What does fact checked mean?
At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data.
- “Linus Pauling Institute”; Vitamin E; Jane Higdon, Ph.D., et al; June 2008
- “Neuroscience;” Post-exposure treatment attenuates noise-induced hearing loss; D. Yamashita; 2005
- “Neuroscience;” Post-exposure treatment attenuates noise-induced hearing loss; D. Yamashita; 2005
- “American Journal of Clinical Nutrition”; Vitamin E plus aspirin compared with aspirin alone in patients with transient ischemic attacks; Steiner M, et al; Dec 1995
- “American Journal of Clinical Nutrition”; Vitamin E plus aspirin compared with aspirin alone in patients with transient ischemic attacks; Steiner M, et al; Dec 1995
- Office of Dietary Supplements: Vitamin E
The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made.
Can You Take Vitamin E & Aspirin Together?
Vitamin E, which you might be ingesting with your meals or taking as a supplement, is an antioxidant, meaning it helps protect your cells from toxic environmental pollutants and the potentially damaging side effects of metabolism. Aspirin, which your health care provider might recommend to help you limit your risk for heart attacks or strokes, is categorized as a drug. For any supplement you take, you should check with your doctor about possible harmful interactions with drugs you might be taking, including aspirin.
Risks of Taking Vitamin E and Aspirin Together
According to Drugs.com, you need to talk to your physician about using supplemental vitamin E at doses greater than 400 units per day if you’re taking antiplatelet or anticoagulant medications, or if you are vitamin K deficient, because such a dose of vitamin E could increase your risk for bleeding. Low-dose aspirin is an antiplatelet drug, while warfarin, also known as Coumadin, is an anticoagulant.
Benefits of Combining Vitamin E and Aspirin
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Both low-dose aspirin and moderate amounts of vitamin E have benefits separately and only rarely cause problems if taken at the same time. One benefit of combining the two was reported in 2005 in the journal “Neuroscience.” In a study, researchers demonstrated that guinea pigs given aspirin and vitamin E as long as three days after high levels of noise exposure were able to mitigate their hearing loss and hair cell damage 3.
Vitamin E, Aspirin and Cardiovascular Disease
A study reported in the "American Journal of Clinical Nutrition" in 1995 found that participants who took both vitamin E and aspirin had fewer stroke-like incidents than participants who took aspirin alone 4. The organization does, however, continue to recommend daily low-dose aspirin use for those who are at risk of heart disease.
Vitamin E Basics
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Vitamin E comes in many forms but it’s only the alpha-tocopherol form that really benefits your health. The Office of Dietary Supplements, or ODS, lists 15 mg — or 22.4 IU — per day as the recommended dietary allowance for adults 5.
Aspirin Risks and Benefits
If you are at risk for heart disease or if already have had a heart attack, the AHA recommends talking to your doctor about taking daily doses of up to 325 mg of aspirin. Low-dose aspirin also might help prevent strokes by keeping the platelets in your blood from being too sticky, leading to clogging of your arteries.
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References
- “Linus Pauling Institute”; Vitamin E; Jane Higdon, Ph.D., et al; June 2008
- Drugs.com: Drug Interactions between Aspirin Low Strength and Vitamin E
- “Neuroscience;” Post-exposure treatment attenuates noise-induced hearing loss; D. Yamashita; 2005
- “American Journal of Clinical Nutrition”; Vitamin E plus aspirin compared with aspirin alone in patients with transient ischemic attacks; Steiner M, et al; Dec 1995
- Office of Dietary Supplements: Vitamin E
- McNeil JJ, Gibbs P, Orchard SG, Lockery JL, Bernstein WB, Cao Y, et al. Effect of aspirin on cancer incidence and mortality in older adults. JNCI: J Natl Cancer Inst. August 2020. doi:10.1093/jnci/djaa114
- Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;140(11). doi:10.1161/cir.0000000000000678
- The United States Preventive Services Taskforce. Recommendation: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication. Updated April 11, 2016.
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Writer Bio
Marcia Veach attended Mt. Hood Community College and the University of Oregon and holds degrees in both physical therapy and journalism. She has been an active health care professional for over 30 years and a freelance writer for more than a dozen years. She has served as a writer and editor for business, nonprofit and health publications.