The Bark Of A Willow Tree

Almost on a daily basis, one may read about a new medication being developed or
approved for the benefit of patients with a particular medical condition or disease
state that they exist at the time. At times, these announcements may praise the
innovation and novelty of such new drugs that are available to all in need of it, and
rightfully so, in many situations.

But it’s possible the one particular drug is not new and really may be a super drug.
In fact, it’s one of the oldest medications available, and that would be aspirin- the
first non-steroidal anti-inflammatory drug (NSAID) initially for those patients
experiencing pain.

Noted as ASA by doctors typically, aspirin effects have been noted for thousands of
years, as the active ingredient comes from the bark of a White Willow tree, and long
ago, patients with pain or a fever would chew on this bark for relief. Yet due to the
harshness of the natural chemical of this bark, Bayer decided to synthesize it to
make it more tolerable for the user.

Fast forward to over a hundred years ago and Bayer pharmaceuticals (pronounced
‘Beier’), which is the same company that brought us heroin (named so due to its
perceived ‘heroic’ qualities as a believed non-addictive substitute for morphine
addicts) and mustard gas, as well as methadone.

The company originated in Germany, but presently has its U.S. headquarters in
New York. Felix Hoffman, seeking to develop an agent for his father’s rheumatism,
was involved in the development of what is known now as aspirin.

And it was a difficult task to develop this drug, as it was toxic to the stomach due to
the nature of the active ingredient again obtained from the bark of the white willow
tree. Dr. Hoffman and others at Bayer developed a drug that proved to be tolerable
to patients while keeping the active ingredient in tact through a method of delivery
developed by Dr. Hoffman’s team at Bayer.

After launching the medication, aspirin was priced at about 50 cents an ounce, as at
the time it was only available in power form. Soon before 1920, aspirin developed
the tablet form of the drug and was then available by prescription. Regardless,
aspirin was responsible for one third of sales for Bayer during this time, due to its
popularity due to the effects of this medication in need of relief.

While all drugs have side effects, aspirin is one of very few drugs that offers suitable
efficacy with perhaps mild side effects associated with the drug, comparatively
speaking. Aspirin has been found to be beneficial for a wide variety of disease
states.
In fact, some of aspirin’s additional uses have been only recently discovered. This
may be why the New York Times called aspirin a wonder drug in the 1960s,
according to others. In the 1970s, the mechanism of aspirin was isolated, which is
the blockage of prostaglandins. Prostaglandins are inside the human body and are
a contributor for physiological inflammation.

Aspirin has been associated with decreased risk of asthma and prostate cancer in
the elderly. Also, aspirin has been linked with lowering the risk of breast cancer and
colon cancer as well. Yet these conclusions are based on limited research with
aspirin.

Aspirin is a blood thinner, and has been associated with decreasing the risk of heart
attacks and strokes in certain patient populations, as the drug prevents clots.
However, aspirin has not been shown to prevent heart attacks in diabetic patients.

The cardiovascular benefits of aspirin were first suggested in the 1940s,and the FDA
suggested that it be the drug of choice for those who experienced a heart attack
over a decade ago. Aspirin intake is also beneficial for those after coronary bypass
procedure. In addition, aspirin has been shown to reduced blood pressure with
those who have mild hypertension, if aspirin is taken at night with such patients.

A topical formulation of aspirin was developed recently for those experiencing

Herpes pain. The drug has been proven beneficial for those experiencing migraine
pains. Aspirin at low doses is taken by many as a preventive drug to decrease
cardiovascular incidents that may occur.

Aspirin has been the best selling painkiller absent of the past addictive qualities of
opiate meds since the 1950s. It is also the most studied drug-with over 3000
scientific papers published worldwide. Also, over 15 billion tablets of aspirin are
sold annually, which amounts to about 80 million aspirin tablets consumed daily by
others.

This amounts to over 16,000 tons of aspirin consumed during this time, or about
70,000 metric tons of aspirin a year. Over a decade ago, a study was performed
and concluded that twice as many people would choose aspirin over a computer,
given the two choices, because of the benefits of the drug.

Side effects would include GI bleeding if taken in large amounts, along with an
association of Reye’s syndrome in children, yet both are relatively rare. Yet all
things considered, clearly the benefits of aspirin outweigh any risks of the drug.

Lately, there have been issues with other NSAIDs, such as Cox II inhibitors, without
full recollection or knowledge that aspirin is in fact the world’s most widely used
drug, and for good reasons.

At times, something newer is not always better.

“There is no genius without a touch of madness.” --- Vaslav Nijinsky

Dan Abshear