Shark Liver Oil Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Shark Liver Oil interacts with medications. The heart of this page is the interaction list — every drug Shark Liver Oil is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Shark Liver Oil 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 Shark Liver Oil against your medication
Add one medicationDrugs that interact with Shark Liver Oil
0 medications have a known interaction with Shark Liver Oil, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Shark Liver Oil. 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 Shark Liver Oil combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Shark Liver Oil: Uses, Safety & Side Effects
Shark liver oil is taken from the livers of deep-sea sharks and is rich in compounds called alkylglycerols and squalene. People use it for immune support, skin healing, and other conditions, but strong human evidence is largely lacking. Talk to your pharmacist or doctor before using it, especially since sustainability and contamination are concerns.
- Part used
- Liver oil from deep-sea sharks
- Common forms
- Capsules, softgels, liquid oil, topical creams and ointments
- Immune support
- Skin conditions and wound healing
- Cancer support (unproven)
- Hemorrhoid relief (topical)
- Cold and flu prevention
- General wellness tonic
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally tolerated short-term but human safety data are limited and product quality varies.
Insufficient reliable information available; avoid using.
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
Shark liver oil is an oil extracted from the livers of certain deep-sea sharks. These sharks live in cold, deep ocean waters, and their large livers store a lot of oil that helps them float. The oil has been used for many years in folk medicine, especially in Scandinavian fishing communities.
The oil contains natural fats including alkylglycerols, squalene, and omega-3 fatty acids. Today it is sold as capsules, softgels, liquids, and skin creams. People take it hoping to support the immune system, heal the skin, and improve overall health.
How it works
The two compounds most studied in shark liver oil are alkylglycerols and squalene. Alkylglycerols are naturally found in human bone marrow, breast milk, and the spleen, and lab studies suggest they may play a role in immune cell activity.
Squalene is a fatty substance that the body also makes on its own. It is used in skin care because it can moisturize and may help protect skin. Some researchers think these compounds may support healing or immune defense, but most of this work comes from laboratory and animal research, not large human trials.
Because the proposed mechanisms have not been clearly proven in people, it is best to view these explanations as theories rather than established facts.
Does Shark Liver Oil work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Shark Liver Oil, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 6 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Cancer
Although there has been interest in using oral shark liver oil for cancer, there is insufficient reliable information about the clinical effects of shark liver oil for this purpose.
Insufficient Reliable Evidence To Rate Chemotherapy-induced leukopenia
Although there has been interest in using oral shark liver oil for chemotherapy-induced leukopenia, there is insufficient reliable information about the clinical effects of shark liver oil for this purpose.
Insufficient Reliable Evidence To Rate Common cold
Although there has been interest in using oral shark liver oil for the common cold, there is insufficient reliable information about the clinical effects of shark liver oil for this purpose.
Insufficient Reliable Evidence To Rate Influenza
Although there has been interest in using oral shark liver oil for influenza, there is insufficient reliable information about the clinical effects of shark liver oil for this purpose.
Insufficient Reliable Evidence To Rate Radiation-induced nausea and vomiting
Although there has been interest in using oral shark liver oil for radiation-induced nausea and vomiting, along with other adverse effects of radiation therapy, there is insufficient reliable information about the clinical effects of shark liver oil for this purpose.
Insufficient Reliable Evidence To Rate Wound healing
Although there has been interest in using topical shark liver oil for wound healing, there is insufficient reliable information about the clinical effects of shark liver oil for this purpose.
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
Shark liver oil is generally tolerated by many people when used short-term, but good safety information from human studies is limited. A major concern is product quality. Because sharks are top ocean predators, their tissues can build up contaminants such as mercury, PCBs, and other pollutants. Quality and purity vary widely between brands.
People with seafood or fish allergies should be cautious. Anyone with a chronic health condition, a weakened immune system, or who is taking other medicines should check with a pharmacist or doctor first.
For pregnancy and breastfeeding, there is not enough safety information, and possible contaminants are a concern. It is safest to avoid shark liver oil during these times. Also note that many shark species are threatened, so sustainability is an ethical concern for some users.
Side effects
Reported side effects are usually mild and may include stomach upset, nausea, burping, or a fishy aftertaste. Loose stools can also occur with oily supplements.
Allergic reactions are possible, especially in people sensitive to fish or seafood. Rarely, contaminated products could expose users to harmful pollutants over time. Stop using the product and seek medical care if you have signs of an allergic reaction such as rash, swelling, or trouble breathing.
Shark Liver Oil: Reported Adverse Effects
Documented safety reports on Shark Liver Oil from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionHepatitis Hepatic
Orally, a case of severe acute hepatitis probably related to use of shark liver oil twice daily for 2 weeks has been reported. The patient presented with abdominal discomfort, jaundice, malaise, pruritus, and elevated levels of bilirubin and liver enzymes. Other potential causes were ruled out.
Myasthenia gravis Cardiovascular
Orally, shark liver oil 15 grams daily for 4 weeks has been shown to increase levels of total cholesterol by about 41.5 mg/dL to borderline high, and decrease levels of high-density lipoprotein (HDL) cholesterol, in healthy adults. These changes in lipid levels normalized after discontinuation of shark liver oil. Lower doses of shark liver oil, 1.5 grams daily for 8 weeks, do not appear to significantly affect total cholesterol, low-density lipoprotein (LDL) cholesterol, HDL cholesterol or triglyceride levels in healthy patients.
- Deniau AL, Mosset P, Pédrono F, Mitre R, Le Bot D, Legrand AB. Multiple beneficial health effects of natural alkylglycerols from shark liver oil. Mar Drugs. 2010 Jul 19;8(7):2175-84.
- Hamadate N, Matsumoto Y, Seto K, Yamamoto T, Yamaguchi H, Nakagawa T, Yamamoto E, Fukagawa M, Yazawa K. Vascular effects and safety of supplementation with shark liver oil in middle-aged and elderly males. Exp Ther Med. 2015 Aug;10(2):641-646. Epub 2015 J
Pneumonia Pulmonary/Respiratory
Both shark liver oil and the constituent squalene have been associated with cases of aspiration and subsequent lipoid pneumonia.
- Lee JY, Lee KS, Kim TS, et al. Squalene-induced extrinsic lipoid pneumonia: serial radiologic findings in nine patients. J Comput Assist Tomogr 1999;23:730-5.
- Lee JS, Im JG, Song KS, et al. Exogenous lipoid pneumonia: high-resolution CT findings. Eur Radiol 1999;9:287-91.
- Asnis DS, Saltzman HP, Melchert A. Shark oil pneumonia. An overlooked entity. Chest 1993;103:976-7.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no official or well-established dose for shark liver oil. Products differ in how much alkylglycerol or squalene they contain, so amounts on labels vary.
The safest approach is to follow the directions on the product label and not take more than recommended. Because quality and strength vary, check with your pharmacist or doctor before starting, and choose products from reputable companies that test for purity.
Shark Liver Oil & Pregnancy
Shark Liver Oil & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 6 references that drive our Shark Liver Oil 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.
- Lee JY, Lee KS, Kim TS, et al. Squalene-induced extrinsic lipoid pneumonia: serial radiologic findings in nine patients. J Comput Assist Tomogr 1999;23:730-5. PubMed
- Lee JS, Im JG, Song KS, et al. Exogenous lipoid pneumonia: high-resolution CT findings. Eur Radiol 1999;9:287-91. PubMed
- Asnis DS, Saltzman HP, Melchert A. Shark oil pneumonia. An overlooked entity. Chest 1993;103:976-7.
- Deniau AL, Mosset P, Pédrono F, Mitre R, Le Bot D, Legrand AB. Multiple beneficial health effects of natural alkylglycerols from shark liver oil. Mar Drugs. 2010 Jul 19;8(7):2175-84. PubMed
- Kilincalp S, Deveci M, Basar O, Ekiz F, Coban S, Yuksel O. Shark liver oil: hidden dangers. Ann Hepatol. 2012 Sep-Oct;11(5):728-30. DOI
- Hamadate N, Matsumoto Y, Seto K, Yamamoto T, Yamaguchi H, Nakagawa T, Yamamoto E, Fukagawa M, Yazawa K. Vascular effects and safety of supplementation with shark liver oil in middle-aged and elderly males. Exp Ther Med. 2015 Aug;10(2):641-646. Epub 2015 J PubMed
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 Shark Liver Oil
11 brands in our database make a supplement containing Shark Liver Oil.
Supplement products with Shark Liver Oil
20 products in our database contain Shark Liver Oil. Open any to see its full ingredient list and every drug interaction we check.
Shark Liver Oil: Common Questions
What is Shark Liver Oil used for, and does it work?
Does Shark Liver Oil interact with prescription medications?
How are Shark Liver Oil interactions rated?
Is it safe to take Shark Liver Oil with my medications?
Where does this Shark Liver Oil interaction information come from?
What is Shark Liver Oil used for?
Is Shark Liver Oil safe to take?
Can I take Shark Liver Oil if I am pregnant or breastfeeding?
Does Shark Liver Oil treat cancer?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Shark Liver Oil
A rotating sample of real supplements in our database that list Shark Liver Oil — open any to see its full ingredients and every drug interaction we check.
- Squalene by Cardiovascular Research
- Shark Liver Oil 1000 mg by Life Extension
- Omega 3, 6 & 9 by Omojo
- Immun-Alk by AN American Nutriceuticals
- Postpartum Omega Mom by Country Life
- Ecomer Shark Liver Oil-Alkylglycerols by AN American Nutriceuticals
- Shark Liver Oil 500 mg by Vitamin World
- Ecomer Shark Liver Oil-Alkylglycerols by AN American Nutriceuticals
- Shark Liver Oil Vitamin A by NOW
- Squalene 500 mg by Advanced Research
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