Pharmacological Properties of Acetylsalicylic Acid and its Complex with Glycyrrhizic Acid as a Promising Dosage form (Review)

The review summarizes current literature data on the mechanism of antithrombotic, anti-inflammatory, and antipyretic effects of acetylsalicylic acid (ASA), which is widely used in medicine. The use of ASA may be accompanied by several complications from the gastrointestinal tract (ulcers and bleeding), nephrotoxicity, the development of bronchospasm (aspirin triad), and clinical manifestations of aspirin resistance. The advantages and shortcomings of the main methods of preventing undesirable side effects when taking low doses of ASA are considered: the use of proton-pump inhibitors and rebamipide and inclusion of ASA complexes as promising dosage forms. The pharmacological properties of glycyrrhizic acid (GA) and its ability for clathrate formation with known drugs, in particular ASA, are considered. The advantages of a dosage form of GA with ASA with the same or improved pharmacological activity and reduced toxic side effects of the latter are shown. The review presents data for the last 10 – 11 years gained through the Russian and international search systems PubMed, eLibrary, etc.