Super DHA plus Lutein Ingredients & Drug Interactions
by Carlson
What is this page for?
First and foremost: checking Super DHA plus Lutein 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
Super DHA plus Lutein is a dietary supplement by Carlson with 3 active ingredients. Its ingredients are commonly taken for high triglycerides, heart health, joint pain and inflammation.Based on those ingredients, 413 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Fish Oil Concentrate, Zeaxanthin. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Super DHA plus Lutein by Carlson
Ask about any prescription or over-the-counter medication and we check it for interactions with Super DHA plus Lutein by Carlson — 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
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HelloPharmacist Scorecard of Super DHA plus Lutein 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
Super DHA plus Lutein contains four active ingredients. Two are omega-3 fatty acids from fish oil — eicosapentaenoic acid and docosahexaenoic acid — which support heart and brain function.
The other two are carotenoids (plant pigments) for eye health: lutein and zeaxanthin. The softgel also contains inactive ingredients like gelatin, glycerin, and natural mixed tocopherols as a preservative.
Does it work?
Insufficient evidence
Lutein is possibly effective for age-related macular degeneration (AMD) and cataracts — both common eye conditions as you age. Zeaxanthin is also possibly effective for AMD.
The evidence for either ingredient in cognitive decline or Alzheimer's disease isn't strong enough yet to rate. For the fish oils in this blend, we don't have effectiveness ratings on file.
How safe is it?
Well-documented data
Both lutein and zeaxanthin are generally well tolerated at typical supplement doses. Doses of lutein up to 20 mg daily haven't caused reported adverse effects.
For pregnancy and breastfeeding, the safety data advises that both ingredients are likely safe, though supplement doses haven't been as well studied as dietary amounts from food — so check with your doctor or pharmacist if you're pregnant or nursing and want to use this product.
Meds to double-check
Moderate interaction found
If you take antidiabetes drugs, talk to your pharmacist before starting this product — zeaxanthin may increase your risk of low blood sugar. We couldn't check the two fish-oil omega-3s in this blend, so mention those to your pharmacist as well if you're on any blood thinners or other medications.
The bottom line
Scorecard at a glanceFully disclosed formula with insufficient evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This is a straightforward eye-health supplement for anyone concerned about AMD, cataracts, or general visual aging. If you take antidiabetes medications, double-check with your pharmacist first — zeaxanthin may affect your blood sugar levels.
Otherwise, it's generally well tolerated.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 22, 2024.
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 Super DHA plus Lutein, straight from the product label.
| Brand | Carlson |
|---|---|
| Barcode (UPC) | 088395188206 |
| Net contents | 120 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Feb 22, 2024 |
| DSLD ID | 305311 |
| 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 Super DHA plus Lutein by Carlson, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 20 Calorie(s) | -- |
| Eicosapentaenoic Acid | 140 mg | -- |
| Docosahexaenoic Acid | 1000 mg | -- |
| Total Fat | 2 Gram(s) | 3% |
| Zeaxanthin | 4 mg | -- |
| Fish Oil Concentrate | 1.5 Gram(s) | -- |
| Eye Health Blend | 100 mg | -- |
| Lutein | 20 mg | -- |
Other ingredients: Beef Gelatin, Water, Glycerin, Carob, Sunflower Oil, Mixed Tocopherols, Natural
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.
Seals/Symbols
IGEN Non-GMO Tested Freshness & Potency Purity Guaranteed
Formulation
IGEN Non-GMO Tested
Brain support Cognitive function Mental clarity
Soft gel color variations may occur.
Gluten-free No artificial preservatives Purity guaranteed This product is regularly tested by independent FDA registered laboratories. 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.
An FDA Regulated Facility
Purity guaranteed This product is regularly tested by independent FDA registered laboratories. 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.
Formula
1,000 mg DHA + 20 mg Lutein
Super DHA + Lutein provides clinically researched nutrients for health brain function. The beneficial omega-3 DHA supports brain and mood health. And a special blend of lutein, zeaxanthin, and meso-zeaxanthin promotes mental clarity, focus and memory. Help maintain healthy cognitive function with Super DHA + Lutein.
FDA Statement of Identity
Dietary Supplement
Precautions
Contains fish (anchovy, sardine and mackerel).
Suggested/Recommended/Usage/Directions
Directions: Adults: Take two soft gels daily at mealtime.
Brand IP Statement(s)
Lutemax 2020 Lutein and Zeaxanthin is a trademark of OmniActive Health Technologies Ltd.
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.
General Statements
Impact collective reduced plastic impact
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Super DHA plus Lutein 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 Super DHA plus Lutein by Carlson
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Softgel(s) Dosage formSoftgel Capsule Servings per container60 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.
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...
Fish Oil Concentrate monograph & interactions- › Eicosapentaenoic Acid
- › Docosahexaenoic Acid
Eye Health Blend
- › Zeaxanthin
- › Lutein
Other (inactive) ingredients: Beef Gelatin, Water, Glycerin, Carob, Sunflower Oil, Mixed Tocopherols, Natural. These complete the product’s ingredient list but are not active constituents.
Super DHA plus Lutein by Carlson Drug Interactions
HelloPharmacist Interaction Report
Super DHA plus Lutein by Carlson contains fish oils and plant compounds for eye health.
The main interaction we've documented is with antidiabetes drugs — zeaxanthin, one of the active ingredients, may theoretically increase the risk of low blood sugar (hypoglycemia) when taken alongside these medications. This is a Moderate concern.
Read the full breakdown — every affected drug type, severity by severity
We could not fully check two of the omega-3 components in this product: eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), so we hold no interaction data for those. Lutein, the other active ingredient, shows no interactions documented in our data.
Altogether, these interactions span 85 individual medications. If you take any antidiabetes drugs, or any other prescription medications, run your exact list through the interaction checker on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Super DHA plus Lutein?
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 Super DHA plus Lutein interact with 413 drugs. Click any drug to see the details.
2 of the 3 ingredients in Super DHA plus Lutein interact with drugs. Each result below shows which ingredient is responsible. Fish Oil Concentrate Zeaxanthin
Glyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
ZeaxanthinAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking zeaxanthin with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Zeaxanthin + Glyburide, Metformin interactionGuanabenz AcetateWytensin
How Guanabenz Acetate interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Guanabenz Acetate interactionGuanadrel SulfateHylorel
How Guanadrel Sulfate interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Guanadrel Sulfate interactionGuanethidine MonosulfateIsimil, Ismelin
How Guanethidine Monosulfate interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Guanethidine Monosulfate interactionGuanethidine, HydrochlorothiazideEsimil
How Guanethidine, Hydrochlorothiazide interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Guanethidine, Hydrochlorothiazide interactionGuanfacineTenex
How Guanfacine interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Guanfacine interactionHydralazineApresoline, Apresoline Injection, Dralzine, Hydralazine, Hylazin
How Hydralazine interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydralazine interactionHydralazine, HydrochlorothiazideApresazide, Apresoline-Esidrix
How Hydralazine, Hydrochlorothiazide interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydralazine, Hydrochlorothiazide interactionHydralazine, Hydrochlorothiazide, ReserpineSer-Ap-Es, Unipres, Uniserp
How Hydralazine, Hydrochlorothiazide, Reserpine interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydralazine, Hydrochlorothiazide, Reserpine interactionHydralazine, ReserpineSerpasil-Apresoline1, Serpasil-Apresoline2
How Hydralazine, Reserpine interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydralazine, Reserpine interactionHydrochlorothiazideAquazide, Aquazide H, Esidrix, HCTZ, Hydro, Hydro-D +3 more
How Hydrochlorothiazide interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide interactionHydrochlorothiazide, IrbesartanAvalide
How Hydrochlorothiazide, Irbesartan interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Irbesartan interactionHydrochlorothiazide, LabetalolTrandate HCT
How Hydrochlorothiazide, Labetalol interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Labetalol interactionHydrochlorothiazide, LisinoprilPrinzide, Zestoretic
How Hydrochlorothiazide, Lisinopril interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Lisinopril interactionHydrochlorothiazide, Losartan PotassiumHyzaar
How Hydrochlorothiazide, Losartan Potassium interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Losartan Potassium interactionHydrochlorothiazide, MethyldopaAldoril 15, Aldoril 25, Aldoril D30, Methazide
How Hydrochlorothiazide, Methyldopa interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Methyldopa interactionHydrochlorothiazide, MetoprololLopressor HCT
How Hydrochlorothiazide, Metoprolol interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Metoprolol interactionHydrochlorothiazide, MoexiprilUniretic
How Hydrochlorothiazide, Moexipril interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Moexipril interactionHydrochlorothiazide, PindololViskazide
How Hydrochlorothiazide, Pindolol interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Pindolol interactionHydrochlorothiazide, PropranololInderide
How Hydrochlorothiazide, Propranolol interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Propranolol interactionHydrochlorothiazide, QuinaprilAccuretic
How Hydrochlorothiazide, Quinapril interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Quinapril interactionHydrochlorothiazide, ReserpineHydropres, Serpasil-Esidrix, Serpasil-Esidrix #1, Serpasil-Esidrix #2
How Hydrochlorothiazide, Reserpine interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Reserpine interactionHydrochlorothiazide, SpironolactoneAldactazide, Aldactide 25, Aldactide 50, Spirozine
How Hydrochlorothiazide, Spironolactone interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Spironolactone interactionHydrochlorothiazide, TimololTimolide
How Hydrochlorothiazide, Timolol interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Timolol interactionHydrochlorothiazide, TriamtereneDyazide, Maxzide, Maxzide-25, Triamzide, Triazide
How Hydrochlorothiazide, Triamterene interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Triamterene interactionHydrochlorothiazide, ValsartanDiovan HCT
How Hydrochlorothiazide, Valsartan interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydrochlorothiazide, Valsartan interactionHydroflumethiazideSaluron
How Hydroflumethiazide interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydroflumethiazide interactionHydroflumethiazide, ReserpineSalutensin, Salutensin-Demi
How Hydroflumethiazide, Reserpine interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Hydroflumethiazide, Reserpine interactionIloprostAurlumyn, Ventavis
How Iloprost interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAnticoagulant/antiplatelet Drugs, Antihypertensive Drugs Moderate
Interaction Summary
Fish oil may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Fish Oil Concentrate + Iloprost interactionIndapamideLozide, Lozol
How Indapamide interacts with Super DHA plus Lutein — through 1 ingredient. Tap an ingredient for the detail:
Fish Oil ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking fish oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Fish Oil Concentrate + Indapamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Super DHA plus Lutein 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.
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.
Zeaxanthin
Antidiabetes Drugs
Theoretically, taking zeaxanthin with antidiabetes drugs might increase the risk of hypoglycemia.
In an animal diabetic model, zeaxanthin has hypoglycemic effects. However, population research has found that increasing intake of dietary zeaxanthin plus lutein does not decrease the risk of developing type 2 diabetes.
Brand information
Manufacturer and brand details for Super DHA plus Lutein, from the product label.
Carlson
See all Carlson products- Name
- Carlson Division of J.R. Carlson Laboratories, Inc.
- City
- Arlington Heights
- State
- IL
- ZipCode
- 60004
- Phone Number
- 888-234-5656
- Web Address
- carlsonlabs.com
Super DHA plus Lutein by Carlson: Common Questions
Does Super DHA plus Lutein by Carlson interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will this help my dry eyes or cataracts?
Can I take this if I'm pregnant?
Are there any side effects I should know about?
What exactly is lutein and zeaxanthin?
Can I take this while breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Super DHA plus Lutein 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 Super DHA plus Lutein’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Fish 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 → Herb & supplement monographZeaxanthin
Interacts with 86 drugsZeaxanthin is a carotenoid pigment that, along with lutein, concentrates in the macula of the eye and may help support long-term eye health. The strongest evidence relates to slowing progres...
Read the full Zeaxanthin monograph → Herb & supplement monographLutein
Lutein is a plant-based antioxidant pigment that concentrates in the eye, and the best evidence suggests it (often combined with zeaxanthin) may help slow progression of age-related macular...
Read the full Lutein monograph →Sources & How We Checked
Super DHA plus Lutein'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 163 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.
Zeaxanthin 4 references
- Montonen J, Knekt P, Jarvinen R, Reunanen A. Dietary antioxidant intake and risk of type 2 diabetes. Diabetes Care 2004;27:362-6. PubMed
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