Drug intelligence / Profile preview

acetylsalicylic acid + codeine + paracetamol

Development stage
Unknown
Lead developer
Bioeel
Modality
Small Molecules
Administration
Oral
01

Overview

Aspaco is an oral fixed-dose combination drug containing acetylsalicylic acid (aspirin), paracetamol (acetaminophen), and codeine phosphate. Developed and marketed by Bioeel in Romania, it is indicated for the short-term symptomatic relief of mild to moderate pain, including headaches, migraines, toothaches, muscle or joint pain, dysmenorrhea, and febrile conditions. The combination leverages three distinct mechanisms of action: acetylsalicylic acid acts as a non-steroidal anti-inflammatory drug (NSAID) by irreversibly inhibiting cyclooxygenase (COX) enzymes; paracetamol provides additional analgesic and antipyretic effects, likely through central cyclooxygenase inhibition; and codeine acts as a weak opioid receptor agonist to alter the perception of pain. Aspaco is approved and available as an over-the-counter (OTC) medication.

Brand names
Aspaco
Other names
acetylsalicylic acid + paracetamol + codeineaspirin + codeine + paracetamolaspirin + paracetamol + codeine
02

Targets

DOR (Opioid Receptor Delta 1)KOR (Kappa opioid receptor)MOR (Mu opioid receptor)TRPV1 (Transient receptor potential cation channel subfamily V member 1)PGHS-1 (Prostaglandin G/H Synthase 1)PTGS2 (Prostaglandin-Endoperoxide Synthase 2)

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