New Zealand Green-lipped Mussel Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how New Zealand Green-lipped Mussel interacts with medications. The heart of this page is the interaction list — every drug New Zealand Green-lipped Mussel is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what New Zealand Green-lipped Mussel is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check New Zealand Green-lipped Mussel against your medication
Add one medicationDrugs that interact with New Zealand Green-lipped Mussel
0 medications have a known interaction with New Zealand Green-lipped Mussel, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for New Zealand Green-lipped Mussel. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact New Zealand Green-lipped Mussel combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
New Zealand Green-lipped Mussel: Uses, Safety & Side Effects
New Zealand green-lipped mussel is a shellfish-derived supplement rich in omega-3 fats that is mostly used for joint pain and arthritis. Some studies suggest a modest benefit for osteoarthritis, but the evidence is mixed and not strong. It is generally well tolerated in healthy adults, but people with shellfish allergy should avoid it, and pregnant or breastfeeding people should not use it without medical advice.
- Scientific name
- Perna canaliculus
- Family
- Mytilidae
- Part used
- Edible mussel flesh (often as a freeze-dried powder or lipid/oil extract)
- Common forms
- Capsules, softgels (lipid extract), powder, tablets
- Osteoarthritis joint pain
- Rheumatoid arthritis symptoms
- Joint stiffness and mobility
- General anti-inflammatory support
- Mild asthma support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated, but anyone with a shellfish allergy should avoid it.
When used orally; avoid using. It may cause retarded fetal development and delay in parturition.
Read the full pregnancy detailInsufficient reliable information available; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
New Zealand green-lipped mussel is a shellfish that grows in the coastal waters around New Zealand. It gets its name from the green color along the edge of its shell. The mussel has long been part of the traditional diet of the Māori people, and researchers noticed that coastal communities who ate a lot of it seemed to have fewer joint problems.
For supplements, the mussel flesh is usually freeze-dried into a powder or processed into a fat-rich (lipid) extract. These are sold as capsules, softgels, tablets, and powders. The supplement is most often marketed for joint health and inflammation.
How it works
Green-lipped mussel contains omega-3 fatty acids, including some unusual fats not commonly found in fish oil. It also contains proteins, minerals, and compounds linked to cartilage support such as glycosaminoglycans.
The leading idea is that these omega-3 fats and other compounds may help calm inflammation in the body, which could ease joint pain and stiffness. Much of this understanding comes from laboratory and animal studies, so it is not fully proven in people. The exact active ingredients responsible for any benefit are still not clearly identified.
Does New Zealand Green-lipped Mussel work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For New Zealand Green-lipped Mussel, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 8 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Asthma
Small clinical studies suggest that oral New Zealand green-lipped mussel extract may modestly improve symptoms and measures of lung function in adults with asthma. It is unclear if oral New Zealand green-lipped mussel is beneficial in children with asthma.
Insufficient Reliable Evidence To Rate Attention deficit-hyperactivity disorder (ADHD)
It is unclear if oral New Zealand green-lipped mussel extract is beneficial in children with ADHD.
Insufficient Reliable Evidence To Rate Breast cancer
Although there has been interest in using oral New Zealand green-lipped mussel for breast cancer, there is insufficient reliable information about the clinical effects of New Zealand green-lipped mussel for this purpose.
Insufficient Reliable Evidence To Rate Exercise-induced muscle damage
It is unclear if oral New Zealand green-lipped mussel extract is beneficial for reducing exercise-induced muscle damage.
Insufficient Reliable Evidence To Rate Exercise-induced muscle soreness
Small clinical studies suggest that oral New Zealand green-lipped mussel extract may reduce exercise-induced muscle soreness in trained and untrained individuals.
Insufficient Reliable Evidence To Rate Osteoarthritis
It is unclear if oral New Zealand green-lipped mussel extract is beneficial for improving symptoms of osteoarthritis; the available research is conflicting.
Insufficient Reliable Evidence To Rate Prostate cancer
Although there has been interest in using oral New Zealand green-lipped mussel for prostate cancer, there is insufficient reliable information about the clinical effects of New Zealand green-lipped mussel for this purpose.
Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
It is unclear if oral New Zealand green-lipped mussel extract is beneficial for improving symptoms of RA; the available research is conflicting.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
Green-lipped mussel is generally well tolerated by healthy adults when taken as directed. The most important warning is for people with a shellfish allergy — they should not use this product, because it could trigger a serious allergic reaction.
People with bleeding disorders, those taking blood thinners, or anyone scheduled for surgery should talk with a pharmacist or doctor first, since omega-3 supplements may affect bleeding. If you have gout or have been told to limit purine-rich foods, ask your doctor before using shellfish-based supplements.
Because there is not enough safety information, pregnant and breastfeeding people should avoid green-lipped mussel unless a healthcare provider advises otherwise. Children should only use it under medical supervision.
Side effects
Most reported side effects are mild and may include upset stomach, nausea, gas, or diarrhea. Some products have a fishy aftertaste or can cause burping.
More serious but uncommon reactions include allergic responses, especially in people sensitive to shellfish. Signs such as rash, itching, swelling, or trouble breathing require immediate medical attention. Rarely, liver-related problems have been reported with some joint supplements, so stop use and seek care if you notice yellowing skin, dark urine, or unusual fatigue.
New Zealand Green-lipped Mussel: Reported Adverse Effects
Documented safety reports on New Zealand Green-lipped Mussel from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, New Zealand green-lipped mussel seems to be well tolerated.
Most Common Adverse Effects:
Orally: Abdominal pain, acid reflux, diarrhea, flatulence, and nausea.
Serious Adverse Effects (Rare):
Orally: Hepatitis.
Diarrhea Gastrointestinal
Orally, New Zealand green-lipped mussel or lipid extract can cause reflux, abdominal pain, diarrhea, nausea, or flatulence.
- Gibson SLM, Gibson RG. The treatment of arthritis with a lipid extract of Perna canaliculus: a randomised trial. Complement Ther Med 1998;6:122-6.
- Gibson RG, Gibson SL, Conway V, Chappell D. Perna canaliculus in the treatment of arthritis. Practitioner 1980;224:955-60.
- Gibson, R. G. and Gibson, S. L. Green-lipped mussel extract in arthritis. Lancet 2-21-1981;1(8217):439.
- Lau, S., Chiu, P. K., Chu, E. M. Y., Cheng, I. Y. W., Tang, W. M., Man, R. Y. K., and Halpern, G. M. Treatment of knee osteoarthritis with Lyprinol, lipid extract of the green-lipped mussel - a double-blind placebo-controlled study. Progress in Nutrition
- Gruenwald, J., Graubaum, H., Hansen, K., and Grube, B. Efficacy and tolerability of a combination of LYPRINOL and high concentrations of EPA and DHA in inflammatory rheumatoid disorders... eicosapentaenoic acid... decosahexaenoid acid. Advances in Therap
- Coulson S, Vecchio P, Gramotnev H, Vitetta L. Green-lipped mussel (Perna canaliculus) extract efficacy in knee osteoarthritis and improvement in gastrointestinal dysfunction: a pilot study. Inflammopharmacology 2012;20:71-6.
- Sukumaran S, Pittman KB, Patterson WK, et al. A phase I study to determine the safety, tolerability and maximum tolerated dose of green-lipped mussel (Perna canaliculus) lipid extract, in patients with advanced prostate and breast cancer. Ann Oncol 2010;2
Hepatitis Hepatic
Several cases of possible toxic hepatitis and granulomatous hepatitis have been reported for patients taking a specific New Zealand green-lipped mussel extract (Seatone). Liver function abnormalities have also been reported.
- Fabrin, B. [Possible toxic hepatitis after intake of an alternative preparation]. Ugeskr.Laeger 6-13-1988;150(24):1474-1475.
- Ahern, M. J., Milazzo, S. C., and Dymock, R. Granulomatous hepatitis and Seatone. Med J Aust 8-9-1980;2(3):151-152.
- Croft, J. E. Granulomatous hepatitis and Seatone. Med J Aust 10-4-1980;2(7):401-402.
- Sukumaran S, Pittman KB, Patterson WK, et al. A phase I study to determine the safety, tolerability and maximum tolerated dose of green-lipped mussel (Perna canaliculus) lipid extract, in patients with advanced prostate and breast cancer. Ann Oncol 2010;2
Myasthenia gravis Musculoskeletal
Orally, two reports of gout have been associated with the use of freeze-dried New Zealand green-lipped mussel (GlycOmega PLUS, Aroma NZ Ltd.) 3000 mg daily in clinical research.
Pruritus Dermatologic
Generalized itching has occurred in one child using a lipid extract of New Zealand green-lipped mussel extract.
- Lello J, Liang A, Robinson E, et al. Treatment of children's asthma with a lipid extract of the new Zealand green lipped mussel (Perna canaliculus) (Lyprinol®)-A double blind, randomized controlled trial in children with moderate to serve chronic obstruct
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no official or standardized dose for green-lipped mussel, and products vary widely in strength and form (powder versus lipid extract). Because of this, the best approach is to follow the directions on the product label.
Dosing depends on whether you are using a whole-mussel powder or a concentrated oil extract, so the amounts are not interchangeable. Check with your pharmacist or doctor to confirm a product and amount that is appropriate for you, especially if you take other medicines or have health conditions.
New Zealand Green-lipped Mussel & Pregnancy
New Zealand Green-lipped Mussel & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 12 references that drive our New Zealand Green-lipped Mussel monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Miller T, Wu H. In vivo evidence for prostaglandin inhibitory activity in New Zealand green-lipped mussel extract. N Z Med J 1984;97:355-7.
- Gibson SLM, Gibson RG. The treatment of arthritis with a lipid extract of Perna canaliculus: a randomised trial. Complement Ther Med 1998;6:122-6.
- Gibson RG, Gibson SL, Conway V, Chappell D. Perna canaliculus in the treatment of arthritis. Practitioner 1980;224:955-60.
- Fabrin, B. [Possible toxic hepatitis after intake of an alternative preparation]. Ugeskr.Laeger 6-13-1988;150(24):1474-1475.
- Gibson, R. G. and Gibson, S. L. Green-lipped mussel extract in arthritis. Lancet 2-21-1981;1(8217):439. PubMed
- Ahern, M. J., Milazzo, S. C., and Dymock, R. Granulomatous hepatitis and Seatone. Med J Aust 8-9-1980;2(3):151-152. PubMed
- Croft, J. E. Granulomatous hepatitis and Seatone. Med J Aust 10-4-1980;2(7):401-402. PubMed
- Lau, S., Chiu, P. K., Chu, E. M. Y., Cheng, I. Y. W., Tang, W. M., Man, R. Y. K., and Halpern, G. M. Treatment of knee osteoarthritis with Lyprinol, lipid extract of the green-lipped mussel - a double-blind placebo-controlled study. Progress in Nutrition
- Gruenwald, J., Graubaum, H., Hansen, K., and Grube, B. Efficacy and tolerability of a combination of LYPRINOL and high concentrations of EPA and DHA in inflammatory rheumatoid disorders... eicosapentaenoic acid... decosahexaenoid acid. Advances in Therap PubMed
- Coulson S, Vecchio P, Gramotnev H, Vitetta L. Green-lipped mussel (Perna canaliculus) extract efficacy in knee osteoarthritis and improvement in gastrointestinal dysfunction: a pilot study. Inflammopharmacology 2012;20:71-6. PubMed
- Sukumaran S, Pittman KB, Patterson WK, et al. A phase I study to determine the safety, tolerability and maximum tolerated dose of green-lipped mussel (Perna canaliculus) lipid extract, in patients with advanced prostate and breast cancer. Ann Oncol 2010;2 PubMed
- Lello J, Liang A, Robinson E, et al. Treatment of children's asthma with a lipid extract of the new Zealand green lipped mussel (Perna canaliculus) (Lyprinol®)-A double blind, randomized controlled trial in children with moderate to serve chronic obstruct
This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Brands that make products with New Zealand Green-lipped Mussel
72 brands in our database make a supplement containing New Zealand Green-lipped Mussel.
Supplement products with New Zealand Green-lipped Mussel
150 products in our database contain New Zealand Green-lipped Mussel. Open any to see its full ingredient list and every drug interaction we check.
New Zealand Green-lipped Mussel: Common Questions
What is New Zealand Green-lipped Mussel used for, and does it work?
Does New Zealand Green-lipped Mussel interact with prescription medications?
How are New Zealand Green-lipped Mussel interactions rated?
Is it safe to take New Zealand Green-lipped Mussel with my medications?
Where does this New Zealand Green-lipped Mussel interaction information come from?
What is New Zealand Green-lipped Mussel used for?
Is it safe if I have a shellfish allergy?
Can I take it while pregnant or breastfeeding?
How is it different from fish oil?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain New Zealand Green-lipped Mussel
A rotating sample of real supplements in our database that list New Zealand Green-lipped Mussel — open any to see its full ingredients and every drug interaction we check.
- JointMax by Wonder Laboratories
- Perna by DaVinci Laboratories
- MobiJoint by DC
- Green-Lipped Mussel by BodSmith
- New Zealand Green Lipped Mussel 500 mg by Swiss BioEnergetics
- Perna Plus by DaVinci Laboratories
- Shark Cartilage 740 mg by Bronson Laboratories
- Iodomere by SP Standard Process
- Joint-Flex by Purium
- Perna by DaVinci Laboratories
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