Drug Interaction Report

Aspirin and Dichlorphenamide: Interaction Details

AI-assisted, pharmacist-reviewed · Source data updated Jul 11, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature

Aspirin

Acuprin® Anacin Aspirin Regimen Anacin® Aspirin Regimen Ascriptin® Aspergum Aspergum® Aspi-Cor Aspidrox®
+

Dichlorphenamide

No brand names on record
Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by
Updated Jul 11, 2026
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Interaction severity
Contraindicated
These should generally not be used together.
How we grade severity & evidence

Severity levels

  • Contraindicated: These should generally not be used together.
  • Major: Potentially serious — often needs a change or close monitoring.
  • Moderate: Can be significant — usually manageable with monitoring.
  • Minor: Usually limited clinical impact.

Evidence grades

  • Established: Well documented — supported by controlled studies or strong clinical data.
  • Probable: Good supporting evidence, though not definitively proven.
  • Suspected: Some evidence suggests this interaction, but it is not well established.
  • Possible: Limited or conflicting evidence; the interaction may occur.
  • Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.

Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.

Of 465 documented Aspirin interactions, 10 are rated contraindicated — including this one.
Worried about symptoms right now? Contact your pharmacist or prescriber, or call Poison Control at 1-800-222-1222 (US). Call 911 for an emergency.
Onset
unspecified
Evidence
theoretical
Severity
Contraindicated

What happens

Increased salicylate exposure , increased dichlorphenamide exposure and its toxicity

Interaction Deep Dive

Concomitant use of high-dose aspirin and dichlorphenamide is contraindicated as this may elevate salicylate levels and increase the risk of adverse effects, including anorexia, tachypnea, lethargy, and coma. Exercise caution with coadministration of low-dose aspirin and dichlorphenamide2. If administered, consider reducing the dose of the dichlorphenamide (a carbonic anhydrase inhibitor) and monitor patient for any adverse effects from dichlorphenamide. Concurrent use with aspirin can lead to high serum concentrations of dichlorphenamide and cause toxicity due to competition at the renal tubule for secretion 1.

Why it happens (mechanism)

Competition at the renal tubule for secretion

Common questions

Can I take Aspirin and Dichlorphenamide together?

Increased salicylate exposure , increased dichlorphenamide exposure and its toxicity Always confirm with your pharmacist or prescriber before making any change.

How serious is the Aspirin and Dichlorphenamide interaction?

It is rated contraindicated. These should generally not be used together.

How quickly could this interaction happen?

The documented onset is "unspecified". The timing of this interaction is not well characterized.

How strong is the evidence for this interaction?

The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.

Questions for your pharmacist

  • Does my dose of Aspirin or Dichlorphenamide need adjusting while I take them together?
  • What symptoms should prompt me to call you or my prescriber right away?
  • Does the timing of my doses matter for this combination?
  • Is there a safer alternative to one of these medications for me?

References (2)

  1. Product Information: CARISOPRODOL, ASPIRIN, CODEINE PHOSPHATE oral tablets, carisoprodol, aspirin, codeine phosphate oral tablets. Ingenus Pharmaceuticals LLC (per DailyMed), Orlando, FL, 2021. DailyMed
  2. Product Information: KEVEYIS(TM) oral tablets, dichlorphenamide oral tablets. TaroPharma (per manufacturer), Hawthorne, NY, 2015. DailyMed
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Beyond drug–drug

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This information is for education, not a substitute for professional medical advice. Do not start, stop, or change any medication without talking to your pharmacist or prescriber.