Escitalopram and Aspirin Interaction

Drug interaction information between Escitalopram and Aspirin.

Escitalopram and Aspirin have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Escitalopram and Aspirin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Escitalopram

Selective Serotonin Reuptake Inhibitor (SSRI)

Drug B

Aspirin

Antiplatelet / NSAID

How They Interact

Escitalopram can interfere with how blood cells stick together, and aspirin also thins the blood. Combining them makes it much more likely that you will experience bleeding or bruising.

FDA Label Information

If serotonin syndrome occurs, consider discontinuation of escitalopram and/or concomitant serotonergic drugs [ see Warnings and Precautions(5.2) ] Drugs That Interfere With Hemostasis (NSAIDs, Aspirin, Warfarin, etc.) Clinical Impact: Concomitant use of escitalopram and an antiplatelet or anticoagulant may potentiate the risk of bleeding. Concomitant use with SSRIs, SNRIs or Tryptophan is not recommended ( 7 ) Use caution when concomitant use with drugs that affect Hemostasis (NSAIDs, Aspirin, Warfarin) ( 7 )

Frequently Asked Questions

What SPL severity band is on file for Escitalopram + Aspirin?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Aspirin has 47 labeled pairs on file vs Escitalopram's 12. In the moderate band specifically: Escitalopram has 2 (also Warfarin); Aspirin has 12 (also Alendronate, Apixaban, Desvenlafaxine, Dexamethasone).

What mechanism field is on file for Escitalopram and Aspirin?

Escitalopram can interfere with how blood cells stick together, and aspirin also thins the blood. Combining them makes it much more likely that you will experience bleeding or bruising.

Aspirin's labeled portfolio outnumbers Escitalopram

SPL source-record counts only. This page's band is moderate · classes on file: Escitalopram (Selective Serotonin Reuptake Inhibitor (SSRI)); Aspirin (Antiplatelet / NSAID).

Escitalopram

3 major · 2 moderate · 7 minor · 12 total

  • Other moderate peers for Escitalopram
  • Warfarin
Aspirin

3 major · 12 moderate · 32 minor · 47 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.