Aspirin, acetylsalicylic acid, is routinely used in clinics as an anal
gesic, antipyretic and in the secondary prevention of stroke. These ef
fects are caused by low doses of the drug (0.3-3.6 g/day) through the
inhibition of cyclo-oxygenase, the enzyme responsible for prostaglandi
n synthesis. Higher doses of aspirin (4-6 g/day) are used. in the trea
tment of inflammatory conditions such as rheumatoid arthritis and rece
nt laboratory findings suggest that it could play a role in neuroprote
ction against glutamate excitotoxicity. This article reviews the possi
ble mechanisms of action of high-dose aspirin in neuroprotection.