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Can I take Aspirin and Tramadol together?

Drug interaction guide

Taking aspirin and tramadol together can increase the risk of bleeding, particularly in the stomach or gut. It may also increase the risk of side effects like dizziness, drowsiness, or feeling sick. Additionally, both medications can affect your kidney function, especially if you are dehydrated or have existing kidney issues.

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Why this happens

Aspirin thins the blood and can irritate the lining of the stomach. While tramadol is an opioid-type painkiller, it can also slightly increase bleeding risk by affecting how platelets (blood-clotting cells) work. When used together, these effects add up. Both drugs are also processed or filtered by the kidneys, which can put extra strain on them.

You can take these together if prescribed by your doctor, but use caution. Watch for signs of stomach irritation or bleeding, such as dark/tarry stools, coughing up blood, or severe stomach pain. Ensure you stay well-hydrated to protect your kidneys. If you are taking aspirin 300mg (a high dose) for pain, do not take other anti-inflammatories (like ibuprofen) at the same time. If you feel excessively drowsy or dizzy, avoid driving or operating machinery.

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Asma

Do not take aspirin if you have asthma, as it can trigger a severe or life-threatening asthma attack.

Children under 16 years old

Never give aspirin to children or teenagers under 16 unless specifically prescribed by a doctor, due to the risk of Reye’s syndrome, a rare but fatal condition.

Epilepsy or history of seizures

Tramadol can increase the risk of having a seizure, especially if you have a history of epilepsy or are taking other medicines that lower the seizure threshold.

Alcohol

Drinking alcohol while taking aspirin can increase the risk of stomach irritation and bleeding. It is best to limit alcohol intake.

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Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Descargo de responsabilidad

This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.

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Historia del artículo

La información de esta página ha sido redactada y revisada por médicos cualificados.

  • 25 Enero 2026 | Publicado originalmente
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