WHY LOW DOSE ASPIRIN IS USED TO PREVENT THROMBOTIC EVENTS 

Thromboxane A2 is a prostaglandin involved in the clotting process through platelet aggregation and amplifying the effects of thrombin

Thromboxane A2 is the major synthetic products of cyclooxygenase-1 ( COX-1)

Aspirin, acetyl salicylic acid, irreversibly acetylates and hence inhibit COX enzyme activity

High dose aspirin acetylates and inhibit non-selectively COX-1and COX-2. However, Low doses (<100mg/d) inhibit synthesis of Thromboxane A2 by preferentially inhibiting platelet COX-1.

Thus, chronic use of low dose aspirin irreversibly inhibit platelet activation and aggregation.

Other salycilates and NSAIDS such as diclofenac, indomethacin and ibuprofen are not used because they . . .

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