Can I take Apixaban and Naproxen together?
Drug interaction guide
Originally published 24 Jan 2026
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Taking apixaban and naproxen together significantly increases your risk of serious bleeding. This includes internal bleeding, such as in the stomach or brain, which can be life-threatening. Signs to watch for include coughing up blood, vomit that looks like coffee grounds, black or tarry stools, or bruising that happens very easily.
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Why this happens
Apixaban is an anticoagulant (blood thinner) that prevents clots by blocking a specific clotting factor. Naproxen is a non-steroidal anti-inflammatory drug (NSAID) that also thins the blood by preventing platelets from sticking together. Additionally, naproxen can irritate the lining of the stomach. When used together, their blood-thinning effects add up, making it much harder for your body to stop any bleeding that starts.
What you should do
You should avoid taking naproxen while you are on apixaban unless your doctor has specifically told you to do so and is monitoring you closely. If you need pain relief, paracetamol is generally a safer alternative. If you have already taken both and notice any unusual bleeding, severe headache, or dark stools, seek medical attention immediately.
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Using other medicines
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.
Clause de non-responsabilité
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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Historique de l'article
Les informations contenues dans cette page sont rédigées et évaluées par des cliniciens qualifiés.
24 janvier 2026 | Publié à l'origine
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