Aspirin - wie es Schmerzen lindert und wie es wirkt
• Dr. med. univ. Daniel Pehböck, DESA / 0 Comments

Aspirin - how it relieves pain and how it works


Aspirin – a word that is immediately associated with pain relief and health. However, many do not know that this simple medication also has deeper effects and plays a role in many areas of life.

In medicine, Aspirin is used for a variety of applications, from alleviating acute pain to blood thinning for patients with cardiovascular diseases. Let's explore the fascinating properties and effects of acetylsalicylic acid.

In this article, we will take a closer look at how Aspirin works, its applications, dosage, and possible side effects. We will also examine the historical, cultural, and economic aspects of this widely used medication.

How does Aspirin work and what should you consider?

Aspirin, a product of Bayer AG, contains acetylsalicylic acid. It acts as a pain reliever and anti-inflammatory by inhibiting the production of prostaglandins that cause pain and inflammation.

Aspirin also has blood-thinning properties. These help prevent dangerous blood clots in the arteries, thus reducing the risk of heart attacks and strokes. But caution: Long-term use of Aspirin can cause gastrointestinal-problems such as irritation, ulcers, and bleeding.

Important notes:

  • Asthma: In asthma patients, Aspirin can trigger attacks; therefore, caution is advised.
  • Combination with medications: Taking Aspirin with other anti-inflammatory agents or anticoagulants can increase the risk of bleeding. This combination should be monitored.

Precaution

Description

Gastrointestinal-problems

Long-term use can cause irritation and ulcers

Asthmatics

Possible triggering of asthma attacks

Medication combination

Increased risk of bleeding with simultaneous use

Aspirin Complex and other products offered by Bayer Vital GmbH should be taken responsibly.

Introduction

Introduction to Aspirin

Acetylsalicylic acid (ASS), better known as Aspirin, is a versatile medication. It is used to relieve pain and prevent blood clots in the arteries. Particularly, individuals who have already had a heart attack or stroke are recommended to take it regularly. The standard dosage is usually 100 mg daily to reduce cardiovascular risks.

Properties of Aspirin:

  • Pain-relieving: Relieves headaches and other severe pain.
  • Blood-thinning: Helps prevent the formation of blood clots.
  • Fever-reducing: Reduces febrile illnesses.
  • Anti-inflammatory: Lowers inflammation.

Aspirin was one of the first medications in tablet form to be produced industrially. This innovation allowed for standardized dosing and made Aspirin one of the most well-known pain relievers in the world.

Another product, Aspirin Complex, combines ASS with pseudoephedrine hydrochloride. It is used for the symptomatic treatment of cold and flu symptoms. Thanks to its pain-relieving, fever-reducing, and anti-inflammatory properties, Aspirin remains essential in the symptomatic treatment of such conditions.

What is Aspirin?

Aspirin, also known as acetylsalicylic acid (ASS), is a commonly used pain reliever. It helps treat mild to moderate pain, inflammation, and fever. In low doses, it also has an important effect on blood clotting and can prevent dangerous blood clots in the arteries.

Applications of Aspirin:

  • Pain therapy: Standard dosage is 500 milligrams.
  • Cardiovascular prophylaxis: Low-dose preparations with 100 milligrams are primarily used to prevent heart diseases.

Aspirin was originally available as a powder. It quickly evolved into one of the first industrially produced medications in tablet form, allowing for standardized dosing. Bayer AG played a significant role in this development.

Benefits of Aspirin:

  • Wide application: Usable for headaches, fever, and heart diseases.
  • Trust: A 2002 survey showed that it was the most trusted pain reliever for European consumers.

With its long history, Aspirin remains a well-known and reliable medication. It remains indispensable in the symptomatic treatment of febrile and flu-like illnesses despite the emergence of new alternatives.

Applications of Aspirin

Aspirin, known as acetylsalicylic acid (ASS), is often used for headaches, fever, and inflammation. It can help relieve pain, reduce fever, and combat inflammation. Individuals who have suffered a heart attack or stroke may benefit from regular use. In these cases, Aspirin is also used in low doses for thrombosis prophylaxis. It helps prevent blood clots in patients with high cardiovascular risk. For colds and flu, Aspirin Complex is used to relieve pain and fever. Caution: The dosage should always follow the instructions on the package. Individuals with certain conditions should consult a doctor first.

Pain relief

Popular Aspirin products:

Product

Benefit

Advantages

Aspirin® Complex

Relieves pain from colds

Pain-relieving, fever-reducing, anti-inflammatory

Aspirin® Express

Faster effect

MicroActive technology doubles the speed of action

Aspirin® Direct

Convenient intake

No water needed, quickly effective for headaches and back pain

Aspirin® Chewable Tablets

For on-the-go

Water-free intake, quick pain relief

ASS is available in many forms to treat mild to moderate pain. Whether for headaches, back pain, or limb pain, Aspirin offers a wide range of solutions.

Blood thinning

Aspirin acts as a blood thinner by inhibiting platelet aggregation. This reduces the risk of blood clots, especially in patients with increased thrombosis risk. Low doses (100 mg per day) are used for prevention of heart attacks and strokes. Caution is advised when taking anticoagulants simultaneously: The risk of bleeding may increase. For patients at high risk of cardiovascular events, Aspirin in combination with other agents can enhance the effectiveness of blood thinning. Caution: After surgeries, Aspirin should not be used for pain relief due to the risk of bleeding.

Anti-inflammatory

ASS suppresses inflammatory processes by inhibiting prostaglandins responsible for inflammation. It acts on cyclooxygenase enzymes, which reduces both pain perception and inflammation. ASS also promotes the production of anti-inflammatory hormones such as lipoxins. In acute inflammation, increasing nitric oxide levels supports the recruitment of immune cells. These properties help alleviate symptoms such as heat, redness, swelling, and pain.

Effect of acetylsalicylic acid

Acetylsalicylic acid, better known as Aspirin, works by inhibiting the enzymes cyclooxygenases COX-1 and COX-2. These enzymes are involved in the production of prostaglandins, which act as inflammatory messengers. By blocking this process, acetylsalicylic acid reduces inflammation and decreases pain perception.

Some interesting facts about acetylsalicylic acid:

  • Enzyme inhibition: Reduces the synthesis of prostaglandins.
  • Pain relief: Effective reduction of inflammation and pain.
  • Anticoagulation: In low doses, it inhibits platelets and blocks the formation of thromboxane A2.
  • Duration of action: The inhibitory effect on platelets lasts 8–11 days, as they cannot form new enzymes.

Additionally, acetylsalicylic acid affects the cytochrome P450 system, indicating another indirect mechanism of action. All of this makes Aspirin a versatile agent that is used not only for treating headaches but also for preventing blood clots.

Dosage and administration

Recommended dosages

The recommended dosage of acetylsalicylic acid (ASS) varies depending on the application. For patients who have had a heart attack or stroke, a daily dose of 100 mg is often recommended. This low dose helps prevent blood clots. When used for self-medication for mild pain or fever, the dosage indicated on the packaging should be followed. Long-term use of Aspirin in high doses should only be done under medical supervision. For children and adolescents under 16 years, Aspirin Complex is not suitable without medical advice to avoid the risk of Reye's syndrome.

Administration instructions

It is important to strictly follow the dosage and duration of use indicated on the medication packaging. Individuals with certain pre-existing conditions or allergies should consult a doctor before taking Aspirin. Short-term use of Aspirin for treating headaches or mild pain is generally well tolerated. If over-the-counter pain relievers need to be taken for more than four days, it is advisable to consult a healthcare professional. Long-term use, especially in high doses, can have serious side effects. Therefore, medical advice is essential.

Recommended dosages

When taking Aspirin, it is important to pay attention to the dosage and duration of use indicated on the packaging. Patients with pre-existing conditions such as heart attacks or unstable angina pectoris are often recommended a daily dose of 100 mg.

Usage instructions:

  • Increased doses: Long-term use, especially in high doses, should be done under medical supervision. This helps avoid risks and serious side effects.
  • Self-medication: People using Aspirin for mild pain or fever should not do so for more than four days without medical advice.
  • Children and adolescents: Aspirin Complex should only be used in individuals under 16 years after consulting a doctor to avoid the risk of Reye's syndrome.

Recommendations at a glance:

Group of people

Dosage

Note

Heart attack patients

100 mg daily

Only under medical supervision

Self-medication adults

Short-term

Maximum 4 days without medical advice

Children under 16 years

Only after medical advice

Risk of Reye's syndrome

This information provides an overview of the recommended use and dosage of Aspirin.

Side effects of Aspirin

Aspirin, a well-known pain reliever, is often used to treat headaches and other pain. Although it is effective, side effects can occur when taking Aspirin. These can range from mild discomfort to serious health risks. It is important to be aware of the potential side effects to avoid risks.

Common side effects

Common side effects of Aspirin often affect the gastrointestinal tract. The most common problems include:

Aspirin also has blood-thinning properties, which can increase the risk of internal and external bleeding. Minor bleeding, such as nosebleeds, is common. Long-term use can lead to kidney damage, especially in those with existing kidney problems.

Allergic reactions are rare, but they can cause hives or breathing difficulties.

Rare but serious side effects

Some side effects of Aspirin are rare but potentially serious:

  • Stomach ulcers: These can, in rare cases, lead to a stomach perforation.
  • Gastrointestinal-bleeding: Such bleeding can cause iron deficiency anemia. This is often recognized by black stools or bloody vomiting.
  • Allergic reactions in asthmatics: These can be severe and lead to shortness of breath and a drop in blood pressure.
  • Hemolysis in G6PD deficiency: Individuals with this deficiency may experience destruction of red blood cells.
  • Kidney problems: Impaired kidney function or even kidney failure have been observed.

It is advisable to weigh the potential side effects before taking Aspirin and consult a doctor if uncertain.

Special considerations during pregnancy and breastfeeding

Aspirin, also known as acetylsalicylic acid (ASS), requires special attention during pregnancy and breastfeeding. Here are the key points to consider.

Safety of Aspirin during pregnancy

  • Until the 28th week of pregnancy, ASS can be used as a pain reliever, but only in consultation with a doctor.
  • In the last trimester of pregnancy, the use of ASS and other NSAIDs is contraindicated as the risk of bleeding increases for both mother and child.
  • Low doses (under 100 mg/day) are considered safe, but caution is advised with higher doses as they may affect the development of the embryo or fetus.
  • Prostaglandin synthesis inhibitors, including ASS in early pregnancy, increase the risk of miscarriage and malformations.
  • Pregnant women should only take ASS if other pain relievers are ineffective and only after medical advice. The risk of bleeding and interactions, especially with asthma or ulcers, must be considered.

Use during breastfeeding

  • ASS and its breakdown products can pass into breast milk, but no negative effects on the infant are known.
  • Occasional use is generally not necessary to interrupt breastfeeding.
  • With prolonged use or higher doses, it is advisable to stop breastfeeding.
  • Caution is advised with premature infants, as the risk of side effects may be higher.
  • Watch for signs in children such as petechiae or bruising, especially with multi-day use of ASS.

These guidelines are intended to help you weigh the risks and make informed decisions in consultation with a doctor.

Interactions and contraindications

Aspirin can pose serious health risks in certain cases. It is particularly important to be informed about interactions with other medications and contraindications for specific patient groups.

Interactions with other medications

Acetylsalicylic acid (ASS), the active ingredient in Aspirin, has interactions with many other medications. It is particularly important to be cautious when taking anticoagulants such as Marcumar or heparin. This combination can significantly increase the risk of bleeding. Also, antiplatelet agents such as clopidogrel can shorten the blood coagulation time when combined with ASS. This can be deliberately used by doctors in some medical situations.

It is also critical to take ASS simultaneously with pseudoephedrine, especially in older adults. This combination can lead to insomnia or hallucinations. In children and adolescents, there is a possible association between ASS and Reye's syndrome. Therefore, in these age groups, use should only occur under medical supervision.

Before taking Aspirin, it is important to inform the doctor or pharmacist about other medications to avoid potential negative interactions.

Contraindications for specific patient groups

For certain patient groups, Aspirin is not suitable. People with allergies to acetylsalicylic acid or other components should avoid Aspirin, unless explicitly recommended by a doctor.

Asthmatics must be particularly cautious: Aspirin can trigger asthma attacks in them. Also, individuals with stomach or intestinal ulcers and an increased tendency to bleed are advised against taking it, as Aspirin irritates the mucous membranes and increases the risk of bleeding.

People with severe liver or kidney damage should also not take Aspirin. The same applies to patients with severe heart failure, to avoid potential complications. Additionally, it should be noted that Aspirin should not be combined with certain medications such as methotrexate (over 15 mg/week) or oral anticoagulants.

Considering all these factors, it is crucial to seek expert advice before taking Aspirin to minimize health risks.

Aspirin in culture

The brand Aspirin has deeply embedded itself in our everyday culture. It is often used as a synonym for pain tablets. The influence of Aspirin is also evident in art: In 2006, artist Jörg Immendorff created a bronze sculpture titled "Aspirin Monkey," which is highly sought after. Artist Michael Koslar, known as Malte Sonnenfeld, painted a still life featuring a pack of Aspirin. Historical advertising materials for Aspirin, often artistically designed, can be found in collections and museums. This highlights the cultural relevance of the brand. Aspirin is thus not only a medication but also a part of the art world.

Impact in visual arts

Aspirin also plays a significant role in the visual arts. The German Pharmacy Museum in Heidelberg Castle honors the medication as a milestone. This connection between medicine and art is illustrated by historical product packaging and advertising materials archived in museums. Special exhibitions showcase the medical and cultural relevance. In the German Museum, the "Inventor Path Research" presents the history and effect of Aspirin. This reflects the intersection of science and art. Aspirin thus reveals the close connection between pharmaceutical production and artistic expression.

Popular perception and advertising

In popular perception, Aspirin plays various roles worldwide. In Italy, it is considered a cold remedy, while in the USA, it is used for heart attack prevention. To appeal to a younger audience, Bayer introduced "Aspirin Effect" – a granulate that dissolves in the mouth without water. Upon launch, Bayer embossed the logo on each tablet. In countries like Spain and Argentina, Bayer offers special products, such as effervescent products with raspberry flavor. The patented marketing in the USA has made Aspirin an important industrially manufactured tablet medication. This significantly improves user-friendliness and dosing accuracy.

Economic significance of Aspirin

Aspirin, a brand product of Bayer AG since 1899, plays a significant role in the economy. It is one of the most successful pharmaceutical brands and has helped Bayer become a leading company in the market. Despite the challenges after World War I, Aspirin remained a synonym for acetylsalicylic acid in many countries. This highlights the strong historical influence of the brand.

In 2002, a Reader's Digest survey found that Aspirin was the most trusted pain reliever among European consumers. A 2015 study confirmed that German consumers view Aspirin as the most trusted over-the-counter medication. These results demonstrate the strong brand perception and economic relevance of Aspirin. Historian Markus Feiks emphasized that consumers value solutions to their pain problems, which underpins the brand's success.

Market analysis and strategies

In 1899, Bayer introduced Aspirin as a brand, and it quickly established itself worldwide as a well-known medication. The brand name was registered with the Imperial Patent Office in Berlin, strengthening its legal protection. To differentiate itself from competitors, Bayer developed a special acetylsalicylic acid formulation. This enabled the production of tablets that offered a uniform dosage.

Originally, Aspirin was sold as a powder, which facilitated the later transition to tablets. Tablets provided a more convenient form and made the medication more versatile. In February 1900, Bayer received a US patent, which led to an expansion of market presence and brought significant competition.

Competitive environment

Aspirin, one of the oldest and most well-known medication brands, belongs to Bayer AG and offers various acetylsalicylic acid-containing products. Since the registration of the brand name in 1899 in Berlin, Aspirin has maintained a strong presence in the pharmaceutical market. The product is often used as a generic name for acetylsalicylic acid, which underscores its dominant position among pain relievers.

Bayer Intellectual Property GmbH holds the trademark rights for Aspirin, demonstrating the company's central role in the international market. Aspirin is marketed worldwide, making it a significant competitor in many markets and underscoring its economic importance.

Conclusion

When taking Aspirin, it is important to adhere to the dosage and duration of use indicated on the packaging to minimize risks. For headaches, short-term use is usually safe. However, long-term use, especially in high doses, can cause serious side effects such as gastrointestinal-problems or asthma attacks. Individuals who have already had a heart attack or stroke may benefit from regular use. If unusual symptoms occur, it is advisable to consult a doctor.

Summary of key points

Aspirin Complex is an effective combination for cold and flu symptoms. It contains 500 mg of acetylsalicylic acid (ASS) and 30 mg of pseudoephedrine hydrochloride, which together relieve pain and reduce fever. ASS belongs to the non-steroidal anti-rheumatics and is a well-known pain reliever. When taking Aspirin, side effects such as gastrointestinal-problems, asthma, and increased bleeding risk may occur, especially with prolonged use. Interactions with other medications that affect blood clotting may also occur.

Outlook on future developments

Aspirin has evolved since 1900 from a simple pain reliever to an important medication in thrombosis prophylaxis. With products like Aspirin effect, Bayer targets modern audiences. Different forms of administration such as effervescent and chewable tablets demonstrate adaptability to consumer preferences. Studies have shown that long-term ASS use may lower cancer mortality rates, indicating new areas of application. The international perception of Aspirin varies, which could influence future marketing strategies.

Aspirin product variants

Product type

Properties

Aspirin Complex

For colds, relieves pain, reduces fever

Effervescent tablets

Quickly soluble, easy to take

Chewable tablets

Can be taken without water, practical on the go

Granulates

Can be taken directly, versatile

Future developments could include a greater variety in product selection and targeted brand campaigns. These strategies can help adapt Aspirin to different cultural needs.

Source: istockphoto Kateryna Onyshchuk


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