When it comes to over-the-counter pain relievers, ibuprofen and aspirin are two of the most widely used medications. Both belong to the class of nonsteroidal anti-inflammatory drugs (NSAIDs), but they differ in how they work, their potential side effects, and the types of conditions they treat.
In this article, we’ll explore the similarities and differences between ibuprofen and aspirin to help you make an informed choice when it comes to managing pain or inflammation.
What Is Aspirin?
Aspirin is also an NSAID and works similarly to ibuprofen by blocking prostaglandin production. It is widely used for pain relief, reducing inflammation, and lowering fever. However, aspirin is unique in that it has an additional blood-thinning effect, which makes it useful in preventing heart attacks and strokes in certain patients.
How Aspirin Works: Like ibuprofen, aspirin inhibits the production of prostaglandins but also affects platelet aggregation, which can help prevent blood clotting. This is why aspirin is often prescribed for cardiovascular protection, in addition to its use for pain and inflammation.

Ibuprofen vs Aspirin: Key Differences
Feature | Ibuprofen | Aspirin |
---|---|---|
Mechanism of Action | Blocks prostaglandin production (anti-inflammatory, pain-relieving, and fever-reducing) | Blocks prostaglandin production and platelet aggregation (anti-inflammatory, pain-relieving, fever-reducing, and blood-thinning) |
Pain Relief Duration | Generally provides 4-6 hours of relief | Generally provides 4-8 hours of relief |
Blood-Thinning Effect | No significant blood-thinning effect | Blood-thinning properties, used for cardiovascular protection |
Common Uses | Headaches, muscle aches, menstrual cramps, arthritis, minor injuries | Headaches, arthritis, cardiovascular protection, minor injuries |
Gastrointestinal Side Effects | May cause mild irritation, especially with prolonged use | Higher risk of gastrointestinal issues, such as ulcers or bleeding |
Safety Profile | Generally safer for short-term use; risks increase with prolonged use | Should be used cautiously in individuals with gastrointestinal issues or a history of ulcers |
Over-the-Counter Dosage | 200-400 mg every 4-6 hours for adults | 81-325 mg every 4-6 hours for adults (low-dose aspirin for heart disease prevention) |
Which One Should You Choose?
- For Pain Relief: Both ibuprofen and aspirin are effective for pain relief, but ibuprofen is often preferred for conditions like headaches, back pain, and muscle aches due to its generally milder side effects.
- For Cardiovascular Protection: Aspirin is recommended for people at risk of heart attack or stroke, as it helps prevent blood clots and supports heart health.
- For Short-Term Use: If you need a medication for short-term pain relief, ibuprofen may be the better option due to its less severe gastrointestinal side effects.
- For Long-Term Use: If you need a medication for long-term management of pain (such as arthritis), both ibuprofen and aspirin may be suitable, but it’s important to consult a doctor due to their potential effects on the stomach and kidneys with prolonged use.
While both ibuprofen and aspirin are effective NSAIDs that provide pain relief and reduce inflammation, they serve slightly different purposes. Ibuprofen is typically preferred for general pain relief and short-term use, while aspirin is commonly used for cardiovascular protection and long-term inflammation management.