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Drugs and Medicinal Substances

Acetylsalicylic acid

Nervous System Agents

Acetylsalicylic acid, widely known by the genericized trademark aspirin, is a nonsteroidal anti-inflammatory drug used for pain relief, fever reduction and inflammation, and also for its anticoagulant effect. It works by irreversibly inactivating cyclooxygenase enzymes through acetylation of a serine residue, blocking the synthesis of prostaglandins and thromboxane, which distinguishes it from reversible nonsteroidal anti-inflammatory drugs such as ibuprofen. It is used for pain relief and fever reduction, as an anti-inflammatory treatment for conditions including rheumatoid arthritis and Kawasaki disease, for secondary prevention of heart attacks and ischemic strokes in high-risk patients, and with extended use for colorectal cancer prevention. It was first synthesized in 1853 by the chemist Charles Frederic Gerhardt, and Felix Hoffmann of Bayer produced the first pure, stable form in 1897, with Bayer marketing it globally as Aspirin by 1899. It remains one of the most widely consumed medications in the world.

Facts
Classification
Approval Status
Approved 1
ATC Class
A: Alimentary Tract and Metabolism 2
ATC Class
B: Blood and Blood Forming Organs 2
ATC Class
N: Nervous System 2
Route of Administration
Oral 3
WHO Essential Medicine
Core List 4
First Approved / Isolated Year
1899 5
Connections

Long-Form Articles

Sources
1. EMBL-EBI ChEMBL: ChEMBL molecule record CHEMBL25 (aspirin)
EMBL-EBI ChEMBLfirst_approval
Quote, first_approval
"first_approval": 1950
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2. WHO Collaborating Centre for Drug Statistics Methodology, ATC/DDD Index: the WHO ATC/DDD Index entries named Acetylsalicylic acid
WHO Collaborating Centre for Drug Statistics Methodology, ATC/DDD Index
  • ATC/DDD Index entry; ATC class derived from cited code A01AD05 (main group A)
    A01AD05 acetylsalicylic acid
  • ATC/DDD Index entry; ATC class derived from cited code B01AC06 (main group B)
    B01AC06 acetylsalicylic acid
  • ATC/DDD Index entry; ATC class derived from cited code N02BA01 (main group N)
    N02BA01 acetylsalicylic acid
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3. Wikidata: Acetylsalicylic acid
WikidataWikidata P636 (route-of-administration: oral)
Quote, Wikidata P636 (route-of-administration: oral)
Route of administration: oral administration
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4. World Health Organization: The selection and use of essential medicines, 2025: WHO Model List of Essential Medicines, 24th list
World Health OrganizationPDF page 7; section 2.1; the entry acetylsalicylic acid is in the Core List of the WHO Model List of Essential Medicines, 24th list (2025)
Quote, PDF page 7; section 2.1; the entry acetylsalicylic acid is in the Core List of the WHO Model List of Essential Medicines, 24th list (2025)
acetylsalicylic acid Suppository: 50 mg to 150 mg.
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5. Bayer: Active Ingredient in Aspirin Turns 125 This Year
Company history
Quote, Company history
Bayer patented aspirin (acetylsalicylic acid) on March 6, 1899 and it came to market as a product that same year
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Acetylsalicylic acid (Wikipedia)
Anatomical Therapeutic Chemical Classification System (Wikipedia)
WikipediaFirst-level anatomical group codes, Code N
Quote, First-level anatomical group codes, Code N
Nervous system
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WHO Model List of Essential Medicines (Wikipedia)
WikipediaWHO Model List of Essential Medicines, Anti-platelet medicines section
Quote, WHO Model List of Essential Medicines, Anti-platelet medicines section
Acetylsalicylic acid (aspirin)
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