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What the FDA labels say about taking them together

Aspirin and niacin

Niacin's FDA label of February 14, 2023 names aspirin in its drug interactions section; the aspirin label PlainMeds reads does not name niacin. The niacin label: “Concomitant aspirin may decrease the metabolic clearance of nicotinic acid.”

Check it at the source: the aspirin FDA label on DailyMed (effective September 9, 2025); the niacin FDA label on DailyMed (effective February 14, 2023, Aurobindo Pharma Limited).

What does the aspirin label say about niacin?

Aspirin's label (effective September 9, 2025) does not name niacin 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

What does the niacin label say about aspirin?

Niacin label, drug interactions

Concomitant aspirin may decrease the metabolic clearance of nicotinic acid.

Source: FDA drug label (Niacin), Aurobindo Pharma Limited, effective February 14, 2023 (SPL set 43233a21-3f90-4c69-bbeb-f50d5f2d35ae), 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

0Aspirin generic labelers
13Niacin generic labelers
AspirinNiacin
Labeled forPain, Cough and cold, FeverHigh cholesterol, Heart attack and coronary artery disease, High triglycerides
Boxed warningNoNo
Pharmacy cost (NADAC)$0.0142 per tablet 81 mg tablet$0.193 per tablet 500 mg tablet
Shortage nowA presentation being discontinuedNo current entry

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

What next?