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Two medicines, side by side

Celecoxib vs aspirin

Celecoxib and aspirin are both labeled for pain. Drugs@FDA records approvals of celecoxib since 1998 and of aspirin since 1965. Pharmacies paid $0.0762 per celecoxib 200 mg capsule and $0.0142 per aspirin ec 81 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Only the celecoxib label carries a boxed warning.

Check it at the source: the celecoxib FDA label on DailyMed (effective November 22, 2024); the aspirin FDA label on DailyMed (effective September 9, 2025).

Highlights of the celecoxib record

Celecoxib (Celebrex) · label of November 22, 2024

Boxed warning

RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS Cardiovascular Thrombotic Events

Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction, and stroke, which can be fatal. This risk may occur early in the treatment and may increase with duration of use [see Warnings and Precautions (5.1) ].

Used for

From the label: indications

CELEBREX is a nonsteroidal anti-inflammatory drug indicated for: • Osteoarthritis (OA) ( 1.1 ) • Rheumatoid Arthritis (RA) ( 1.2 ) • Juvenile Rheumatoid Arthritis (JRA) in patients 2 years and older ( 1.3 ) • Ankylosing Spondylitis (AS) ( 1.4 ) • Acute Pain (AP) ( 1.5 ) • Primary Dysmenorrhea (PD) ( 1.6 ) 1.1 Osteoarthritis (OA) For the management of the signs and symptoms of OA [see Clinical Studies (14.1) ]. 1.2 […]

On the market

Earliest approval on file
December 31, 1998
Generic labelers
63 labelers
Pharmacy cost
$0.0762 per capsule

Supply and safety

Shortage
No current entry
Recalls
2

Highlights of the aspirin record

Aspirin (Measurin) · label of September 9, 2025

Used for

From the label: indications

Temporarily relieves headache toothache pain and fever of colds muscle pain menstrual pain minor pain of arthritis

On the market

Earliest approval on file
June 25, 1965
Generic labelers
none listed
Pharmacy cost
$0.0142 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
1

Source: FDA drug labels via openFDA (Celecoxib label of November 22, 2024, Aspirin label of September 9, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do celecoxib and aspirin differ on the record?

Only the celecoxib label carries a boxed warning.

Generics: celecoxib since 2014; aspirin none approved (Drugs@FDA).

CelecoxibAspirin
Labeled forOsteoarthritis, Rheumatoid arthritis, Pain, MigrainePain, Cough and cold, Fever
Pharmacologic classNonsteroidal Anti-inflammatory Drugn/a
How it works (label)Celecoxib has analgesic, anti-inflammatory, and antipyretic properties. The mechanism of action of CELEBREX is believed to be due to inhibition of prostaglandin synthesis, primarily via inhibition of COX-2.n/a
Half-life (label)It is primarily metabolized by CYP2C9 with a half-life of approximately 11 hours.n/a
Earliest approval on file (Drugs@FDA)December 31, 1998June 25, 1965
First generic approvedMay 30, 2014none
Generic labelers (NDC)63 labelersnone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0762 per capsule (Celecoxib 200 mg capsule)$0.0142 per tablet (Aspirin ec 81 mg tablet)
12-month price change-13%-2%
Boxed warningYesNo
Shortage nowNo current entryA presentation being discontinued
Recalls recorded21
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)130,882534,208
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

Do their labels mention each other?

Celecoxib label, contraindications

History of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs.

Celecoxib label, warnings and precautions

Exacerbation of Asthma Related to Aspirin Sensitivity: CELEBREX is contraindicated in patients with aspirin-sensitive asthma.

What both labels say about taking them together

Source: FDA drug labels via openFDA

What do the labels say about using others of their kind?

Celecoxib label, drug interactions

Concomitant use of Celecoxib with other NSAIDs or salicylates (e.g., diflunisal, salsalate) increases the risk of GI toxicity, with little or no increase in efficacy [see Warnings and Precautions (5.2) ].

Source: FDA drug labels via openFDA

What next?

Alternatives to celecoxib
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