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What the FDA labels say about taking them together

Celecoxib and heparin

Heparin's FDA label (Heparin Sodium) of April 30, 2026 names celecoxib in its drug interactions section; celecoxib's label does not name heparin itself but warns about its class (anti-coagulants). The heparin label: “Drugs such as NSAIDS, dextran, phenylbutazone, thienopyridines, dipyridamole, hydroxychloroquine, glycoprotein IIv/IIa antagonists, and others that interfere with platelet-aggregation reactions may induce bleeding and …”

Check it at the source: the celecoxib FDA label on DailyMed (effective November 22, 2024, Viatris Specialty LLC); the heparin FDA label on DailyMed (effective November 28, 2025, Fresenius Kabi USA, LLC).

What does the celecoxib label say about heparin?

Celecoxib's label does not name heparin itself; it warns about its class (anti-coagulants):

Celecoxib label, drug interactions

Celecoxib and anticoagulants such as warfarin have a synergistic effect on bleeding.

Celecoxib label, drug interactions

The concomitant use of Celecoxib and anticoagulants have an increased risk of serious bleeding compared to the use of either drug alone.

Source: FDA drug label (CELEBREX), NDA020998 (Upjohn), as published by Viatris Specialty LLC, effective November 22, 2024 (SPL set 2d6675e4-5859-4be2-8037-a20ce9f707aa), via openFDA; the full label on DailyMed

What does the heparin label say about celecoxib?

Heparin Sodium label (Fresenius Kabi USA, LLC, April 30, 2026), drug interactions

Drugs such as NSAIDS (including salicylic acid, ibuprofen, indomethacin, and celecoxib), dextran, phenylbutazone, thienopyridines, dipyridamole, hydroxychloroquine, glycoprotein IIb/IIIa antagonists (including abciximab, eptifibatide, and tirofiban), and others that interfere with platelet-aggregation reactions (the main hemostatic defense of heparinized patients) may induce bleeding and should be used with caution in patients receiving heparin sodium.

Source: FDA drug label (Heparin Sodium, NDA017029), Fresenius Kabi USA, LLC, effective April 30, 2026 (SPL set 2a173253-dfdc-4d9d-8dee-b9c13e6fa9f5), via openFDA

Source: FDA drug label (Heparin Sodium In Sodium Chloride, NDA018609), Baxter Healthcare Corporation, effective January 3, 2022 (SPL set 0d929726-76c3-48fc-b4e7-fd06409f9fb3), via openFDA

Source: FDA drug label (Heparin Sodium), Fresenius Kabi USA, LLC, effective November 28, 2025 (SPL set d55b4a63-0c04-4874-b74f-9e9b9e8b008c), 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

63Celecoxib generic labelers
18Heparin generic labelers
CelecoxibHeparin
Labeled forOsteoarthritis, Rheumatoid arthritis, Pain, MigraineBlood clots (DVT and PE), Atrial fibrillation
Boxed warningYesNo
Pharmacy cost (NADAC)$0.0762 per capsule 200 mg capsule$1.18 per mL 5,000 unit/mL vial
Shortage nowNo current entryIn shortage

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

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