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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

EENT: tinnitus.

GI: GI BLEEDING, dyspepsia, epigastric distress, nausea, abdominal pain, anorexia, hepatotoxicity, vomiting.

Derm: EXFOLIATIVE DERMATITIS, STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS.

Misc: ALLERGIC REACTIONS INCLUDING ANAPHYLAXIS AND LARYNGEAL EDEMA.

Interactions

Drug-Drug:

Drug-Food:

Availability

Route/Dosage

US Brand Names

Amigesic, Anaflex, Disalcid, Marthritic, Mono-Gesic, Salflex, Salgesic, Salsitab

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antipyretics, nonopioid analgesics

Pharmacologic Classification: salicylates

Pharmacokinetics

Absorption: Splits into 2 molecules of salicylic acid after oral administration; absorbed in the small intestine.

Distribution: rapidly and widely distributed; cross the placenta and enter breast milk.

Metabolism/Excretion: Extensively metabolized by the liver; inactive metabolites excreted by the kidneys. Amount excreted unchanged by the kidneys depends on urine pH; as pH increases, amount excreted unchanged increases from 2–3% up to 80%.

Half-life: 2–3 hr for low doses; up to 15–30 hr with larger doses because of saturation of liver metabolism.

Time/Action Profile

ROUTEONSETPEAKDURATION
PO5–30 min1–3 hr3–6 hr

Patient/Family Teaching

Pronunciation

SAL-sa-late audio

Code

NDC Code*