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What is a potential drug-disease interaction of large daily doses of aspirin?

Increased blood pressure

Decreased insulin sensitivity

Increased insulin release

When considering the potential drug-disease interactions of large daily doses of aspirin, it's critical to understand how aspirin can influence various physiological processes. A significant aspect of aspirin's action is its role as a non-selective cyclooxygenase (COX) inhibitor, which impacts prostaglandin synthesis.

Prostaglandins are lipid compounds that have several functions, including regulating inflammation, blood flow, and the formation of blood clots. When aspirin inhibits COX, it can affect beta-cell function in the pancreas and insulin release. Under normal circumstances, the presence of certain prostaglandins enhances insulin secretion, so when aspirin is used in large doses, it may inadvertently lead to increased insulin release as a body’s compensatory response to maintain glucose homeostasis despite the inhibition of those beneficial signaling pathways. This increased insulin release can, over time, potentially alter normal glucose regulation in the body.

The other choices indicate various effects that would not primarily stem from taking large daily doses of aspirin. For example, while there may be alterations in blood pressure regulation, decreased sensitivity to insulin, or changes in glucose levels due to other factors or medications, these are not direct or common consequences of aspirin usage at high doses. Therefore, focusing on the relationship aspirin has

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Reduced glucose levels

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