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Stomach upset - Aspirin can upset a dog's stomach, which can interfere with the ultimate goal of relieving your dog's pain if he throws up the medication. Buffered aspirin is usually easier on a dog's stomach than non-buffered aspirin, especially if your vet advises you to give repeated doses.
My mother-in-law has been giving the dog one aspirin every day for about a year now. It is a bigger size dog, probably about 45 to 50 pounds. Patti is right - aspirin can safely be given to dogs. It's Tylenol (acetaminophen) that is dangerous to give to dogs, and I believe also to cats.