Salicylates stimulate respiration directly and indirectly. Full therapeutic doses of salicylates increase oxygen consumption and CO2 production
(especially in skeletal muscle); these effects are a result of salicylate-induced uncoupling of oxidative phosphorylation. The increased production of
CO2 stimulates respiration. The increased alveolar ventilation balances the increased CO2 production, and thus plasma CO2 tension does not change.
[....]
The uncoupling of oxidative phosphorylation by salicylate is similar to that induced by 2,4 dinitrophenol. The effect may occur with doses of
salicylate used in the treatment of rheumatoid arthritis and can result in the inhibition of a number of ATP-dependent reactions. Other consequences
include the salicylate-induced increase in oxygen uptake and carbon dioxide production described above, the depletion of hepatic glycogen, and the
pyretic effect of toxic doses of salicylate. |