Aspirin and Zoledronic acid interaction

Aspirin and Zoledronic acid: the Zoledronic acid prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Zoledronic acid (Reclast) label · effective 2026-02-03

Moderate

Use Reclast with caution in aspirin-sensitive patients.

Warnings and precautionsnames AspirinView label on DailyMed
Moderate

Nephrotoxic Drugs Caution is indicated when Reclast is used with other potentially nephrotoxic drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs).

Drug interactionsby drug classView label on DailyMed
Minor

Patients With Asthma While not observed in clinical trials with Reclast, there have been reports of bronchoconstriction in aspirin-sensitive patients receiving bisphosphonates.

Warnings and precautionsnames AspirinView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.