Interaction databaseSupplement × PrescriptionReviewed May 2026

Aspirin Low-Dose and Warfarin, a caution.

Concurrent anticoagulant and antiplatelet therapy significantly increases bleeding risk. While sometimes used intentionally (e.g., mechanical heart valves), the combination requires careful risk-benefit assessment and close monitoring.

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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At a glance

Substances
Aspirin Low-Dose and Warfarin
Pair type
Caution
Evidence (highest tier)
Strong
Source citations
2 sources
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Caution · Strong evidence

Caution

What is happening. Concurrent anticoagulant and antiplatelet therapy significantly increases bleeding risk. While sometimes used intentionally (e.g., mechanical heart valves), the combination requires careful risk-benefit assessment and close monitoring.

Mechanism. Warfarin inhibits vitamin K-dependent clotting factor synthesis while aspirin irreversibly inhibits platelet cyclooxygenase (COX-1). Combined inhibition of both coagulation cascade and platelet aggregation substantially increases hemorrhagic risk.

Recommendation. Only use together when specifically prescribed by a physician for an approved indication. Monitor for signs of bleeding. Use lowest effective aspirin dose. Regular INR monitoring essential.

Sources (2)
  1. Lip GY et al. Antithrombotic therapy for atrial fibrillation: CHEST guideline. Chest. 2018. PMID 30144990
  2. Wang M, Zeraatkar D, Obeda M, Lee M et al.. Drug-drug interactions with warfarin: A systematic review and meta-analysis. British Journal of Clinical Pharmacology. 2021. PMID 33769581

Stack Score

How this pair moves the number.

Effect on the composite score

If both Aspirin Low-Dose and Warfarin 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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