9.10.15

ACETYLSALICYLIC ACID

- nonsteroidal antiinflammatory, antiplatelet

Brands/Synonyms : Anacin, Aspirin, Bayer Children's Aspirin, Cortaba, Ecotrin, St. Joseph.


Indications

Dog
Anti-inflammatory
25
mg/kg PO q 8h
Dog
Antiplatelet
0.5
mg/kg PO q 12h
Cat
Anti-inflammatory
25
mg/kg PO q 48h
Cat
Antiplatelet
25
mg/kg PO q 72h
Cat
Antiplatelet
40
mg/CAT PO q 72h
Cat
Antiplatelet
5
mg/CAT PO q 72h

Therapeutics.

Interactions : Corticosteroids (potentiate gastrointestinal ulceration), aminoglycoside antibiotics, diuretics, and potentially nephrotoxic drugs (aggravate renal injury).


Therapeutic Target Serum Levels : 5-12 (cats and 12-18 (dogs) mg/dL;not clinically proven and rarely used.

Available Formulations : Tab 81 mg. baby, low-dose, Tab 325 mg



Precautions

Contraindications

Hypersensitivity to the drug
Anorexia
Dehydration
Platelet function disorder, thrombocytopenia, or coagulopathy
Gastrointestinal disease (relative contraindication)
For anti-inflammatory effects, many safer alternatives exist (same or greater anti-inflammatory effect with lower risk of adverse effects): carprofen, deracoxib, meloxicam, etc.

Adverse Side Effects

Gastrointestinal ulceration, especially if administered on an empty stomach or in a dehydrated animal
Renal injury

Teratogenicity/Pregnancy/Lactation

No teratogenic effects at clinical dosages

Pearls

In dogs, antiplatelet effects occur at 0.5 mg/kg PO q 12h, but not at 0.5 mg/kg q 24h, 5 mg/kg q 12h, or 10 mg/kg q 12h; high serum salicylate levels are thought to antagonize the antiplatelet effect of lower dosages
In cats, antiplatelet effects have either been shown in vitro, or in retrospective studies; no convincing clinical efficacy of aspirin as an antithrombotic exists currently
In cats, no known benefit of microdose (5 mg/CAT) over minidose (40 mg/CAT) or original dose (81 mg/CAT)


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