CitraNatal DHA Gelatin Capsule Ingredients & Drug Interactions
by Mission Pharmacal CitraNatal
What is this page for?
First and foremost: checking CitraNatal DHA Gelatin Capsule against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
CitraNatal DHA Gelatin Capsule is a dietary supplement by Mission Pharmacal CitraNatal with 2 active ingredients. Its ingredients are commonly taken for vegan/vegetarian source of omega-3s (dha and epa), heart and triglyceride health, brain and eye support.Based on those ingredients, 375 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are 40% from Algal Oil. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal
Ask about any prescription or over-the-counter medication and we check it for interactions with CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
CitraNatal DHA Gelatin Capsule contains 2 active ingredients: eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), supplied as 40% from algal oil. These are omega-3 fatty acids that support heart, brain, and eye health.
The capsule also contains inactive ingredients — high oleic sunflower oil, sunflower lecithin, rosemary extract, tocopherols, and ascorbyl palmitate — which serve as the carrier, emulsifier, preservatives, and antioxidants.
Does it work?
Moderate evidence
For preterm labor, algal oil is rated possibly effective based on available evidence. For fractures, cystic fibrosis, physical performance, and cognitive function, the evidence suggests it is possibly ineffective.
For nonalcoholic fatty liver disease (NAFLD), there isn't enough reliable evidence in the data we hold to establish whether it works or doesn't.
How safe is it?
Well-documented data
Algal oil is generally well tolerated by most healthy adults at typical supplement doses. During pregnancy, DHA is often recommended, but use only under guidance of your healthcare provider.
During breastfeeding, DHA supports infant development, but talk to your provider before using this product. The product may theoretically increase low-density lipoprotein (LDL) cholesterol levels by about 8% in some people, and rare adverse effects such as hair loss, itching, rash, or warmth in the hands have been reported in individual cases, though causality is not always clear.
Meds to double-check
Moderate interaction found
Before taking CitraNatal DHA, double-check any antihypertensive drugs (blood pressure medications) — algal oil may increase the risk of low blood pressure. Also check antidiabetes drugs, as algal oil may theoretically reduce their effects.
If you take anticoagulant or antiplatelet drugs (blood thinners), be aware of a minor bleeding-risk interaction, especially at higher doses.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This supplement is intended to provide omega-3 fatty acids, particularly DHA, which is recommended in pregnancy and supports infant development. If you take blood pressure medications, diabetes medications, or blood thinners, check with your pharmacist before starting — this product may affect how they work.
Talk to your healthcare provider about whether it's right for you, especially during pregnancy or breastfeeding.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated May 22, 2015.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about CitraNatal DHA Gelatin Capsule, straight from the product label.
| Brand | Mission Pharmacal CitraNatal |
|---|---|
| Barcode (UPC) | 689076898307 |
| Net contents | 6 Blister Pack(s) |
| Market status | On market |
| Date entered into DSLD | May 22, 2015 |
| DSLD ID | 45465 |
| Product type | Fat/fatty Acid |
| Supplement form | Capsule |
| Dietary claims / uses | Nutrient, All Other |
| Intended target group(s) | Pregnant Women, Adult Female (18 - 50 Years), Lactating, Gluten Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Eicosapentaenoic Acid | 0.65 mg | -- |
| Docosahexaenoic Acid | 250 mg | -- |
| 40% from Algal Oil | 625 mg | -- |
Other ingredients: high Oleic Sunflower Oil, Sunflower Lecithin, Rosemary extract, Tocopherols, Ascorbyl Palmitate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
General Statements
HOW SUPPLIED: Six child-resistant blister packs of 5 tablets and 5 capsules each - NDC 0178-0829-30
March of Dimes does not endorse specific products or brands.
Child-Resistant Blister Packaging
N
#1 RX prenatal vitamin brand
Rx Only
NDC 0178-0898-30
CONTAINS Six 5-day Blister Packs
The essential fatty acid DHA capsule is caramel colored and contains a light yellow to orange semi-solid mixture.
Gentle nutrition for baby and mom
General
500238 C01 Rev 011110
Seals/Symbols
Mission PHARMACAL(R)
life'sDHA(TM) HEALTHY BRAIN, EYES, HEART
march of dimes(R)
Brand IP Statement(s)
Copyright(C) 2011 Mission Pharmacal Company. All rights reserved.
lef'sDHA is a trademark of DSM. U.S. Patent No. 7,579,174 U.S. Patent No. 7,732,170 U.S. Patent No. 5,518,918
March of Dimes is a registered trademark of the March of Dimes Foundation.
Mission Pharmacal is a proud supporter of the March of Dimes(R).
Formula
Rx Prenatal Vitamin Tablet and 250 mg DHA Capsule
- Natural, plant-based DHA for your baby's healthy development
An Rx prenatal vitamin and omega-3 (DHA) derived from an all natural plant source
DESCRIPTION: CitraNatal(R) DHA is a prescription prenatal/postnatal multivitamin/mineral tablet with Ferr-Ease(R), a patented dual-iron delivery comprising both a quick release and slow release iron, and a capsule of an essential fatty acid.
INDICATIONS: CitraNatal(R) DHA is a multivitamin/mineral prescription drug indicated for use in improving the nutritional status of women prior to conception, throughout pregnancy, and in the postnatal period for both lactating and non-lactating mothers.
Formulation
- Gluten and lactose free
Precautions
CONTRAINDICATIONS: This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.
WARNING: Ingestion of more than 3 grams of omega-3 fatty acids per day has been shown to have potential antithrombotic effects, including an increased bleeding time and INR. Administration of omega-3 fatty acids should be avoided in patients on anticoagulants and in those known to have an inherited or acquired bleeding diathesis.
Suggested/Recommended/Usage/Directions
DOSAGE AND ADMINISTRATION: One tablet and one capsule daily or as directed by a physician.
Storage
STORAGE: Store at 20-25(0)C (68-77(0)F)
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Gelatin Capsule(s) Dosage formCapsule Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Eicosapentaenoic Acid
Docosahexaenoic Acid
Other (inactive) ingredients: High Oleic Sunflower Oil, Sunflower Lecithin, Rosemary extract, Tocopherols, Ascorbyl Palmitate. These complete the product’s ingredient list but are not active constituents.
CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal Drug Interactions
HelloPharmacist Interaction Report
CitraNatal DHA Gelatin Capsule contains algal oil as a source of omega-3 fatty acids and has documented interactions with three categories of medications.
The most serious is with antihypertensive drugs (blood pressure medications) — algal oil may theoretically increase the risk of low blood pressure (hypotension) if combined with these drugs, and the effect could be additive.
Read the full breakdown — every affected drug type, severity by severity
The product also carries Moderate-severity interactions with antidiabetes drugs; algal oil may theoretically interfere with how these medications work and reduce their effects. Additionally, there is a Minor-severity interaction with anticoagulant or antiplatelet drugs (blood thinners and antiplatelet agents) — algal oil may theoretically increase bleeding risk, especially at higher doses of EPA.
We could not check eicosapentaenoic acid (EPA) for interactions because we hold no data for it. Altogether, these interactions span 372 individual medications.
Use the medication checker on this page to look up any prescription or over-the-counter drugs you take before starting this supplement.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against CitraNatal DHA Gelatin Capsule?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in CitraNatal DHA Gelatin Capsule interact with 375 drugs. Click any drug to see the details.
1 of the 2 ingredients in CitraNatal DHA Gelatin Capsule interact with drugs. Each result below shows which ingredient is responsible. 40% from Algal Oil
AcarboseGlucobay, Prandase, Precose
How Acarbose interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antidiabetes drugs might interfere with the effects of antidiabetes drugs and reduce their effects.
Read the full 40% From Algal Oil + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Acebutolol interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antidiabetes drugs might interfere with the effects of antidiabetes drugs and reduce their effects.
Read the full 40% From Algal Oil + Acetohexamide interactionAlbiglutideTanzeum
How Albiglutide interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antidiabetes drugs might interfere with the effects of antidiabetes drugs and reduce their effects.
Read the full 40% From Algal Oil + Albiglutide interactionAliskirenTekturna
How Aliskiren interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Aliskiren interactionAlogliptinNesina
How Alogliptin interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antidiabetes drugs might interfere with the effects of antidiabetes drugs and reduce their effects.
Read the full 40% From Algal Oil + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antidiabetes drugs might interfere with the effects of antidiabetes drugs and reduce their effects.
Read the full 40% From Algal Oil + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antidiabetes drugs might interfere with the effects of antidiabetes drugs and reduce their effects.
Read the full 40% From Algal Oil + Alogliptin, Pioglitazone interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Amiloride, Hydrochlorothiazide interactionAmlodipineNorliqva
How Amlodipine interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Ammonium Chloride interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antidiabetes drugs might interfere with the effects of antidiabetes drugs and reduce their effects.
Read the full 40% From Algal Oil + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAprocitentanTryvio
How Aprocitentan interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Aprocitentan interactionAtenololAtenix, Tenormin
How Atenolol interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Atenolol interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Atenolol, Chlorthalidone interactionAzilsartanEdarbi
How Azilsartan interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Azilsartan, Chlorthalidone interactionBenazeprilLotensin
How Benazepril interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Benazepril interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Benazepril, Hydrochlorothiazide interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with CitraNatal DHA Gelatin Capsule — through 1 ingredient. Tap an ingredient for the detail:
40% From Algal OilAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Read the full 40% From Algal Oil + Bendroflumethiazide, Nadolol interactionEach ingredient & the kinds of drugs it affects
For each ingredient in CitraNatal DHA Gelatin Capsule with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
40% from Algal Oil
Antidiabetes Drugs
Theoretically, taking algal oil with antidiabetes drugs might interfere with the effects of antidiabetes drugs and reduce their effects.
Most algal oil contains docosahexaenoic acid (DHA). Clinical research in people with type 2 diabetes, including those taking antidiabetes drugs, shows that taking DHA 4 grams daily for 6 weeks increases fasting blood glucose levels by about 18 mg/dL when compared with taking olive oil.
Antihypertensive Drugs
Theoretically, taking algal oil with antihypertensive drugs might increase the risk of hypotension.
Algal oil usually contains docosahexaenoic acid (DHA) and/or eicosapentaenoic acid (EPA). There is evidence that fish oil, which also contains DHA and EPA, can modestly lower blood pressure and might have additive effects in patients treated with antihypertensive drugs.
Anticoagulant/Antiplatelet Drugs
Theoretically, algal oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
The risk of interaction is highest for algal oil containing high amounts (> 2 grams daily) of eicosapentaenoic acid (EPA), or EPA and docosahexaenoic acid (DHA). High doses of EPA or oils containing EPA and DHA can reduce platelet aggregation in humans. However, most algal oil contains very little EPA and larger amounts of DHA. While some conflicting evidence exist, most research shows that DHA alone does not affect blood clotting.
Brand information
Manufacturer and brand details for CitraNatal DHA Gelatin Capsule, from the product label.
Mission Pharmacal CitraNatal
See all Mission Pharmacal CitraNatal products- Phone Number
- (210) 696-8400
CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal: Common Questions
Does CitraNatal DHA Gelatin Capsule by Mission Pharmacal CitraNatal interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this during pregnancy?
Is this safe while breastfeeding?
What are EPA and DHA, and why are they in this supplement?
Does this supplement help with brain and eye development?
Can this raise my cholesterol?
Why does the product say 40% from algal oil?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if CitraNatal DHA Gelatin Capsule is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind CitraNatal DHA Gelatin Capsule’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
CitraNatal DHA Gelatin Capsule's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 43 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Algal Oil 43 references
- Prisco D, Paniccia R, Bandinelli B, et al. Effect of medium-term supplementation with a moderate dose of n-3 polyunsaturated fatty acids on blood pressure in mild hypertensive patients. Thromb Res 1998;1:105-12.
- Grimsgaard S, Bonaa KH, Hansen JB, Nordoy A. Highly purified eicosapentaenoic acid and docosahexaenoic acid in humans have similar triacylglycerol-lowering effects but divergent effects on serum fatty acids. Am J Clin Nutr 1997;66:649-59.
- Toft I, Bonaa KH, Ingebretsen OC, et al. Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial. Ann Intern Med 1995;123:911-8.
- Sacks FM, Hebert P, Appel LJ, et al. Short report: the effect of fish oil on blood pressure and high-density lipoprotein-cholesterol levels in phase I of the trials of hypertension prevention. J Hypertens 1994;12:209-13.
- Vandongen R, Mori TA, Burke V, et al. Effects on blood pressure of omega 3 fats in subjects at increased risk of cardiovascular disease. Hypertension 1993;22:371-9. PubMed
- FDA. Center for Food Safety and Applied Nutrition. Letter regarding dietary supplement health claim for omega-3 fatty acids and coronary heart disease. Available at: http://www.fda.gov/ohrms/dockets/dockets/95s0316/95s-0316-Rpt0272-38-Appendix-D-Reference
- Leaf A. On the reanalysis of the GISSI-Prevenzione. Circulation 2002;105:1874-5. PubMed
- Connor WE. n-3 Fatty acids from fish and fish oil: panacea or nostrum? Am J Clin Nutr 2001;74;415-6. PubMed
- Calder PC. N-3 polyunsaturated fatty acids, inflammation and immunity: pouring oil on troubled waters or another fishy tale? Nutr Res 2001;21:309-41. DOI
- Pedersen HS, Mulvad G, Seidelin KN, et al. N-3 fatty acids as a risk factor for haemorrhagic stroke. Lancet 1999;353:812-3. PubMed
- Terano T, Hirai A, Hamazaki T, et al. Effect of oral administration of highly purified eicosapentaenoic acid on platelet function, blood viscosity and red cell deformability in healthy human subjects. Atherosclerosis 1983;46:321-31.. PubMed
- Kris-Ehterton PM, Harris WS, Appel LJ, et al. Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Circulation 2002;106:2747-57. PubMed
- Woodman RJ, Mori TA, Burke V, et al. Effects of purified eicosapentaenoic and docosahexaenoic acids on glycemic control, blood pressure, and serum lipids in type 2 diabetic patients with treated hypertension. Am J Clin Nutr 2002;76:1007-15.. PubMed
- Marangell LB, Martinez JM, Zboyan HA, et al. A double-blind, placebo-controlled study of the omega-3 fatty acid docosahexaenoic acid in the treatment of major depression. Am J Psychiatry 2003;160:996-8.. PubMed
- Leng GC, Smith FB, Fowkes FG, et al. Relationship between plasma essential fatty acids and smoking, serum lipids, blood pressure and haemostatic and rheological factors. Prostaglandins Leukot Essent Fatty Acids 1994;51:101-8. PubMed
- Nelson GJ, Schmidt PS, Bartolini GL, et al. The effect of dietary docosahexaenoic acid on platelet function, platelet fatty acid composition, and blood coagulation in humans. Lipids 1997;32:1129-36. PubMed
- Wheaton DH, Hoffman DR, Locke KG, et al. Biological safety assessment of docosahexaenoic acid supplementation in a randomized clinical trial for X-linked retinitis pigmentosa. Arch Ophthalmol 2003;121:1269-78. PubMed
- Svaneborg N, Kristensen SD, Hansen LM, et al. The acute and short-time effect of supplementation with the combination of n-3 fatty acids and acetylsalicylic acid on platelet function and plasma lipids. Thromb Res 2002;105:311-6. PubMed
- Yokoyama M, Origasa H, Matsuzaki M, et al. Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis. Lancet 2007;369:1090-8. PubMed
- von Houwelingen R, Nordøy A, van der Beek E, et al. Effect of a moderate fish intake on blood pressure, bleeding time, hematology, and clinical chemistry in healthy males. Am J Clin Nutr. 1987 Sep;46(3):424-36. PubMed
- Goodnight SH Jr, Harris WS, Connor WE. The effects of dietary omega 3 fatty acids on platelet composition and function in man: a prospective, controlled study. Blood. 1981 Nov;58(5):880-5. DOI
- Mori, T. A., Bao, D. Q., Burke, V., Puddey, I. B., and Beilin, L. J. Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans. Hypertension 1999;34(2):253-260. PubMed
- Nestel, P., Shige, H., Pomeroy, S., Cehun, M., Abbey, M., and Raederstorff, D. The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans. Am.J.Clin.Nutr. 2002;76(2):326-330. PubMed
- Woodman, R. J., Mori, T. A., Burke, V., Puddey, I. B., Barden, A., Watts, G. F., and Beilin, L. J. Effects of purified eicosapentaenoic acid and docosahexaenoic acid on platelet, fibrinolytic and vascular function in hypertensive type 2 diabetic patients PubMed
- Theobald, H. E., Goodall, A. H., Sattar, N., Talbot, D. C., Chowienczyk, P. J., and Sanders, T. A. Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women. J Nutr 2007;137(4):973-978.
- Mischoulon D, Best-Popescu C, Laposata M, et al. A double-blind dose-finding pilot study of docosahexaenoic acid (DHA) for major depressive disorder. Eur Neuropsychopharmacol. 2008;18(9):639-645. PubMed
- Arterburn, L. M., Oken, H. A., Bailey, Hall E., Hamersley, J., Kuratko, C. N., and Hoffman, J. P. Algal-oil capsules and cooked salmon: nutritionally equivalent sources of docosahexaenoic acid. J Am Diet Assoc 2008;108(7):1204-1209. PubMed
- Zucker, M. L., Bilyeu, D. S., Helmkamp, G. M., Harris, W. S., and Dujovne, C. A. Effects of dietary fish oil on platelet function and plasma lipids in hyperlipoproteinemic and normal subjects. Atherosclerosis 1988;73(1):13-22. PubMed
- Bernstein AM, Ding EL, Willett WC, Rimm EB. A meta-analysis shows that docosahexaenoic acid from algal oil reduces serum triglycerides and increases HDL-cholesterol and LDL-cholesterol in persons without coronary heart disease. J Nutr. 2012;142(1):99-104.
- Carlson SE, Colombo J, Gajewski BJ, Gustafson KM, Mundy D, Yeast J, Georgieff MK, Markley LA, Kerling EH, Shaddy DJ. DHA supplementation and pregnancy outcomes. Am J Clin Nutr. 2013 Apr;97(4):808-15. PubMed
- Fu YQ, Zheng JS, Yang B, Li D. Effect of individual omega-3 fatty acids on the risk of prostate cancer: a systematic review and dose-response meta-analysis of prospective cohort studies. J Epidemiol. 2015;25(4):261-74. PubMed
- Imhoff-Kunsch B, Stein AD, Villalpando S, Martorell R, Ramakrishnan U. Docosahexaenoic acid supplementation from mid-pregnancy to parturition influenced breast milk fatty acid concentrations at 1 month postpartum in Mexican women. J Nutr. 2011 Feb;141(2): PubMed
- Mulder KA, King DJ, Innis SM. Omega-3 fatty acid deficiency in infants before birth identified using a randomized trial of maternal DHA supplementation in pregnancy. PLoS One. 2014 Jan 10;9(1):e83764. PubMed
- Richardson AJ, Burton JR, Sewell RP, Spreckelsen TF, Montgomery P. Docosahexaenoic acid for reading, cognition and behavior in children aged 7-9 years: a randomized, controlled trial (the DOLAB Study). PLoS One. 2012;7(9):e43909. PubMed
- Ballantyne CM, Bays HE, Kastelein JJ, Stein E, Isaacsohn JL, Braeckman RA, Soni PN. Efficacy and safety of eicosapentaenoic acid ethyl ester (AMR101) therapy in statin-treated patients with persistent high triglycerides (from the ANCHOR study). Am J Cardi PubMed
- FDA announces qualified health claims for omega-3 fatty acids. Available at: https://www.fda.gov/Food/LabelingNutrition/ucm072756.htm. Accessed April 15 2019.
- Breastfeeding and the use of human milk. Section on Breastfeeding. Pediatrics. 2012;129(3):e827-41. PubMed
- Zhang Z, Fulgoni VL, Kris-Etherton PM, Mitmesser SH. Dietary Intakes of EPA and DHA Omega-3 Fatty Acids among US Childbearing-Age and Pregnant Women: An Analysis of NHANES 2001-2014. Nutrients. 2018;10(4). PubMed
- Montgomery P, Spreckelsen TF, Burton A, Burton JR, Richardson AJ. Docosahexaenoic acid for reading, working memory and behavior in UK children aged 7-9: A randomized controlled trial for replication (the DOLAB II study). PLoS One. 2018;13(2):e0192909. PubMed
- Rao A, Briskey D, Nalley JO, Ganuza E. Omega-3 eicosapentaenoic acid (EPA) rich extract from the microalga Nannochloropsis decreases cholesterol in healthy individuals: A double-blind, randomized, placebo-controlled, three-month supplementation study. Nut PubMed
- Marc I, Piedboeuf B, Lacaze-Masmonteil T, et al. Effect of maternal docosahexaenoic acid supplementation on bronchopulmonary dysplasia-free survival in breastfed preterm infants: A randomized clinical trial. JAMA. 2020;324(2):157-167. PubMed
- Fougère H, Bilodeau JF, Lavoie PM, et al. Docosahexaenoic acid-rich algae oil supplementation on breast milk fatty acid profile of mothers who delivered prematurely: a randomized clinical trial. Sci Rep 2021;11(1):21492. PubMed
- Yang Y, Li G, Li F, et al. Impact of DHA from algal oil on the breast milk DHA levels of lactating women: A randomized controlled trial in China. Nutrients 2022;14(16):3410. PubMed
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