Is Aspirin an NSAID?

How we reviewed this article: · Healthline

Introduction

Aspirin is one of the most common go-to over-the-counter drugs to treat minor pain from headaches, muscle aches, toothaches, and menstrual cramps. You can also use it to temporarily lower fever. However, different types of pain relievers have certain considerations. So what type is aspirin?

Aspirin is a nonsteroidal anti-inflammatory drug (NSAID). NSAIDs are a class of drugs. Other NSAIDs include ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn). They work in a similar way to reduce the amount of prostaglandin your body makes.

Prostaglandin is a natural substance that most cells in your body make. Your cells release prostaglandins when you’re injured. They contribute to your body’s inflammation, which causes a variety of effects, including swelling, fever, and increased sensitivity to pain.

By blocking your body’s production of prostaglandins, NSAIDs such as aspirin can help prevent and relieve these symptoms of injury.

Side effects

Aspirin generally is safe when you use it as directed. However, inflammation helps to protect your body in certain ways. Lowering your prostaglandins can also sometimes cause side effects. You increase your chance of these side effects when you use aspirin for longer than recommended.

Common side effects of aspirin can include:

nausea

vomiting

stomach pain

heartburn

Serious side effects of aspirin are rare, but can include:

Allergic reactions. Symptoms can include:hives

rash

swelling of your eyes, face, lips, tongue, or throat

wheezing or difficulty breathing

Changes in your acid-base balance, which affects how systems in your body work. Symptoms can include:hoarseness

fast heartbeat

fast breathing

cold and clammy skin

Salicylate toxicity. Early symptoms can include:ringing in your ears

hearing loss

Stomach bleeding. Symptoms can include: bloody vomit

vomit that looks like coffee grounds

bright red blood in your stools

black or tarry stools

The risk of stomach bleeding is rare for most people. However, your risk is increased if you:

are 60 years or older

have had stomach ulcers or bleeding

take an anticoagulant (blood thinner) or corticosteroid

take other drugs containing NSAIDs, including ibuprofen and naproxen

have three or more alcoholic drinks every day while taking aspirin

take more than recommended

take aspirin for longer than recommended

Reye’s syndrome warning

Children and teenagers who have chicken pox or flu-like symptoms, or who are recovering from either, should not use aspirin. Doing so increases their risk of a serious condition called Reye’s syndrome. Reye’s syndrome is a serious disease that can affect the brain and liver. It can cause:

vomiting

confusion

double vision

problems talking

weakness

liver irritation

seizures

coma

death

When to ask a doctor

Aspirin is available over the counter, but that doesn’t mean this NSAID is safe for everyone. You should talk to your doctor about aspirin and your safety if you have other medical conditions such as high blood pressure, heart disease, liver disease, kidney disease, or asthma. Also talk to your doctor about the safety of taking it with other drugs.

Contact your doctor if you take aspirin and have:

any serious side effects

pain that gets worse or lasts longer than 10 days

fever that gets worse or lasts longer than three days

redness or swelling in the painful area

any new symptoms

The following table lists the recommended and maximum dosages for all routes and forms of over-the-counter aspirin for people 12 years and older.

Most people can use aspirin without experiencing side effects. However, it’s important to use it exactly as recommended. Aspirin is an NSAID, so taking too much of it or taking it longer than recommended can increase your risk of some serious side effects. You should always talk to your doctor first if you’re not sure if it’s safe for you to use aspirin. For more information, including the risks, side effects, uses, and action of aspirin and other NSAIDs, check out Healthline’s

Guide to NSAIDs

.