As far back as the 5
th century BC, the Greek physician
Hippocrates wrote about the use of a bitter powder extracted from willow
bark that reduced fevers and eased aches and pains. Native Americans
also used an infusion of willow bark for similar purposes. What was this
remarkable "healing" principle within the bark that relieved disease?
Known as salicylic acid (from the Latin
salix,
willow tree), this pain-killing compound is widely distributed
throughout plants, where it functions as a hormone. The more vegetables
and fruits you consume, the more likely you are to have a
physiologically significant concentration of salicylic acid in your
blood. This is why, for instance, vegans and vegetarians generally have
higher levels than most grain- and meat-based consumers.
[1]
The
chemical acetyl-salicylic acid, commonly known as aspirin, is a
synthetic form of salicylic acid, a compound which is formed when
salicin, a bitter compound naturally found within plants like white
willow bark, is broken down within the human body. Salicylic acid can
also be synthesized endogenously from benzoic acid, and its urinary
metabolite, salicyluric acid, has been found to overlap levels in
patients on low-dose aspirin regimens. Cell research indicates that
salicylic acid compounds (known as salicyclates) actually compare
surprisingly well to aspirin in reducing inflammatory activity.
[2]
While
salicylic acid is found naturally in plants as salicylates,
acetyl-salicylic acid does not exist in nature, is not formed as
byproduct of natural salicylate consumption,
[3] and is produced only through industrial synthesis. For example, this is one method of synthesis:
Also, the chemical modification of natural salicylic acid with an acetyl group results in the acetylation of hemoglobin,
[5] essentially chemically altering the natural structure-function of our red blood cells and subsequent hemodynamics.
In essence, aspirin, a semi-synthetic compound, makes the blood tissue itself semi-synthetic.
This
could be why aspirin has been linked to such a broad range of
unintended adverse health effects, including but not limited to:
We
have a section on our database dedicated to indexing the
under-reported, unintended adverse effects of aspirin, related to 50
diseases which can be viewed here:
Aspirin Side Effects. We also have a section which indexes research on natural compounds studied to prevent, reduce or reverse
Aspirin-Induced Toxicity.
According to US EPA statistics, up to 500 thousand pounds of the chemical was produced in the United States in 1998 alone.
[17]
Millions the world over take it for pain relief, including your
typical headache, but also for the prevention of heart attacks and
stroke.
Taking a "baby aspirin," i.e. an 81 mg dose, is considered
safer -- which it is relative to a 325 mg "adult dose" – but is known
to cause widespread and significant gastroduodenal damage. A study
published in 2009 in the journal
Currrent Medical Research & Opinion titled,
"Gastroduodenal toxicity of low-dose acetylsalicylic acid: a comparison
with non-steroidal anti-inflammatory drugs," found the following:
Data
suggest that ASA causes significant gastroduodenal damage even at the
low doses used for cardiovascular protection. These effects (both
systemic and possibly local) may be pharmacodynamically distinct from
the gastroduodenal toxicity seen with NSAIDs.[18]
Another
2009 study found that 80% of healthy individuals who uses short-term
(14 days), low-dose aspirin experienced small intestinal toxicity,
including small bowel mucosal breaks and mucosal inflammation.
[19]
Also, there are reports of esophageal mucosal lesions induced by
low-dose aspirin and other antiplatelet medications mimicking esophageal
malignancy.
[20]
Data
suggest that ASA [aspirin]causes significant gastroduodenal damage even
at the low doses used for cardiovascular protection. These effects
(both systemic and possibly local) may be pharmacodynamically distinct
from the gastroduodenal toxicity seen with NSAIDs.
[21]
Hemorrhagic
side effects, in fact, are one of the greatest challenges facing those
who use aspirin for prevention. By taking a drug which prevents
clotting, aspirin can work too well, resulting in bleeding disorders or
events, some of which may be life-threatening, even lethal.
So, given the serious, unintended adverse health effects of aspirin therapy, what are some evidence-based natural alternatives?
Researched aspirin alternatives include:
- Pycnogenol: A human study published in 1999 in the journal Thrombotic Research
found that pycnogenol was superior (i.e. effective at a lower dosage)
to aspirin at inhibiting smoking-induced clotting, without the
significant (and potentially life-threatening) increase in bleeding time
associated with aspirin use.[22] The abstract is well worth reading in its entirety:
The
effects of a bioflavonoid mixture, Pycnogenol, were assessed on
platelet function in humans. Cigarette smoking increased heart rate and
blood pressure. These increases were not influenced by oral consumption
of Pycnogenol or Aspirin just before smoking. However, increased
platelet reactivity yielding aggregation 2 hours after smoking was
prevented by 500 mg Aspirin or 100 mg Pycnogenol in 22 German heavy
smokers. In a group of 16 American smokers, blood pressure increased
after smoking. It was unchanged after intake of 500 mg Aspirin or 125 mg
Pycnogenol. In another group of 19 American smokers, increased platelet
aggregation was more significantly reduced by 200 than either 150 mg or
100 mg Pycnogenol supplementation. This study showed that a single,
high dose, 200 mg Pycnogenol, remained effective for over 6 days against
smoking-induced platelet aggregation. Smoking increased platelet
aggregation that was prevented after administration of 500 mg Aspirin
and 125 mg Pycnogenol.
Pycnogenol also has about as many "side benefits" as aspirin has side effects. You can view them on our
pycnogenol research page.
- Policosanol: Already well-known for its ability to modulate blood cholesterol levels
as effectively as statins, but without their notorious side effects,
this sugar cane wax extract has been found to be as effective as aspirin
at inhibiting clotting, but at a lower, safer dose.[23]
There
are actually a broad range of natural compounds, including foods and
spices, with demonstrable platelet-inhibiting activity. You will find a
list of them on our
natural platelet inhibitor pharmacological actions page. Another highly relevant section on our website is the
Thrombosis Research page.
Ultimately, however, cardiovascular disease and heart attacks, for instance,
are not caused by a lack of aspirin. To explore further the research related to preventing and treating heart disease naturally, visit our Health Guide:
Heart Health.
RESOURCES
[1] C J Blacklock, J R Lawrence, D Wiles, E A Malcolm, I H Gibson, C J Kelly, J R Paterson. Salicylic
acid in the serum of subjects not taking aspirin. Comparison of
salicylic acid concentrations in the serum of vegetarians,
non-vegetarians, and patients taking low dose aspirin. J Clin Pathol. 2001 Jul ;54(7):553-5. PMID: 11429429
[2]
Pharmacokinetics of aspirin and salicylate in relation to inhibition of
arachidonate cyclooxygenase and antiinflammatory activity. Proc Natl
Acad Sci U S A. 1987 Mar ;84(5):1417-20. PMID: 3103135
[3] P L Janssen, M B Katan, W A van Staveren, P C Hollman, D P Venema. Acetylsalicylate and salicylates in foods. Cancer Lett. 1997 Mar 19 ;114(1-2):163-4. PMID: 9103279
[4]
[Ullmann's Encyclopedia of Industrial Chemistry. 6th ed.Vol 1: Federal
Republic of Germany: Wiley-VCH Verlag GmbH & Co. 2003 to Present, p.
V31 725 (2003)]
[5] K R Bridges, G J Schmidt, M Jensen, A Cerami, H F Bunn. The acetylation of hemoglobin by aspirin. In vitro and in vivo. J Clin Invest. 1975 Jul;56(1):201-7. PMID: 237937
[6]
Gastroduodenal toxicity of low-dose acetylsalicylic acid: a comparison
with non-steroidal anti-inflammatory drugs. Curr Med Res Opin. 2009
Nov;25(11):2785-93. PMID: 19788350
[7] Analgesic use and the risk of hearing loss in men. Am J Med. 2010 Mar;123(3):231-7. PMID: 20193831
[8] Hearing loss in a woman on aspirin: the silent pharmacokinetic parameter. Ther Drug Monit. 2009 Feb;31(1):1-2. PMID: 19155962
[9] Too
much of a good thing: long-term treatment with salicylate strengthens
outer hair cell function but impairs auditory neural activity. Hear Res. 2010 Jun 14;265(1-2):63-9. Epub 2010 Mar 6. PMID: 20214971
[10] Long-term administration of salicylate enhances prestin expression in rat cochlea. Int J Audiol. 2009 Jan;48(1):18-23. PMID: 19173110
[11] Behavioral assessment and identification of a molecular marker in a salicylate-induced tinnitus in rats. Neuroscience. 2010 Feb 17;165(4):1323-32. Epub 2009 Dec 1. PMID: 19958810
[12] Salicylate-induced degeneration of cochlea spiral ganglion neurons-apoptosis signaling. Neuroscience. 2010 Jun 16;168(1):288-99. Epub 2010 Mar 15. PMID: 20298761
[13] Predictors of mortality in trauma patients with intracranial hemorrhage on preinjury aspirin or clopidogrel. J Trauma. 2008 Oct;65(4):785-8. PMID: 18849791
[14] The effect on mortality of antipyretics in the treatment of influenza infection: systematic review and meta-analysis. J R Soc Med. 2010 Oct;103(10):403-11. PMID: 20929891
[15]
Aspirin in the aetiology of Crohn's disease and ulcerative colitis: a
European prospective cohort study. Aliment Pharmacol Ther. 2011 Sep
;34(6):649-55. Epub 2011 Jul 26. PMID: 21790683
[16]
Helicobacter pylori infection in bleeding peptic ulcer patients after
non-steroidal antiinflammatory drug consumption. World J Gastroenterol.
2011 Oct 28 ;17(40):4509-16. PMID: 22110282
[17] Toxnet.nlm.nih.gov, Hazardous Substances Data Base: Aspirin
[18] Neville D Yeomans, Christopher J Hawkey, Wayne Brailsford, Jørgen Naesdal. Gastroduodenal toxicity of low-dose acetylsalicylic acid: a comparison with non-steroidal anti-inflammatory drugs. Curr Med Res Opin. 2009 Nov;25(11):2785-93. PMID: 19788350
[19] Incidence of small bowel injury induced by low-dose aspirin: a crossover study using capsule endoscopy in healthy volunteers. Digestion. 2009;79(1):44-51. Epub 2009 Feb 26. PMID: 19246922
[20] Esophageal mucosal lesion with low-dose aspirin and prasugrel mimics malignancy: a case report. World J Gastroenterol. 2011 Sep 21 ;17(35):4048-51. PMID: 22046096
[21] Gastroduodenal toxicity of low-dose acetylsalicylic acid: a comparison with non-steroidal anti-inflammatory drugs. Curr Med Res Opin. 2009 Nov;25(11):2785-93. PMID: 19788350
[22] M Pütter, K H Grotemeyer, G Würthwein, M Araghi-Niknam, R R Watson, S Hosseini, P Rohdewald. Inhibition of smoking-induced platelet aggregation by aspirin and pycnogenol. Thromb Res. 1999 Aug 15;95(4):155-61. PMID: 10498385
[23] M L Arruzazabala, S Valdés, R Más, D Carbajal, L Fernández. Comparative
study of policosanol, aspirin and the combination therapy
policosanol-aspirin on platelet aggregation in healthy volunteers. Pharmacol Res. 1997 Oct;36(4):293-7. PMID: 9425618
Source:
http://www.greenmedinfo.com/blog/aspirin-dangers-and-natural-evidence-based-alternatives