Aspirin and Vision: Possible Side Effects and How to Cope

Aspirin can very rarely be linked with vision-related symptoms, but most common side effects involve the stomach, bleeding risk, and tinnitus (ringing) or hearing changes rather than direct eye problems. ^[1] Ringing in the ears and hearing loss are listed among possible adverse effects, especially at higher doses, and any severe or unusual symptoms warrant medical attention. ^[2] Aspirin products also carry strong warnings about serious bleeding risk, which is greater in certain people (older age, prior ulcers, use with blood thinners or steroids, heavy alcohol use, or taking more than directed). ^{[3] [4]}

What eye or vision symptoms can occur?

• Blurred vision or visual changes are not typical for aspirin, but can occasionally happen with some NSAIDs; when such symptoms occur during NSAID treatment, stopping the drug and getting an eye exam is advised. ^[5]
• Tinnitus and hearing issues can accompany salicylate toxicity and may indirectly affect comfort and perception; persistent symptoms should be evaluated. ^[2]
• Bleeding risk is systemic with aspirin; while the label focuses on stomach bleeding, caution is advised in people at high bleeding risk overall. ^{[3] [6]}

Because official consumer labeling for aspirin emphasizes bleeding, gastrointestinal, and neurologic symptoms rather than specific eye effects, any new vision problem while taking aspirin should be treated as a warning sign and discussed with a clinician. ^{[1] [7]}

When to seek urgent care

• Sudden partial or total vision loss, double vision, or new severe eye pain should be treated as an emergency and assessed promptly by an eye‑care professional or emergency department. ^[8]
• Any serious or unusual symptoms while using aspirin such as confusion, fainting, severe drowsiness, or signs of bleeding need immediate medical review. ^[7]
• Black or tarry stools, vomiting blood, or “coffee‑ground” vomit suggest bleeding and require urgent evaluation. ^[2]

Practical coping steps if vision symptoms appear

• Stop the suspected trigger and call your clinician: If you notice blurred vision, changes in color vision, scotomata (blind spots), or other visual complaints while on an NSAID, discontinuation and an eye exam are recommended. ^[5]
• Review all medicines and doses: Avoid guessing doses; use a pillbox, clear labels, or a caregiver’s help to prevent overuse, which can raise side‑effect risks. ^{[9] [10]}
• Track symptoms: Note timing, duration, and whether symptoms occur after dosing; bring this log to your visit for a more accurate assessment.
• Use low‑vision strategies if needed: Magnifiers, better lighting, and organizing aids can help maintain safety and independence if temporary vision changes persist. ^[11]
• Avoid interacting drugs and alcohol: Combining aspirin with other NSAIDs, steroids, anticoagulants, or heavy alcohol use increases bleeding risk; follow label directions strictly. ^{[12] [13]}

Who is at higher risk

• Adults ≥60 years, those with prior ulcers or bleeding, people on blood thinners or steroids, heavy alcohol users, and anyone taking more or longer than directed are more likely to have serious bleeding problems on aspirin. ^{[14] [4]}
• Asthma and certain sensitivities can increase adverse reactions to NSAIDs; visual complaints on some NSAIDs call for prompt ophthalmologic evaluation. ^[5]

Safe use and monitoring tips

• Use the lowest effective dose for the shortest time to reduce side effects and bleeding risk. ^[4]
• Do not combine multiple NSAIDs unless a clinician advises; check labels for hidden aspirin or ibuprofen to avoid duplication. ^{[3] [12]}
• Call your clinician if symptoms are bothersome or persistent even if they seem mild, such as dizziness or unusual tiredness. ^[15]
• Follow emergency guidance for acute vision problems and do not wait for symptoms to pass if vision suddenly worsens. ^[8]

Bottom line

• Aspirin’s most notable risks involve bleeding and gastrointestinal issues; direct vision side effects are uncommon but possible, especially within the broader NSAID class. ^{[3] [5]}
• Any new or sudden vision change while using aspirin should be taken seriously: pause the medication, seek medical advice, and consider an urgent eye evaluation if symptoms are severe. ^{[5] [8]}
• Thoughtful dosing, avoiding risky combinations, and using practical low‑vision supports can help you cope safely until you’re evaluated. ^{[4] [11]}