Rectal aspirin

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Specializes in Tele, ED/Pediatrics, CCU/MICU.

If one needs to give rectal aspirin in an emergency situation, and a suppository is not available, can the PO form be used?

Specializes in Utilization Management.

Sounds like a great question to ask your Pharmacy.

Personally, I would not think to use that route for that type of med.

I would not recommend it. The tablets could potentially be very irritating, and the suppositories are formulated for better absorption.

Specializes in ED (Level 1, Pediatric), ICU/CCU/STICU.

The active compound in an ASA suppository will be exactly the same as PO. The difference (besides shape and final destination oriface) is that in the suppository, the base is ethelene glycol (hence, the need to keep it cold). A pre-warmed suppository generally more difficult to place. :)

Ok, just being silly I think, but if the asa is absorbed rectally, then would that increase the risk for bleeding? esp if at high risk?

ain't nobody going to give me a po asa there

I would say 'no.'

The medication is designed to be aborbed in a certain mechanism, and if it is a different form it can cause damage to the mucous membranes, etc (not specifically aspirin, but any medication in general).

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