Name

aspirin (Bayer®, others)

Class

salicylate, antipyretic, NSAID

NOT an anticoagulant

Description

Powerfully inhibits platelet aggregation by inhibiting thrombonxane A2 production. Major actions appear to be associated primarily with inhibiting the formation of prostaglandins involved in the production of inflammation, pain and fever. Lowers body temperature by indirectly causing centrally mediated peripheral vosodilation and sweating.

Onset

~ 15 min

Duration

2 - 4 hours

Indications

Acute myocardial injury/infarction

Relieve pain of low to moderate intensity.

Inflammatory conditions

Reduce fever

Prevent recurrence of MI and TIA

Contraindications

Hypersensitivity to salicylates

History of GI ulceration

Hemophilia or other bleeding disorders

Pregnancy or children under 2 years

Adverse Reactions

dizziness, confusion, tinnitus, hearing loss, nausea, heartburn, stomach pains

Drug Interactions

anticoagulants increase risk of bleeding

Supplied

Varied preparations

Dose/Administration

Adult

PO/PR: 325 mg "baby aspirin" for MI/TIA chew and swallow

Pediatric

contraindicated.

Special Consideration

Pregnancy Safety: Category D

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