Does Aspirin Interact With Fluoxetine?
NSAIDs, Aspirin, Warfarin): May potentiate the risk of bleeding ( 7.4 ) Drugs Tightly Bound to Plasma Proteins: May cause a shift in plasma concentrations ( 7.6 , 7.7 ) Olanzapine: When used in combination with fluoxetine, also refer to the Drug Interactions section of the package insert for Symbyax ( 7.7 ) Drugs that Prolong the QT Interval: Do not use fluoxetine with thioridazine or pimozide.
Severity: Major
Severity basis: drug interactions section (keywords: do not use). Combining Aspirin (Antiplatelet / NSAID) and Fluoxetine (SSRI antidepressant) is classified as a major interaction.
What to Do
The label advises avoiding this combination or using it only under close medical supervision. Talk to your prescriber or pharmacist before combining them.
How This Interaction Works
Interactions like this one can happen when two medicines have overlapping effects, or when one changes how the other is absorbed, broken down, or cleared from the body. Aspirin is a antiplatelet / nsaid and Fluoxetine is a ssri antidepressant; together they are documented as a major interaction. How much this matters depends on your dose, your other medications, and your overall health.
If You Take Both Medications
If you have been prescribed both Aspirin and Fluoxetine, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
From the FDA Label
NSAIDs, Aspirin, Warfarin): May potentiate the risk of bleeding ( 7.4 ) Drugs Tightly Bound to Plasma Proteins: May cause a shift in plasma concentrations ( 7.6 , 7.7 ) Olanzapine: When used in combination with fluoxetine, also refer to the Drug Interactions section of the package insert for Symbyax ( 7.7 ) Drugs that Prolong the QT Interval: Do not use fluoxetine with thioridazine or pimozide.
Source: FDA structured product labeling (set_id 02283de9-6087-45f7-a9ce-3b082ce860de).
Check these against your full medication list in our free Interaction Checker
Frequently Asked Questions
Can you take Aspirin and Fluoxetine together?
Aspirin and Fluoxetine have a documented major interaction. The label advises avoiding this combination or using it only under close medical supervision. Talk to your prescriber or pharmacist before combining them.
How serious is the Aspirin and Fluoxetine interaction?
It is classified as a major interaction, based on the FDA label's drug interactions section (keywords: do not use). A major interaction can cause serious harm and often calls for a change in therapy or close monitoring.
What should I do if I'm taking both Aspirin and Fluoxetine?
If you have been prescribed both Aspirin and Fluoxetine, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
This information is educational — not medical advice.
This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.
Other Aspirin Interactions
- Aspirin + Celecoxib(contraindicated)
- Aspirin + Indomethacin(contraindicated)
- Aspirin + Ketorolac(contraindicated)
- Aspirin + Meloxicam(contraindicated)
- Aspirin + Naproxen(contraindicated)
- Aspirin + Ibuprofen(major)
- Aspirin + Methotrexate(major)
- Aspirin + Montelukast(major)
- Aspirin + Alendronate(moderate)
- Aspirin + Citalopram(moderate)
- Aspirin + Desvenlafaxine(moderate)
- Aspirin + Edoxaban(moderate)
- Aspirin + Escitalopram(moderate)
- Aspirin + Methylprednisolone(moderate)
- Aspirin + Paroxetine(moderate)
- Aspirin + Rivaroxaban(moderate)
- Aspirin + Spironolactone(moderate)
- Aspirin + Trazodone(moderate)
- Aspirin + Valproic Acid(moderate)
- Aspirin + Apixaban(minor)
- Aspirin + Atenolol(minor)
- Aspirin + Atomoxetine(minor)
- Aspirin + Dexamethasone(minor)
- Aspirin + Diclofenac(minor)
- Aspirin + Duloxetine(minor)
- Aspirin + Enoxaparin(minor)
- Aspirin + Finasteride(minor)
- Aspirin + Furosemide(minor)
- Aspirin + Levothyroxine(minor)
- Aspirin + Nitroglycerin(minor)
- Aspirin + Oseltamivir(minor)
- Aspirin + Sertraline(minor)
- Aspirin + Sildenafil(minor)
- Aspirin + Tadalafil(minor)
- Aspirin + Venlafaxine(minor)
- Aspirin + Verapamil(minor)
- Aspirin + Warfarin(minor)
Other Fluoxetine Interactions
- Fluoxetine + Olanzapine(contraindicated)
- Fluoxetine + Warfarin(major)
- Fluoxetine + Alprazolam(moderate)
- Fluoxetine + Aripiprazole(moderate)
- Fluoxetine + Atomoxetine(moderate)
- Fluoxetine + Buspirone(moderate)
- Fluoxetine + Carbamazepine(moderate)
- Fluoxetine + Diazepam(moderate)
- Fluoxetine + Duloxetine(moderate)
- Fluoxetine + Glimepiride(moderate)
- Fluoxetine + Insulin Aspart(moderate)
- Fluoxetine + Insulin Glargine(moderate)
- Fluoxetine + Lithium(moderate)
- Fluoxetine + Phenytoin(moderate)
- Fluoxetine + Tramadol(moderate)
- Fluoxetine + Amiodarone(minor)
- Fluoxetine + Amitriptyline(minor)
- Fluoxetine + Bupropion(minor)
- Fluoxetine + Carvedilol(minor)
- Fluoxetine + Clonazepam(minor)
- Fluoxetine + Codeine(minor)
- Fluoxetine + Ketoconazole(minor)
- Fluoxetine + Metoprolol(minor)
- Fluoxetine + Risperidone(minor)
- Fluoxetine + Sertraline(minor)
- Fluoxetine + Tacrolimus(minor)
- Fluoxetine + Venlafaxine(minor)
- Fluoxetine + Zolpidem(minor)