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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.
Your vet probably has a very good reason for prescribing aspirin for your dog, but depending on your dog's condition, there are alternatives to aspirin that your vet might prescribe. Carprofen is frequently used to treat osteoarthritis and is usually better tolerated by dogs than aspirin.