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The German writer Ludwig Börne once said more than a
century ago "Pain is the joy of the blessed". You
would probably be quite happy to do without this very dubious
kind of joy. Nevertheless, you should be glad that there is
such a thing as pain. It is namely the most important guardian
of our health. Pain is nothing less than warning signals from
our body which aim to draw our attention to a bodily dysfunction
or even an illness.
For this purpose, our body has created an alarm system with
more than three million "pain antennae" spread all
over the body to report every abnormality, such as an inflammation
or injury, immediately to the brain. Our control centre then
decides whether and how severely we are to feel pain. However,
the body does not rely merely on its pain antennae. Two other
safety devices are built into the alarm system to ensure that
all damage is actually detected and corresponding counter-measures
introduced.
Safety device no.1: If cells are damaged or even destroyed,
special chemical substances are immediately released at this
point, whose job it is to sensitise the pain antennae in such
a way that they send pain signals to the brain. This is why
physicians refer to these hormone-like signalling substances
as pain mediatores or messengers.
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Safety
device no. 2: In the event of injury or inflammation, the destroyed
or damaged cells release unsaturated fatty acids which - within
fraction of a second ot the damage occurring - form other signalling
substances called "prostaglandins". It is their job
to encourage the pain mediators to activate the pain antennae
even more. The consequence of this is that our brain is flooded
with pain impulses. Prostaglandins are referred to as pain activators.
In order to relieve pain effectively or block it out completely,
the aim must be to stop the production of these "pain
amplifiers". The active ingredient in Aspirin® -
acetylsalicylic acid - can do just that. It inhibits the synthesis
of prostaglandins in the body and its effects are such that
the numer and strength of the stimuli sent to the brain are
drastically reduced - there is a comforting easing of the
pain.
Salicylic acid is one of the oldest pain-relieving medicines
known to man. Its better tolerated substitute, acetylsalicylic
acid, was first synthesized in a stable form over 100 years
ago (1897). Only a short time later this substance was marketed
under the name of Aspirin®. Incidentally, it was the first
important drug to be supplied in tablet form. Under the trade
name Aspirin® acetylsalicylic acid developed very quickly
into the standard medication for the treatment of fever, pain
and inflammation. Even highly critical reviews refer to Aspirin®,
that is a registered trademark of Bayer AG in Germany and
more than 80 countries, as the drug of choice for pain relief.
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