Aspirin

NSAID / Antiplatelet · Cardiovascular

Generic name: Acetylsalicylic acid

Indications

  • ACS
  • Secondary prevention MI
  • Stroke prevention
  • Pyrexia
  • Pain

Dosing

Adult
ACS: 300 mg loading; secondary prevention: 75 mg OD
Paediatric
< 12 years: avoid (Reye syndrome risk)

Routes

  • Oral

Contraindications

  • Active peptic ulcer
  • Haemophilia
  • Aspirin hypersensitivity
  • Children < 12 (Reye syndrome)

Side effects

  • GI bleeding
  • Tinnitus (high doses)
  • Bronchospasm in aspirin-sensitive asthma

Monitoring

  • Monitor for GI bleeding
  • Platelet function if overdose suspected

Key interactions

  • Warfarin (bleeding risk)
  • SSRIs (GI bleeding)
  • Methotrexate (toxicity)

Reviewed by DocBuddy Clinical Team on . Written as a study aid for medical students. Always check a current local formulary before prescribing.

Practise the pharmacology

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