Name Salsalate
Classes Analgesic / Pain Killer
Central Nervous System Agent
Salicylate
Diseases Arthritis
Inflammatory Disease

Salsalate

Salsalate is a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic properties. Its mechanism of action involves the inhibition of prostaglandin synthesis, primarily through the inhibition of cyclooxygenase (COX) enzymes. Salsalate is classified as a salicylate.

Salsalate is indicated for the treatment of:

  1. Rheumatoid Arthritis: To reduce signs and symptoms.
  2. Osteoarthritis: To alleviate pain and inflammation.
  3. Mild to Moderate Pain: For relief of mild to moderate pain.
  • Rheumatoid Arthritis and Osteoarthritis:

    • Adults: The initial dosage is typically 1500 mg to 3000 mg daily, administered in divided doses. Adjustments may be made based on individual response.
    • Pediatric Patients: Safety and efficacy in pediatric populations have not been established.
  • Mild to Moderate Pain:

    • Adults: The recommended dosage is usually 1000 mg to 2000 mg every 12 hours.

Adverse reactions are listed from most common to least common:

  • Gastrointestinal disturbances (e.g., dyspepsia)
  • Tinnitus or hearing impairment
  • Hypersensitivity reactions (e.g., rash)
  • Gastrointestinal bleeding
  • Gastrointestinal Effects: Salsalate can cause gastrointestinal bleeding and ulcers; caution in patients with a history of peptic ulcer disease.
  • Renal Effects: Monitor renal function, especially in patients with pre-existing renal conditions.
  • Hypersensitivity Reactions: Discontinue salsalate if hypersensitivity reactions occur.

Contraindication

Salsalate is contraindicated in:

  • Patients with a known hypersensitivity to salicylates such as-

Salsalate is contraindicated in-

  • Patients with active peptic ulcer disease or a history of gastrointestinal bleeding.
  • Pediatric patients with varicella or influenza-like illnesses.