine for, the dose will be higher: 650mg-4g/day.

Take any missed medication as soon as you recall if you have missed a dose. If it is time for your next dose, ignore the missed dose and continue with the next one. To compensate for a missed dose, avoid taking twice the amount.

If you see signs like rapid breathing, yellowing of skin and eyes, blood in vomit/stool and swelling of the face and neck after taking this medicine, contact your doctor or visit the nearest hospital immediately.

Safety Advice

Aspirin is not safe for people with severe liver diseases, kidney failures, stomach ulcers, clotting disorders and allergies to aspirin. Always let your doctor know of any health conditions you might have. Generally, this medicine is considered safe for most people.

Taking this medicine with hypersensitivity to aspirin might lead to symptoms like urticaria (skin rash), bronchoconstriction (narrowing of airways), angioedema (swelling under the skin) and anaphylactic shock (sudden drop in BP with breathing difficulty)

sdsPregnancyUnsafe

Can I take Aspirin if I’m pregnant?

sdsBreastfeedingConsult doctor

Can I take Aspirin if I’m breastfeeding?

sdsAlcoholUnsafe

Is drinking alcohol while taking Aspirin safe?

sdsDrivingUnsafe

Can I drive after taking Aspirin ?

Drug interactions

Drug-Food interaction

It is not recommended to consume alcohol or caffeinated drinks while taking Aspirin . The common side effects like stomach discomfort and ulcers might worsen. Alcohol may interact with aspirin leading to delayed clotting time and gastrointestinal bleeding.

Drug-Disease interaction

Aspirin is contraindicated if you are hypersensitive to aspirin. It is unsafe to take this medicine if you have any clotting or bleeding disorder, asthma, erosive gastritis, severe liver or kidney diseases, dehydration and stomach ulcer.

Drug-Drug interaction

It is not recommended to take the following if you are already taking Aspirin : antihypertensive drugs (captopril, metoprolol), blood thinners (warfarin, heparin, clopidogrel), immunosuppressants (cyclosporin, tacrolimus), anti-diabetic drugs (glibenclamide), pain killers (ketorolac, naproxen, ibuprofen), anti-epileptic drugs (sodium valproate, phenytoin) and anti-cancer drugs(methotrexate).

Drug-Drug Interactions Checker List:

Warfarin Methotrexate Naproxen Captopril Metoprolol Heparin Clopidogrel Ketorolac Ibuprofen Sodium Valproate Phenytoin

Frequently Asked Questions

Q. What is Aspirin used for?

Aspirin treats and prevents heart attacks, strokes and angina. It also reduces pain and inflammation and gets prescribed for joint pain, menstrual cramps and headaches.

Q. Can a normal person take Aspirin ?

Aspirin at high doses (more than 650 mg per day) can reduce fever and pain in your body. But it is always best to consult your doctor regarding medicine intake.

Q. Does Aspirin increase BP?

Aspirin contains aspirin which increases fluid retention as a side effect. This can potentially lead to an increase in blood pressure. Talk to your doctor if you have hypertension.

Q. Is Aspirin and aspirin the same?

Yes, Aspirin contains aspirin as its only component. It is used to treat and prevent heart attacks, strokes and angina. It is also used to reduce pain and inflammation.

Q. Is Aspirin a blood thinner?

Yes, Aspirin works as a blood thinner due to its antiplatelet action. It prevents blood cells called platelets from grouping together, forming clots, and blocking blood vessels.

Q. Should I take Aspirin before or after food?

Aspirin can be taken before or after your meals. Drink plenty of water and try to take the tablet as a whole. Follow your doctor’s prescription for the best results.

Q. Can I take Aspirin twice a day?

Aspirin contains 75mg of aspirin which is enough for a single day for its antiplatelet action (blood thinning). Your doctor may prescribe more according to the severity of your condition.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

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