Herb & supplement monograph

New Zealand Green-lipped Mussel Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines
Interaction report

Drugs 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.

Read The List Like a Pharmacist

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.
Monograph

New Zealand Green-lipped Mussel: Uses, Safety & Side Effects

The bottom line

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
People commonly use it for
  • 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.

Safety at a glance
OverallUse caution

Generally well tolerated, but anyone with a shellfish allergy should avoid it.

PregnancyPossibly Unsafe

When used orally; avoid using. It may cause retarded fetal development and delay in parturition.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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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.

Effectiveness

Does New Zealand Green-lipped Mussel work?

Evidence overview · 8 uses evaluated
8 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

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
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral New Zealand green-lipped mussel extract is beneficial in children with ADHD.

Insufficient Reliable Evidence To Rate Breast cancer
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

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.

Reports by condition
Diarrhea Gastrointestinal

Orally, New Zealand green-lipped mussel or lipid extract can cause reflux, abdominal pain, diarrhea, nausea, or flatulence.

  1. 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.
  2. Gibson RG, Gibson SL, Conway V, Chappell D. Perna canaliculus in the treatment of arthritis. Practitioner 1980;224:955-60.
  3. Gibson, R. G. and Gibson, S. L. Green-lipped mussel extract in arthritis. Lancet 2-21-1981;1(8217):439.
  4. 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
  5. 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
  6. 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.
  7. 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
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.

  1. 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.
Pruritus Dermatologic

Generalized itching has occurred in one child using a lipid extract of New Zealand green-lipped mussel extract.

  1. 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
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

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.

Pregnancy & Breastfeeding

New Zealand Green-lipped Mussel & Pregnancy

Possibly Unsafe

When used orally; avoid using. It may cause retarded fetal development and delay in parturition.

  1. 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.

New Zealand Green-lipped Mussel & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 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.

  1. 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.
  2. 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.
  3. Gibson RG, Gibson SL, Conway V, Chappell D. Perna canaliculus in the treatment of arthritis. Practitioner 1980;224:955-60.
  4. Fabrin, B. [Possible toxic hepatitis after intake of an alternative preparation]. Ugeskr.Laeger 6-13-1988;150(24):1474-1475.
  5. Gibson, R. G. and Gibson, S. L. Green-lipped mussel extract in arthritis. Lancet 2-21-1981;1(8217):439. PubMed
  6. Ahern, M. J., Milazzo, S. C., and Dymock, R. Granulomatous hepatitis and Seatone. Med J Aust 8-9-1980;2(3):151-152. PubMed
  7. Croft, J. E. Granulomatous hepatitis and Seatone. Med J Aust 10-4-1980;2(7):401-402. PubMed
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
Keep reading

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

Product directory

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.

Arthri-D3 by Arthri-D Capsule 120 Capsule(s) View ingredients & interactions Arthri-D3 by Arthri-D Capsule 120 Capsule(s) View ingredients & interactions Arthrit-Eze by XtendLife Tablet Or Pill 90 Tablet(s) View ingredients & interactions Arthro-Joint & Muscle Support Factors by Country Life Softgel Capsule 60 Softgel(s) View ingredients & interactions Arthro-Vantage Comprehensive Care by Bricker Labs Capsule 120 Capsule(s) View ingredients & interactions Arthro-Vantage Comprehensive Care by Bricker Labs Capsule 120 Capsule(s) View ingredients & interactions ArthroSoothe by Designs for Health Capsule 120 Vegetarian Capsule(s) View ingredients & interactions ArthroSoothe Supreme by Designs for Health Capsule 120 Vegetarian Capsule(s) View ingredients & interactions Clinical Advanced Joint Care by Natural Clinician Capsule 120 Vegetable Capsule(s) View ingredients & interactions Ease by Plexus Capsule 60 Capsule(s) View ingredients & interactions ETArol Plus Comprehensive Care by Bricker Labs Capsule 120 Capsule(s) View ingredients & interactions Fast Relief by Plexus Capsule 60 Capsule(s) View ingredients & interactions Flex-Free Joint Support Complex by BioGanix Tablet Or Pill 90 Tablet(s) View ingredients & interactions FlexLogic by Nulogic Nutritionals Capsule 180 Capsule(s) View ingredients & interactions FlexProtex by Daily Health Capsule 120 Capsule(s) View ingredients & interactions Foot Comfort Complex by Indiana Botanic Gardens Capsule 60 Capsule(s) View ingredients & interactions GC-MSM 3550 by Progressive Professional from Progressive Laboratories Capsule 120 Capsule(s) View ingredients & interactions GluComplex Gold by SimplyBest Tablet Or Pill 30 Tablet(s) View ingredients & interactions Green Lipped Mussel by California Academy of Health Capsule 120 Capsule(s) View ingredients & interactions Green Lipped Mussel by Swanson Softgel Capsule 30 Softgel(s) View ingredients & interactions Green Lipped Mussel 450 mg by TerraVita Premium Collection Capsule 100 Capsule(s) View ingredients & interactions Green Lipped Mussel 500 mg by Swanson Capsule 60 Capsule(s) View ingredients & interactions Green Lipped Mussel Capsules 750 mg by BulkSupplements.com Capsule 120 Capsule(s) View ingredients & interactions Green Lipped Mussel Oil by Antler Farms Softgel Capsule 120 Softgel(s) View ingredients & interactions
Pharmacist Counseling Corner

New Zealand Green-lipped Mussel: Common Questions

What is New Zealand Green-lipped Mussel used for, and does it work?
People use New Zealand Green-lipped Mussel for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does New Zealand Green-lipped Mussel interact with prescription medications?
We do not currently list any known drug interactions for New Zealand Green-lipped Mussel. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are New Zealand Green-lipped Mussel interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take New Zealand Green-lipped Mussel with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this New Zealand Green-lipped Mussel interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is New Zealand Green-lipped Mussel used for?
It is mostly used for joint pain and stiffness from osteoarthritis, and sometimes for rheumatoid arthritis or general inflammation. The evidence is mixed and modest at best.
Is it safe if I have a shellfish allergy?
No. Green-lipped mussel is a shellfish, so people with a shellfish allergy should avoid it because it could cause a serious allergic reaction.
Can I take it while pregnant or breastfeeding?
It is best to avoid it during pregnancy and breastfeeding because there is not enough safety information. Talk to your doctor before using any supplement during these times.
How is it different from fish oil?
Both contain omega-3 fats, but green-lipped mussel has some unique fats and other compounds, and it comes from shellfish rather than fish. It is not the same as standard fish oil.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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