Can Patients with Favism Inhale Aspirin or Methyl? - Family Medicine

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Can individuals with G6PD deficiency take aspirin or methyl?


Hello, recently in my chemistry class, we often have experiments involving aspirin or the use of methyl.
I would like to ask if patients with G6PD deficiency can only not take aspirin, or if they should also avoid inhaling aspirin and methyl? (For safety reasons, I am currently not participating in related experiments.) Thank you!

T, 10~19 year old female. Ask Date: 2016/05/19

Dr. Liao Yaopan reply Family Medicine


Hello, please refer to the consultation webpage of the National Health Administration at http://gene.hpa.gov.tw/index.php?mo=HealthPaper&action=paper1_show&sn=77.
Changhua Hospital cares about you.

Reply Date: 2016/05/19

More Info


Favism, also known as G6PD deficiency, is a genetic condition that affects the enzyme glucose-6-phosphate dehydrogenase. Individuals with this condition are at risk of hemolytic anemia when exposed to certain substances, including certain medications, foods, and environmental factors. One of the most well-known triggers for hemolysis in G6PD-deficient individuals is fava beans, hence the name "favism."
When it comes to the use of aspirin (acetylsalicylic acid) and methyl (which may refer to methyl salicylate, a compound found in some topical analgesics), caution is warranted. Aspirin is known to have antiplatelet effects and can potentially exacerbate bleeding tendencies, which may be a concern for individuals with G6PD deficiency, especially if they are already at risk of hemolytic anemia. However, the primary concern with aspirin in G6PD deficiency is not as pronounced as with other medications, such as certain antibiotics (e.g., sulfonamides) or antimalarials (e.g., primaquine), which are known to cause hemolysis in these patients.

Regarding inhalation or exposure to aspirin or methyl compounds, the risk is generally lower compared to oral ingestion. Inhalation of aspirin or methyl salicylate is not a common route of administration and is not typically recommended. While inhaling small amounts of these substances may not lead to immediate adverse effects, it is essential to consider that any exposure could potentially lead to an allergic reaction or other respiratory issues, particularly in sensitive individuals.

For patients with favism, it is advisable to avoid any unnecessary exposure to medications or compounds that could pose a risk. While inhaling aspirin or methyl salicylate may not be explicitly contraindicated, it is prudent to err on the side of caution. If you are participating in experiments that involve these compounds, it is wise to discuss your G6PD deficiency with your instructor or supervisor to ensure that appropriate safety measures are in place.

In summary, while aspirin and methyl salicylate are not the most critical concerns for individuals with favism, it is best to avoid both oral and inhalation exposure to these substances to minimize any potential risks. Always consult with a healthcare professional before engaging in any activities that may involve exposure to medications or chemicals, especially if you have a known medical condition like G6PD deficiency.

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