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ACETYLSALICYLIC ACID

TRADE NAME
Aptor, ascardia, aspilet, aspirin, aspitrom, astika, bodrexin, cardio aspirin, farmasal, miniaspi, naspro, restor, thrombo aspilet
-GROUP
Group Preparations Indication
Anti-inflammatory drugs non-steroidal and non-opioid Tablet 100-500 mg Supositoria: 50-150 mg Analgesics (pain relievers) mild to moderate pain and antipyretic (fever)

Tablet 300-500 mg Acute migraine attack
antithrombotic Tablet 100 mg Low-dose aspirin to prevent platelet aggregation (prevention of cerebrovascular disease or heart attack)

-INDICATIONS

Mild to moderate pain, including menstrual pain, headache; pain and inflammation in rheumatic diseases and bone and muscle disorders (including arthritis juvenilis); fever attack of acute migrants; anti-clotting (antiplatelet)

-CONTRAINDIKATIONS

Hypersensitivity (including asthma, angioedema, urticaria or rhinitis) to acetylsalicylic acid or NSAIDs (non steroidal anti-inflammatory drugs) other; children and adolescents under 16 years (Reye syndrome); active peptic ulcer or previous history; hemophilia and other bleeding disorders; not treatment for uric acid
    Attention: Asthma, allergic disease; renal impairment; liver disorders; pregnancy and lactation; elderly; G6PD deficiency; dehydration
    Pregnancy: 3rd Trimester: disrupt platelet function and the risk of bleeding; slowdown beginning perlasilan labor and increased duration and increased blood loss; avoid analgesic doses if possible in the last few weeks (low dose may be harmless); with high doses, closure of fetal ductus arteriosus and persistent pulmonary hypertension may neonates; kericterus jaundice in infants
    Breast-feeding: avoid - possible risk of Reye's syndrome; regular use of high doses may affect platelet function and cause hipoprotrombinemia in infants if the reserves of vitamin K neonates less

-DOSE



    Mild pain samapai moderate fever, by mouth with or after food, ADULT 300-900 mg every 4-6 hours if necessary; maximum 4 g daily; CHILD under 16 years not recommended
    Mild to moderate pain, fever, per rectum, ADULT 600-900 mg inserted every 4 hours if necessary; maximum 3.6 g daily; CHILD under 16 years not recommended
    Inflammatory arthritis, by mouth with or after food, ADULT 4-8 g in divided doses in acute conditions; up to 5.4 g daily may suffice in chronic conditions
    Juvenilis arthritis, by mouth with or after meals, CHILD up to 130 mg / kg daily in 5-6 divided doses in acute conditions; 80-100 mg / kg daily in divided doses for maintenance dose (maintenance)
    Treatment of acute migraine attack, by mouth with or after meals is recommended, ADULT 300-900 mg at first attack, can be repeated every 4-6 hours if necessary, maximum 4 g daily; CHILD under 16 years not recommended
    Treatment of acute migraine attacks, per rectum, ADULT 600-900 mg inserted during the first attack, can be repeated every 4 hours if necessary; maximum 3.6 g daily; CHILD under 16 years not recommended
    Prevention of cerebrovascular disease or heart attack, by mouth, ADULT 75-100 mg daily


-SIDE EFFECTS


At low doses are generally mild and infrequent, but often occurs at doses for anti-inflammatory; gastrointestinal disorders, bleeding ulcers with a hidden (major bleeding can occur); or other bleeding (subkonjungtiva); hearing loss such as tinnitus (ringing in the ears), deafness ( rare), vertigo, confusion, 9angioedema hypersensitivity reactions, bronchospasm and rash), increased bleeding time; jjarang: edema, myocarditis, blood disorders (usually thrombocytopenia)
DRUG INTERACTION
adsorbent Absorption of aspirin may be reduced by the kaolin
analgesic Avoid concurrent use of aspirin with NSAIDs, increasing side effects; aspirn antithrombotic effects may be reduced by ibuprofen
antacids expenditure increased by aspirin from the body of an alkaline urine as some antacids
anticoagulants Increase the risk of bleeding when aspirin is given with koumarin or phenindione, because the effect of antithrombotic; of aspirin increase the anticoagulant effect of heparin
Antidepressants increase the risk of bleeding when aspirin is given with an SSRI or venlafaxine
antiepileptic Aspirin increases the effects of phenytoin and valproic
Cilostazol Cilostazol factory suggested dose aspirin does not exceed 80 mg daily when given with Cilostazol
Clopidogrel Increase the risk of bleeding when aspirin is given with clopidogrel
Kortikosteroid Increase the risk of gastrointestinal bleeding and injury (ulceration) when aspirin is given with corticosteroids, corticosteroids also reduce levels of salicylate in the blood
Sitotoksik Aspirin mengurangi pengeluaran metotreksat dari tubuh, meningkatkan risiko toksisitas; bula digunakan dalam pengobatan rheumatic maka dosis metotreksat harus dipantau. Pasien dilarang menggunakan aspirin tanpa konsultasi
Diuretik Aspirin counteracts the effects of spironolactone diuresis; increase the risk of high-dose aspirin when aspirin is given with carbonate anhydrase inhibitors
Iloprost Increase the risk of bleeding when aspirin is given with iloprost
Antagonis leukotrien Aspirin increases in blood levels of zafirlukas
Metoclopramide Enhanced rate of absorption of aspirin by metoclopramide
Probenesid Aspirin counteracts the effects of probenecid
Sibutramin Increase the risk of bleeding when aspirin is given with Sibutramin
Sulfinpyrazone Aspirin counteracts the effects of sulfinpyrazone

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