Fish Oil Q Ingredients & Drug Interactions
by Carlson
What is this page for?
First and foremost: checking Fish Oil Q 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
Fish Oil Q is a dietary supplement by Carlson with 3 active ingredients. Its ingredients are commonly taken for heart health, statin-related muscle aches, migraine prevention.Based on those ingredients, 348 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Norwegian Fish Oil Concentrate, Coenzyme Q-10. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Fish Oil Q by Carlson
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HelloPharmacist Scorecard of Fish Oil Q by Carlson
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
Fish Oil Q contains three active ingredients. Docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) are omega-3 fatty acids derived from Norwegian fish oil concentrate—these are the primary components you're getting.
The product also includes coenzyme Q10 (CoQ10), an antioxidant your body makes naturally and that plays a role in energy production in your cells. The softgel capsule itself is made from bovine gelatin, with glycerin, water, annatto for color, mixed tocopherols (a form of vitamin E), and beeswax as inactive ingredients.
Does it work?
Moderate evidence
Coenzyme Q10 in this product has the strongest evidence for coenzyme Q10 deficiency, where it's considered likely effective. It's possibly effective for fibromyalgia, migraine headaches, congestive heart failure, and diabetic neuropathy—meaning the research shows promise but isn't definitive yet.
The effectiveness data we hold doesn't cover the omega-3 fatty acids (DHA and EPA) in this product specifically, so we can't speak to what the evidence shows for those components.
How safe is it?
Well-documented data
Coenzyme Q10 is generally well tolerated by most adults when used as directed. Gastrointestinal side effects like nausea, diarrhea, heartburn, and appetite loss can occur, but they happen in less than 1% of people and often improve if doses above 100 mg are split across the day.
Headache, dizziness, and insomnia have also been reported in studies. A very small number of people have reported skin itching or rash.
For pregnancy, there isn't enough reliable safety data, so it's best to avoid this product unless your doctor advises otherwise. Breastfeeding safety hasn't been well studied either—if you're nursing, check with your doctor or pharmacist before taking it.
Meds to double-check
Moderate interaction found
Before you take Fish Oil Q, double-check your medications against chemotherapy drugs (especially alkylating agents like cyclophosphamide), warfarin or other blood thinners, and blood pressure medications. These are the drug types where interactions have been documented with coenzyme Q10 in this product.
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 product could be worth considering if you have a coenzyme Q10 deficiency or are exploring options for migraine, heart health, or nerve pain—and if you don't take blood thinners or chemotherapy drugs. If you're on warfarin, any blood pressure medication, or cancer treatment, talk to your pharmacist or doctor before starting.
The same goes if you're pregnant or breastfeeding.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Aug 22, 2025.
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 Fish Oil Q, straight from the product label.
| Brand | Carlson |
|---|---|
| Barcode (UPC) | 088395016738 |
| Net contents | 60 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Aug 22, 2025 |
| DSLD ID | 337518 |
| Product type | Other Combinations |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), 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 Fish Oil Q by Carlson, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 25 Calorie(s) | -- |
| Total Fat | 2.5 Gram(s) | 3% |
| Protein | 1 Gram(s) | -- |
| Docosahexaenoic Acid Ethyl Ester | 400 mg | -- |
| Total Omega-3 Fatty Acids Ethyl Esters | 1200 mg | -- |
| Coenzyme Q-10 | 200 mg | -- |
| Norwegian Fish Oil Concentrate | 2 Gram(s) | -- |
| Eicosapentaenoic Acid Ethyl Ester | 600 mg | -- |
Other ingredients: Bovine Gelatin, Glycerin, Water, Annatto, Mixed Tocopherols, Beeswax
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.
Formula
1,200 mg Omega-3s 200 mg CoQ10
Fish Oil Q combines the beneficial omega-3s EPA and DHA, plus CoQ10 to promote optimal cardiovascular health.
Seals/Symbols
Purity Guaranteed Freshness & Potency
Friend of the Sea Impact collective Reduced Plastic Impact
FDA Statement of Identity
Dietary Supplement
Formulation
Cardiovascular function Energy production Circulatory support
Gluten-free No artificial preservatives
Purity Guaranteed This product is regularly tested by independent FDA registered laboratories. An FDA Regulated Facility
It has been determined to be fresh and fully potent (per AOCS international protocols) and is free of detrimental levels of mercury, cadmium, lead, PCBs and 28 other contaminants.
Brand IP Statement(s)
Carlson Providing the finest Norwegian omega-3s since 1982
Suggested/Recommended/Usage/Directions
Directions: Adults: take two soft gels daily at mealtime.
FDA Disclaimer Statement
These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.
Precautions
Contains fish (anchovy, sardine and mackerel).
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Fish Oil Q by Carlson 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 Fish Oil Q by Carlson
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Soft Gel(s) Dosage formSoftgel Capsule Servings per container30 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.
Protein
Coenzyme Q-10
Interacts with198 drugs
CoQ10 is a vitamin-like substance your body makes naturally that helps cells produce energy and acts as an antioxidant. It is generally well tolerated...
Coenzyme Q-10 monograph & interactionsNorwegian Fish Oil Concentrate
Interacts with327 drugs
Fish oil provides omega-3 fatty acids (EPA and DHA) that are best known for lowering high triglyceride levels. The evidence for other heart and health...
Norwegian Fish Oil Concentrate monograph & interactions- › Total Omega-3 Fatty Acids Ethyl Esters
Other (inactive) ingredients: Bovine Gelatin, Glycerin, Water, Annatto, Mixed Tocopherols, Beeswax. These complete the product’s ingredient list but are not active constituents.
Fish Oil Q by Carlson Drug Interactions
HelloPharmacist Interaction Report
Fish Oil Q by Carlson contains coenzyme Q10, which has documented interactions with certain medications.
The most serious concern is with chemotherapy drugs called alkylating agents (such as cyclophosphamide)—coenzyme Q10's antioxidant effects may theoretically reduce how well these drugs work against cancer cells.
Read the full breakdown — every affected drug type, severity by severity
Coenzyme Q10 can also interact with warfarin (Coumadin), a blood thinner. It may decrease warfarin's ability to prevent clots; a small number of cases of reduced warfarin effectiveness have been reported.
Additionally, coenzyme Q10 might add to the blood-pressure-lowering effects of antihypertensive drugs, though the data here is mixed.
Two ingredients in this product—docosahexaenoic acid ethyl ester and eicosapentaenoic acid ethyl ester—we couldn't check; we hold no interaction data for them. Altogether, these interactions span 196 individual medications.
Use the medication checker below to look up your exact drugs before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Fish Oil Q?
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 Fish Oil Q interact with 348 drugs. Click any drug to see the details.
2 of the 3 ingredients in Fish Oil Q interact with drugs. Each result below shows which ingredient is responsible. Norwegian Fish Oil Concentrate Coenzyme Q-10
AcebutololRhotral, Sectral
How Acebutolol interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Acebutolol interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Acebutolol interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Acetazolamide interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Acetazolamide interactionAliskirenTekturna
How Aliskiren interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Aliskiren interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Aliskiren interactionAltretamineHexalen
How Altretamine interacts with Fish Oil Q — through 1 ingredient. Tap an ingredient for the detail:
Coenzyme Q-10Alkylating Agents Moderate
Interaction Summary
Coenzyme Q10 has antioxidant effects.
Read the full Coenzyme Q-10 + Altretamine interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Ambrisentan interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Amiloride interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Amiloride, Hydrochlorothiazide interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Amiloride, Hydrochlorothiazide interactionAmlodipineNorliqva
How Amlodipine interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Amlodipine interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Amlodipine Benzoate interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Amlodipine Besilate interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Amlodipine Besylate interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Amlodipine Besylate, Benazepril interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Amlodipine, Celecoxib interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Ammonium Chloride interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Ammonium Chloride interactionAprocitentanTryvio
How Aprocitentan interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Aprocitentan interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Aprocitentan interactionAtenololAtenix, Tenormin
How Atenolol interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Atenolol interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Atenolol interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Atenolol, Chlortalidone interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Atenolol, Chlorthalidone interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Atenolol, Chlorthalidone interactionAzilsartanEdarbi
How Azilsartan interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Azilsartan interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Azilsartan, Chlorthalidone interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Azilsartan, Chlorthalidone interactionBenazeprilLotensin
How Benazepril interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Benazepril interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Benazepril interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Benazepril, Hydrochlorothiazide interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Benazepril, Hydrochlorothiazide interactionBendamustineBelrapzo, Treanda, Vivimusta
How Bendamustine interacts with Fish Oil Q — through 1 ingredient. Tap an ingredient for the detail:
Coenzyme Q-10Alkylating Agents Moderate
Interaction Summary
Coenzyme Q10 has antioxidant effects.
Read the full Coenzyme Q-10 + Bendamustine interactionBendamustine HydrochlorideBendeka
How Bendamustine Hydrochloride interacts with Fish Oil Q — through 1 ingredient. Tap an ingredient for the detail:
Coenzyme Q-10Alkylating Agents Moderate
Interaction Summary
Coenzyme Q10 has antioxidant effects.
Read the full Coenzyme Q-10 + Bendamustine Hydrochloride interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Bendroflumethiazide interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Bendroflumethiazide, Nadolol interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Bendroflumethiazide, Nadolol interactionBendroflumethiazide, Rauwolfia SerpentinaRauzide
How Bendroflumethiazide, Rauwolfia Serpentina interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Bendroflumethiazide, Rauwolfia Serpentina interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Bendroflumethiazide, Rauwolfia Serpentina interactionBenzthiazideExna
How Benzthiazide interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Benzthiazide interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Benzthiazide interactionBetaxololBetoptic, Kerlone
How Betaxolol interacts with Fish Oil Q — through 2 ingredients. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Norwegian Fish Oil Concentrate + Betaxolol interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Betaxolol interactionBirth Control PillsBirth control pills
How Birth Control Pills interacts with Fish Oil Q — through 1 ingredient. Tap an ingredient for the detail:
Norwegian Fish Oil ConcentrateContraceptive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with contraceptive drugs might decrease the triglyceride-lowering effects of fish oil.
Read the full Norwegian Fish Oil Concentrate + Birth Control Pills interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Fish Oil Q with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Norwegian Fish Oil Concentrate
Antihypertensive Drugs
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Clinical evidence indicates that fish oils can modestly lower blood pressure and might have additive effects in patients treated with antihypertensives.
Contraceptive Drugs
Theoretically, taking fish oil with contraceptive drugs might decrease the triglyceride-lowering effects of fish oil.
There is some evidence that contraceptive drugs might interfere with the triglyceride lowering effects of fish oils.
Cyclosporine (Neoral, Sandimmune)
Taking fish oil with cyclosporine might increase levels and adverse effects of cyclosporine.
In kidney transplant recipients on a general immunosuppressive regimen, taking omega-3 fatty acids daily seems to increase peak blood levels of cyclosporine when compared with placebo. This increase was as much as 20% after one month. However, the area under the curve was not significantly affected.
Orlistat (Xenical, Alli)
Theoretically, taking fish oil with orlistat might decrease the absorption of fish oil fatty acids.
Orlistat binds lipase in the gastrointestinal tract and reduces fat absorption. Theoretically, taking fish oil with orlistat might decrease absorption of fish oil fatty acids. To avoid this potential interaction, recommend separating administration of orlistat and fish oil by at least 2 hours.
Sirolimus (Rapamune)
Taking fish oil with sirolimus might increase levels and adverse effects of sirolimus.
Pharmacokinetic research shows that omega-3 fatty acids increase exposure to sirolimus in kidney transplant patients on a calcineurin inhibitor-free immunosuppressive regimen. A 25% dose reduction in sirolimus was required to keep patients within the expected trough-concentration window. Researchers hypothesize that this may be due to inhibition of cytochrome P450 3A4 (CYP3A4) by fish oil, although this has not been confirmed in clinical research.
Tacrolimus (Prograf)
Taking fish oil with tacrolimus might increase levels and adverse effects of tacrolimus.
In a small group of patients, taking fish oil 2.6 grams (Omacor) daily for 4 weeks increased the 8-hour area under the curve of tacrolimus by 25% when compared with baseline. Peak levels were increased by approximately 22%. Researchers hypothesize that this may be due either to an increase in bioavailability or to inhibition of cytochrome P450 3A4 (CYP3A4) by fish oil, although this has not been confirmed in clinical research.
Anticoagulant/Antiplatelet Drugs
Fish oil may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs. However, evidence is conflicting.
While fish oil may not be a potent inhibitor of platelet function, high doses of fish oil might have antiplatelet effects. Theoretically, concomitant use of fish oil with anticoagulant or antiplatelet drugs may increase the risk of bleeding. However, the most rigorous research shows that short-term doses of fish oil 10 grams daily or long-term doses of 1.5 grams daily for up to 52 weeks does not increase the risk of bleeding or affect coagulation parameters in chronically ill and vulnerable patients. Other controlled research shows that fish oil does not affect platelet function or increase the risk of bleeding. Some research even suggests that perioperative fish oil use decreases bleeding risk. Some research suggests fish oil does not have additive antiplatelet effects when combined with aspirin, but other clinical evidence suggests that adding fish oil to low-dose aspirin treatment increases antiplatelet effects in patients who are aspirin-resistant. Also, some clinical research seems to show that fish oil has additive antiplatelet effects when used with aspirin and clopidogrel compared to aspirin and clopidogrel alone.
Platinum Agents
Theoretically, taking fish oil with platinum agents can cause resistance to platinum agents, potentially decreasing their effectiveness.
Platinum-induced fatty acids (PIFAs) are fatty acids secreted from human and mouse stem cells when exposed to platinum-based chemotherapy. Animal research suggests that PIFAs cause resistance to chemotherapy by stimulating lysophospholipid production in the spleen, which interferes with the DNA damage caused by certain chemotherapy drugs. One PIFA, known as 16:4(n-3), has been found in both raw fish and some commercially available fish oil products. Mackerel and herring have high PIFA concentrations, while salmon and tuna have low PIFA concentrations. Levels of PIFA in commercial fish oil products ranged from 0.2- 5.7 microMol. Animal research shows that PIFA-containing fish oil products cause resistance to cisplatin, fluorouracil, irinotecan, and oxaliplatin. It is unclear if all commercially available fish oil products contain PIFAs. Additionally, it is argued that levels of PIFA found in some fish oil products are too low to be of clinical concern. Furthermore, a lack of chemotherapy resistance in countries with high fish intake, such as Greenland, Japan, and Norway, suggest that this interaction may not be clinically significant.
Warfarin (Coumadin)
Fish oil may have antiplatelet effects and might increase the risk of bleeding if used with warfarin.
Fish oil has antiplatelet effects at high doses. Case reports show elevated INR in patients taking warfarin and fish oil 1-2 grams daily. However, some clinical research shows that taking fish oil 3-6 grams daily does not significantly increase INR in patients taking warfarin.
Coenzyme Q-10
Alkylating Agents
Coenzyme Q10 has antioxidant effects. Theoretically, this may reduce the activity of chemotherapy drugs that generate free radicals.
Theoretically, antioxidants such as coenzyme Q10 might protect tumor cells from chemotherapeutic agents that work by inducing oxidative stress, such as alkylating agents (e.g., cyclophosphamide) and radiation therapy. The clinical importance of this interaction is unknown.
Warfarin (Coumadin)
Coenzyme Q10 is chemically similar to menaquinone and might have vitamin K-like procoagulant effects, which could decrease the effects of warfarin.
Concomitant use of coenzyme Q10 and warfarin might reduce the anticoagulant effects of warfarin. Four cases of decreased warfarin efficacy thought to be due to coenzyme Q10 have been reported. However, there is some preliminary clinical research that suggests coenzyme Q10 might not significantly decrease the effects of warfarin in patients who have a stable INR.
Antihypertensive Drugs
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Some clinical research shows that coenzyme Q10 can significantly lower blood pressure, although other studies have shown conflicting results.
Brand information
Manufacturer and brand details for Fish Oil Q, from the product label.
Carlson
See all Carlson products- Name
- Carlson Division of J.R. Carlson Laboratories, Inc.
- City
- Lincolnshire
- State
- IL
- ZipCode
- 60069
- Phone Number
- 888-234-5656
- Web Address
- carlsonlabs.com
Fish Oil Q by Carlson: Common Questions
Does Fish Oil Q by Carlson interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is coenzyme Q10, and what's it doing in a fish oil supplement?
Can I take this if I'm on warfarin?
Will coenzyme Q10 lower my blood pressure?
What are the side effects I should watch for?
Is this safe to take while I'm pregnant or breastfeeding?
Why do the omega-3 ingredient names say 'ethyl ester'?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Fish Oil Q’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Coenzyme Q10
Interacts with 198 drugsCoQ10 is a vitamin-like substance your body makes naturally that helps cells produce energy and acts as an antioxidant. It is generally well tolerated and is most studied for heart condition...
Read the full Coenzyme Q10 monograph → Herb & supplement monographFish Oil
Interacts with 327 drugsFish oil provides omega-3 fatty acids (EPA and DHA) that are best known for lowering high triglyceride levels. The evidence for other heart and health benefits is mixed, and it is generally...
Read the full Fish Oil monograph →Sources & How We Checked
Fish Oil Q'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 197 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.
Coenzyme Q10 40 references
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- Hansen KS, Mogensen TH, Agergaard J, et al. High-dose coenzyme Q10 therapy versus placebo in patients with post COVID-19 condition: A randomized, phase 2, crossover trial. Lancet Reg Health Eur 2022. PubMed
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