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What the FDA labels say about taking them together

Acetaminophen/caffeine/dihydrocodeine and aspirin

Acetaminophen/caffeine/dihydrocodeine's FDA label of May 2, 2022 names aspirin in its drug interactions section; the aspirin label PlainMeds reads does not name acetaminophen/caffeine/dihydrocodeine. The acetaminophen/caffeine/dihydrocodeine label: “Caffeine may increase the metabolism of other drugs such as phenobarbital and aspirin.”

Check it at the source: the acetaminophen/caffeine/dihydrocodeine FDA label on DailyMed (effective May 2, 2022, Proficient Rx LP); the aspirin FDA label on DailyMed (effective September 9, 2025).

What does the acetaminophen/caffeine/dihydrocodeine label say about aspirin?

Acetaminophen/caffeine/dihydrocodeine label, drug interactions

Caffeine may increase the metabolism of other drugs such as phenobarbital and aspirin.

Source: FDA drug label (Trezix), ANDA204785 (Key Therap), as published by Proficient Rx LP, effective May 2, 2022 (SPL set 45c3c2a1-6a89-471e-b6d4-5a4cd73b987a), via openFDA; the full label on DailyMed

What does the aspirin label say about acetaminophen/caffeine/dihydrocodeine?

Aspirin's label (effective September 9, 2025) does not name acetaminophen/caffeine/dihydrocodeine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Medique Products Aspirin), Unifirst First Aid Corporation, effective September 9, 2025 (SPL set 9b28fed0-a993-ca72-e053-2995a90ac7fd), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

1Acetaminophen/caffeine/dihydrocodeine generic labelers
0Aspirin generic labelers
Acetaminophen/caffeine/dihydrocodeineAspirin
Labeled forPainPain, Cough and cold, Fever
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$0.0142 per tablet 81 mg tablet
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?