Introduction Nonsteroidal anti-inflammatory drugs (NSAIDs) and anticoagulants are two classes of medications widely used across various medical disciplines. NSAIDs, such as ibuprofen and naproxen, are commonly employed to relieve pain, inflammation, and fever. On the other hand, anticoagulants, including warfarin, rivaroxaban, and apixaban, are prescribed to prevent or treat thromboembolic events such as deep vein thrombosis (DVT), pulmonary embolism (PE), and stroke in atrial fibrillation. While each medication serves a vital therapeutic role, their concurrent use can significantly elevate the risk of bleeding. This concern becomes particularly relevant in populations such as the elderly, individuals with chronic pain conditions, and…