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Anti-inflammatory painkillers (NSAIDs)

Aspirin

Also sold as: Disprin, Ecosprin

No prescription neededAnti-inflammatory painkillers (NSAIDs)
Comes as:TabletDissolving tablet

Usual adult dose

For pain or fever: 300 to 900 mg every 4 to 6 hours with food; no more than 4 g in 24 hours. For heart protection: 75 to 100 mg once a day, only if your doctor advises it. Do not give to children under 16.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • stomach upset
  • heartburn
  • nausea
  • easy bruising

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • black or bloody stools
  • vomiting blood
  • ringing in the ears
  • severe allergic reaction or wheezing

Do not take it, or take care, if

  • Children and teenagers under 16 (risk of Reye syndrome)
  • Stomach ulcer or bleeding disorder
  • Asthma that gets worse with aspirin
  • Last 3 months of pregnancy
  • Taking blood thinners such as warfarin (only if your doctor advises)

Interactions

Medicines that can react with this one.

Serious5 medicinesDo not take these together unless your doctor says so.
  • Apixaban

    Together they greatly raise the risk of serious bleeding.

  • Ketorolac

    Do not combine with other NSAIDs; stomach bleeding and kidney risk rise sharply.

  • Methotrexate

    Aspirin can raise methotrexate levels and cause serious toxicity.

  • Rivaroxaban

    Together they greatly raise the risk of serious bleeding.

  • Warfarin

    Greatly raises the risk of bleeding; use together only under a doctor.

Moderate7 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Clopidogrel

    Often used together on purpose, but bleeding risk is higher; only as prescribed.

  • Enoxaparin

    Together they raise the risk of bleeding.

  • Heparin

    Together they raise the risk of bleeding.

  • Ibuprofen

    Ibuprofen can block the heart-protecting effect of low-dose aspirin and adds to stomach bleeding risk.

  • Prednisolone

    Steroids with aspirin raise the risk of stomach ulcers and bleeding.

  • Sertraline

    The combination increases the risk of stomach bleeding.

Show 1 more
  • Sodium valproate

    Aspirin raises free valproate levels and the risk of bleeding.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category D

There is evidence of risk to the baby. Used only in serious situations when safer medicines do not work.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • ParacetamolNo prescription needed
  • Clopidogrel
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.