Salsalate
Rheumatoid Arthritis , Pain ... show more
Drug Status
Government Approvals
US(FDA)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
NA
Controlled Drug Substance
No
Summary
Salsalate is used to treat pain and inflammation, which refers to swelling and redness, often associated with arthritis, which is a condition causing joint pain and stiffness.
Salsalate works by reducing the production of prostaglandins, which are substances in the body that cause inflammation and pain, helping to decrease swelling and relieve discomfort.
The usual starting dose of salsalate for adults is 3,000 mg per day, divided into two or three doses, taken orally, which means by mouth, with food to reduce stomach upset.
Common side effects of salsalate include stomach upset, which is discomfort in the stomach, nausea, which is feeling like you might vomit, and ringing in the ears, which is hearing a noise that isn't there.
Salsalate can cause stomach bleeding, especially in people with ulcers, which are sores in the stomach lining, or those on blood thinners, which are medications that prevent blood clots.
Indications and Purpose
How does salsalate work?
Salsalate works by inhibiting the production of prostaglandins, which are substances in the body that cause inflammation and pain. Think of it like turning down the volume on a loudspeaker. By reducing prostaglandins, salsalate helps decrease inflammation and relieve pain, making it effective for conditions like arthritis.
Is salsalate effective?
Salsalate is effective in reducing pain and inflammation associated with conditions like arthritis. It works by inhibiting the production of substances in the body that cause inflammation. Clinical studies support its effectiveness in managing pain and improving joint function. Always follow your doctor's instructions to achieve the best results.
What is salsalate?
Salsalate is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation, often from arthritis. It works by reducing the production of substances in the body that cause inflammation. Salsalate is used alone or with other therapies to manage symptoms and improve joint function.
Directions for Use
For how long do I take salsalate?
Salsalate is usually taken long-term for managing chronic conditions like arthritis. The duration of use depends on your response and any side effects. Always follow your doctor's instructions regarding how long to take salsalate. Do not stop taking it without consulting your doctor, as your symptoms may return or worsen.
How do I dispose of salsalate?
Dispose of unused salsalate by taking it to a drug take-back program or collection site at a pharmacy or hospital. If that's not possible, mix the medication with something undesirable like used coffee grounds, seal it in a plastic bag, and throw it away in the trash. This helps prevent harm to people and the environment.
How do I take salsalate?
Take salsalate as directed by your doctor, usually two to three times daily. It's best to take it with food to reduce stomach upset. Do not crush or chew the tablets. If you miss a dose, take it as soon as you remember, unless it's almost time for your next dose. In that case, skip the missed dose and continue your regular schedule. Do not double up on doses. Always follow your doctor's specific instructions regarding diet and fluid intake while taking salsalate.
How long does it take for salsalate to start working?
Salsalate begins working within a few hours of taking it, but it may take several days to achieve its full effect. The time it takes to notice improvement can vary based on individual factors like the severity of your condition and your overall health. Take it as prescribed for the best results.
How should I store salsalate?
Store salsalate at room temperature, away from moisture and light. Keep it in a tightly closed container. Do not store it in humid places like bathrooms. Always keep salsalate out of children's reach to prevent accidental ingestion. Check the expiration date regularly and properly dispose of any unused or expired medication.
What is the usual dose of salsalate?
The usual starting dose of salsalate for adults is 3,000 mg per day, divided into two or three doses. Your doctor may adjust the dose based on your response and needs. The maximum recommended dose is 4,000 mg per day. Salsalate is not typically used in children, and elderly patients may require careful monitoring. Always follow your doctor's specific dosing instructions for your health needs.
Warnings and Precautions
Can I take salsalate with other prescription drugs?
Salsalate can interact with blood thinners, increasing the risk of bleeding. It may also interact with other NSAIDs, raising the risk of stomach issues. Always inform your doctor about all medications you're taking to avoid interactions. They can help manage your treatment safely and effectively.
Can salsalate be taken safely while breastfeeding?
Salsalate is not recommended while breastfeeding. There is limited information on whether it passes into breast milk. Potential risks to the baby are not well understood. If you're taking salsalate and want to breastfeed, talk with your doctor about safer medication options that would allow you to nurse your baby safely.
Can salsalate be taken safely while pregnant?
Salsalate is not recommended during pregnancy, especially in the third trimester. It may affect the baby's heart and blood flow. Limited human data is available, so it's important to discuss with your doctor if you're pregnant or planning to become pregnant. They can help determine the safest treatment options for you.
Does salsalate have adverse effects?
Adverse effects are unwanted reactions to a medication. Common adverse effects of salsalate include stomach upset, nausea, and ringing in the ears. Serious effects, though rare, include stomach bleeding and kidney problems. If you notice any new or worsening symptoms, contact your doctor. They can help determine if these symptoms are related to salsalate and recommend appropriate action.
Does salsalate have any safety warnings?
Salsalate has safety warnings you should be aware of. It can cause stomach bleeding, especially in people with a history of ulcers or those taking blood thinners. It may also affect kidney function, particularly in people with pre-existing kidney issues. Not adhering to these warnings can lead to serious health problems. Always follow your doctor's advice and report any unusual symptoms, such as stomach pain or changes in urination, immediately.
Is it safe to drink alcohol while taking salsalate?
It's best to avoid alcohol while taking salsalate. Alcohol can increase the risk of stomach bleeding and liver damage. If you choose to drink, limit your alcohol intake and watch for warning signs like stomach pain or dark stools. Talk with your doctor about alcohol use while taking salsalate for personalized advice.
Is it safe to exercise while taking salsalate?
You can exercise while taking salsalate, but be mindful of your body's response. Salsalate can cause dizziness or stomach upset, which might affect your exercise capacity. Stay hydrated and avoid strenuous activities if you feel unwell. If you experience unusual symptoms during exercise, slow down or stop and rest. Consult your doctor if you have concerns.
Is it safe to stop salsalate?
Salsalate is often used for long-term management of conditions like arthritis. Stopping it suddenly may cause your symptoms to return or worsen. There are no known withdrawal symptoms, but always talk with your doctor before stopping salsalate. They can guide you on how to safely discontinue or adjust your medication.
Is salsalate addictive?
Salsalate is not addictive or habit-forming. It does not cause dependency or withdrawal symptoms when you stop taking it. Salsalate works by reducing inflammation and pain, and it does not affect brain chemistry in ways that could lead to addiction. You won't experience cravings for this medication or feel compelled to take more than prescribed. If you have concerns about medication dependence, salsalate does not carry this risk.
Is salsalate safe for the elderly?
Elderly individuals are more vulnerable to the side effects of salsalate, such as stomach bleeding and kidney problems. It's important for older adults to be closely monitored by their doctor while taking this medication. Dose adjustments may be necessary to minimize risks. Always consult your healthcare provider for personalized advice.
What are the most common side effects of salsalate?
Side effects are unwanted reactions to a medication. Common side effects of salsalate include stomach upset, nausea, and ringing in the ears. These effects vary from person to person. If you notice new symptoms after starting salsalate, they might be temporary or unrelated to the medication. Talk with your doctor before stopping any medication.
Who should avoid taking salsalate?
Do not take salsalate if you're allergic to it or have a history of aspirin-sensitive asthma. It is contraindicated in people with active stomach ulcers or severe kidney problems. Use caution if you have liver disease or are taking blood thinners. Always consult your doctor about these concerns before starting salsalate.

