Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

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This information will help you identify medications that contain aspirin and other NSAIDs. It’s important to stop taking these medications before many cancer treatments.

Aspirin, other NSAIDs (such as ibuprofen), and vitamin E can increase your risk of bleeding during cancer treatment. These medications affect your platelets (blood cells that clot to prevent bleeding). Read the section “Examples of Medications” to see if your medications contain aspirin, other NSAIDs, or vitamin E.

If you take aspirin, medications that contain aspirin, other NSAIDs, or vitamin E, tell your healthcare provider. They will tell you if you need to stop taking the medication(s) before your treatment. You will also find instructions in the information about your treatment.

Before Your Surgery

If you’re having surgery, follow the instructions below. If your healthcare provider gives you other instructions, follow those instead.

  • Stop taking medications that contain vitamin E 10 days before your surgery or as directed by your healthcare provider.
  • Stop taking medications that contain aspirin 7 days before your surgery or as directed by your healthcare provider. If you take aspirin because you’ve had a problem with your heart or you’ve had a stroke, don’t stop taking it without talking with your healthcare provider first.
  • Stop taking NSAIDs 48 hours (2 days) before your surgery or as directed by your healthcare provider.
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Before Your Radiology Procedure

If you’re having a radiology procedure (including Interventional Radiology, Interventional Mammography, Breast Imaging, and General Radiology), follow the instructions below. If your healthcare provider gives you other instructions, follow those instead.

  • Stop taking medications that contain vitamin E 10 days before your procedure or as directed by your healthcare provider.
  • If your healthcare provider tells you to stop taking aspirin, stop taking it 5 days before your procedure or as directed by your healthcare provider. If you take aspirin because you’ve had a problem with your heart or you’ve had a stroke, don’t stop taking it without talking with your healthcare provider first.
  • Stop taking NSAIDs 24 hours (1 day) before your procedure or as directed by your healthcare provider.
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Before and During Your Chemotherapy

Chemotherapy can lower your platelet count, which can increase your risk of bleeding. Whether you’re just starting chemotherapy or have been getting it, talk with your healthcare provider before taking aspirin or other NSAIDs.

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Examples of Medications

Medications are often called by their brand name. This can make it hard to know their ingredients. To help you identify medications that contain aspirin, other NSAIDs, and vitamin E, please read the lists below.

These lists include the most common products, but there are others. Check with your healthcare provider if you aren’t sure. Always be sure your healthcare provider knows all of the medications you’re taking, both prescription and over-the-counter (not prescription).

 
Common Medications Containing Aspirin
Aggrenox® Cama® Arthritis Pain Reliever Heartline® Robaxisal® Tablets
Alka Seltzer® COPE® Headrin® Roxiprin®
Anacin® Dasin® Isollyl® Saleto®
Arthritis Pain Formula Easprin® Lanorinal® Salocol®
Arthritis Foundation Pain Reliever® Ecotrin® (most formulations) Lortab® ASA Tablets Sodol®
ASA Enseals® Empirin® Aspirin (most formulations) Magnaprin® Soma® Compound Tablets
ASA Suppositories® Epromate® Marnal® Soma® Compound with Codeine Tablets
Ascriptin® and Ascriptin A/D® Equagesic Tablets Micrainin® St. Joseph® Adult Chewable Aspirin
Aspergum® Equazine® Momentum® Supac®
Asprimox® Excedrin® Extra-Strength Analgesic Tablets and Caplets Norgesic Forte® (most formulations) Synalgos®-DC Capsules
Axotal® Excedrin® Migraine Norwich® Aspirin Tenol-Plus®
Azdone® Fiorgen® PAC® Analgesic Tablets Trigesic®
Bayer® (most formulations) Fiorinal® (most formulations) Orphengesic® Talwin® Compound
BC® Powder and Cold formulations Fiortal® Painaid® Vanquish® Analgesic Caplets
Bufferin® (most formulations) Gelpirin® Panasal® Wesprin® Buffered
Buffets II® Genprin® Percodan® Tablets Zee-Seltzer®
Buffex® Gensan® Persistin® ZORprin®
 
Common Medications That Are NSAIDs That Don’t Contain Aspirin
Advil® Duexis® Mefenamic Acid PediaCare Fever®
Advil Migraine® Etodolac® Meloxicam Piroxicam
Aleve® Feldene® Menadol® Ponstel®
Anaprox DS® Fenoprofen Midol® Relafen®
Ansaid® Flurbiprofen Mobic® Saleto 200®
Arthrotec® Genpril® Motrin® Sulindac
Bayer® Select Pain Relief Formula Caplets Ibuprofen Nabumetone Toradol®
Celebrex® Indomethacin Nalfon® Treximet®
Celecoxib Indocin® Naproxen Vicoprofen®
Children’s Motrin® Ketoprofen Naprosyn® Vimovo®
Clinoril® Ketorolac Nuprin® Voltaren®
Daypro® Lodine® Orudis®  
Diclofenac Meclofenamate Oxaprozin  

 

Products Containing Vitamin E
Amino-Opt-E Aquavit E-400 IU E complex-600
Aquasol E D’alpha E E-1000 IU Softgels Vita-Plus E

Most multivitamins contain vitamin E. If you take a multivitamin, check the label.

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About Acetaminophen

Acetaminophen (Tylenol®) is generally safe to take during your cancer treatment. It doesn’t affect platelets, so it won’t increase your chance of bleeding. But, talk with your healthcare provider before taking acetaminophen if you’re getting chemotherapy.

 
Medications Containing Acetaminophen
Acephen® Esgic® Percocet® Vanquish®
Aceta® with Codeine Excedrin P.M.® Primlev® Vicodin®
Acetaminophen with Codeine Fiorcet® Repan® Wygesic®
Aspirin-Free Anacin® Lorcet® Roxicet® Xartemis XR®
Arthritis Pain Formula® Aspirin-Free Lortab® Talacen® Xodol®
Datril® Naldegesic® Tempra® Zydone®
Di-Gesic® Norco® Tylenol®  
Endocet® Panadol® Tylenol® with Codeine No. 3  

Read the labels on all your medications

Acetaminophen is safe when used as directed. But, there’s a limit to how much you can take in 1 day. It’s possible to take too much acetaminophen without knowing because it’s in many different medications.

Always read and follow the label on the product you’re taking. Acetaminophen is a very common ingredient found in over-the-counter and prescription medications. It’s often an ingredient in pain relievers, fever reducers, sleep aids, and cough, cold, and allergy medications.

The full name acetaminophen isn’t always written out. Look for the common abbreviations listed below, especially on prescription pain relievers.

Common Abbreviations for Acetaminophen
APAP AC Acetaminop
Acetamin Acetam Acetaminoph

Don’t take more than 1 medication that contains acetaminophen at a time without talking with a member of your healthcare team.

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