Interaction databaseSupplement × SupplementReviewed May 2026

Aspirin and Nattokinase, a caution.

Documented cerebellar hemorrhage from nattokinase + aspirin after only 7 days. Both inhibit platelet aggregation via thromboxane blockade.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Aspirin and Nattokinase
Pair type
Caution
Evidence (highest tier)
Moderate
Source citations
1 source
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Caution · Moderate evidence

Caution

What is happening. Documented cerebellar hemorrhage from nattokinase + aspirin after only 7 days. Both inhibit platelet aggregation via thromboxane blockade.

Mechanism. Both block thromboxane-mediated platelet aggregation. Additive antithrombotic effect increases hemorrhage risk.

Recommendation. Do NOT combine without medical supervision. Higher risk in patients with cerebral microbleeds.

Sources (1)
  1. Chang YY et al. Cerebellar hemorrhage provoked by combined use of nattokinase and aspirin in a patient with cerebral microbleeds. Intern Med. 2008;47(5):467-9. PMID 18310985

Stack Score

How this pair moves the number.

Effect on the composite score

If both Aspirin and Nattokinase are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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