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What the FDA labels say about taking them together

Methotrexate and salicylic acid

Salicylic acid's FDA label of October 22, 2024 names methotrexate in its drug interactions (prescription label) section; the methotrexate labels PlainMeds reads (4) do not name salicylic acid. The salicylic acid label: “Sulfonylureas Hypoglycemia potentiated Methotrexate Decreases tubular reabsorption; clinical toxicity from methotrexate can result Oral Anticoagulant Increased bleeding II.”

Check it at the source: the methotrexate FDA label on DailyMed (effective May 27, 2026, Accord Healthcare Inc.); the salicylic acid FDA label on DailyMed (effective October 22, 2024).

What does the methotrexate label say about salicylic acid?

Methotrexate's label (effective May 27, 2026) and its 3 other brand-application labels do not name salicylic acid in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Methotrexate), Accord Healthcare Inc., effective May 27, 2026 (SPL set 874c7f43-a3be-4236-89cc-24c44e3c5813), via openFDA; the full label on DailyMed

What does the salicylic acid label say about methotrexate?

Salicylic acid label, drug interactions (prescription label)

Sulfonylureas Hypoglycemia potentiated Methotrexate Decreases tubular reabsorption; clinical toxicity from methotrexate can result Oral Anticoagulant Increased bleeding II.

Source: FDA drug label (bareMinerals Blemish Rescue Skin-Clearing Loose Foundation Fair 1C), Orveon Global US LLC, effective October 22, 2024 (SPL set 139e2d26-76de-4ad3-a6e6-7465bf5987ad), 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

29Methotrexate generic labelers
0Salicylic acid generic labelers
MethotrexateSalicylic acid
Labeled forRheumatoid arthritis, Psoriasis, Leukemia, lymphoma and myeloma, Breast cancerAcne, Pain, Psoriasis
Boxed warningYesNo
Pharmacy cost (NADAC)$0.158 per tablet 2.5 mg tablet$0.102 per patch Callus removers patch
Shortage nowIn shortageNo current entry

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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