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Dietary supplement

Superior Joint Care Ingredients & Drug Interactions

by Schiff MegaRed

Softgel Capsule Category: Other Combinations
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Superior Joint Care is a dietary supplement by Schiff MegaRed with 3 active ingredients. Its ingredients are commonly taken for skin hydration and aging, joint comfort and osteoarthritis, dry eyes.Based on those ingredients, 838 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Astaxanthin, Krill Oil. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Superior Joint Care by Schiff MegaRed

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.

From our pharmacy team — supplement deep dive

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 0 of its 3 active ingredients.
  • “Proprietary Blend” is a proprietary blend — the label gives one combined amount (353 mg) without saying how much of each component you get.

This product contains three active ingredients. Hyaluronic acid is a naturally occurring substance in your joints and skin that may help with moisture retention.

Astaxanthin is a red pigment from algae with antioxidant properties. Krill oil comes from Antarctic shrimp-like creatures and supplies omega-3 fatty acids.

The remaining ingredients are inactive — gelatin capsule, oils, and colorants to deliver these actives.

Does it work?

Not established
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Not established

The graded evidence we hold for these ingredients covers different conditions than the ones this product is marketed for, so there's no established rating for its stated use.

Why this rating?
  • The label markets this product for: Omega-3 and hyaluronic acid for joint care.
  • We looked for evidence on: Osteoarthritis, Rheumatoid arthritis (RA), Carpal tunnel syndrome, Joint flexibility, Joint mobility, Cartilage health.
  • The closest evidence on file: Hyaluronic Acid is rated "Insufficient Reliable Evidence To Rate" for Osteoarthritis (Natural Medicines).
  • Also on file: Astaxanthin is rated "Insufficient Reliable Evidence To Rate" for Carpal tunnel syndrome, Osteoarthritis, Rheumatoid arthritis (RA).
  • Also on file: Krill Oil is rated "Insufficient Reliable Evidence To Rate" for Osteoarthritis, Rheumatoid arthritis (RA).

The evidence for this product's ingredients is mixed. Hyaluronic acid is possibly effective for dry eye and venous leg ulcers (slow-healing sores on the legs from poor blood flow), but we don't have enough reliable evidence to rate it for aging skin or other conditions.

Krill oil is possibly effective for dry eye, but evidence is insufficient to rate it for aging skin, brain health, or other uses. Astaxanthin's effectiveness for the conditions listed — from cognitive decline to athletic performance — has insufficient reliable evidence in the data we hold.

The evidence, ingredient by ingredient Hyaluronic Acid Astaxanthin Krill Oil

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 3 of the 3 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 3 of 3.
  • General safety write-ups exist for 3 of 3.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Orally, hyaluronic acid and krill oil appear to be well tolerated in most adults, though long-term safety for supplements isn't fully studied. Astaxanthin also seems well tolerated, but long-term data are limited.

Common side effects from krill oil include bloating, diarrhea, nausea, fishy burps, and heartburn — usually mild and less severe than from fish oil. Astaxanthin may cause abdominal pain, diarrhea, or red-colored stools.

For pregnancy and breastfeeding, the safety data for astaxanthin advises against use. Krill oil has insufficient data; talk with your doctor or pharmacist before using during pregnancy or while nursing.

No pregnancy or breastfeeding data are on file for hyaluronic acid — discuss with your healthcare provider if you're considering this supplement in those periods.

Side effects, ingredient by ingredient Hyaluronic Acid Astaxanthin Krill Oil

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 2 of the 3 matched ingredients can interact with medications — Astaxanthin, Krill Oil.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; diabetes medications.
  • For scale: 839 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Check your blood thinners (like warfarin) and antiplatelet drugs (like aspirin or clopidogrel) before taking this — krill oil may increase bleeding risk. Also flag any antidiabetes medications, since krill oil might lower blood sugar further.

If you take drugs metabolized by CYP3A4 or CYP2B6 enzymes — a broad group including certain statins, some cancer drugs, and certain antihistamines — run them through the checker; astaxanthin may theoretically reduce their levels, though this hasn't been proven in humans.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.

This product is possibly effective for dry eye, but evidence is lacking for most other uses. If you take blood thinners, diabetes medications, or drugs broken down by your liver, check your exact medications with the tool on this page before starting — the interactions are theoretical but worth confirming.

If you have a shellfish allergy, skip krill oil products. A quick conversation with your pharmacist about your specific drugs is a smart move.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated May 21, 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

At a glance

General information

Key facts about Superior Joint Care, straight from the product label.

Brand Schiff MegaRed
Net contents 60 Softgel(s)
Market status On market
Date entered into DSLD May 21, 2025
DSLD ID 328318
Product type Other Combinations
Supplement form Softgel Capsule
Dietary claims / uses Nutrient, All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years)
From the label
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 Superior Joint Care by Schiff MegaRed, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Softgel(s)
Maximum serving Sizes:
1 Softgel(s)
Servings per container
60
IngredientAmount% DV
Proprietary Blend353 mg--
Cholesterol5 mg1%
Hyaluronic Acid0 NP--
Astaxanthin0 NP--
Krill Oil0 NP--

Other ingredients: Gelatin, Olive Oil, Glycerin, Sorbitol, Water, Yellow Beeswax, Red 40, Ethyl Vanillin, Titanium Dioxide, Caramel color, Mixed Tocopherols, Blue 1

Tap any ingredient to jump to its full detail below.

Label statements
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.
Brand IP Statement(s)

Copyright 2022 RB Health

General Statements

For information call: 1-800-526-6251

Precautions

Caution: If pregnant, breastfeeding, allergic to seafood, have existing medical conditions, are taking medications (including blood thinners) or are planning a medical or surgical procedure, consult a healthcare professional before use.

Caution: If pregnant, breastfeeding, allergic to seafood, have existing medical conditions, are taking medications (including blood thinners) or are planning a medical or surgical procedure, consult a healthcare professional before use.

Keep out of reach of children.

Protected with a tamper evident seal. Do not use if seal under cap is broken or missing.

Gelatin is derived from bovine sources.

Contains shellfish (krill). This product contains sulfites.

Storage

Store in a cool, dry place with lid tightly closed.

Formula

Omega-3 + HA + Astaxanthin

Formulation

3x better joint comfort than Glucosamine + Chondroitin Based on a 56-day human clinical study, MegaRed Superior Joint Care significantly improved joint comfort 3 times better than glucosamine + chondroitin.

FDA Statement of Identity

Dietary Supplement

Suggested/Recommended/Usage/Directions

Directions: Adults take one (1) softgel daily.

See for yourself

Superior Joint Care by Schiff MegaRed label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in Superior Joint Care by Schiff MegaRed

These are the 3 active ingredients this product is made of. Select any to open its full monograph.

Serving size1 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.

Proprietary Blend

353 mg per serving

Other (inactive) ingredients: Gelatin, Olive Oil, Glycerin, Sorbitol, Water, Yellow Beeswax, Red 40, Ethyl Vanillin, Titanium Dioxide, Caramel color, Mixed Tocopherols, Blue 1. These complete the product’s ingredient list but are not active constituents.

Interaction report

Superior Joint Care by Schiff MegaRed Drug Interactions

Want to check YOUR meds against Superior Joint Care?

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 checker
838Drugs
838 Moderate

Ingredients driving the most interactions

Krill Oil 208

Each ingredient & the kinds of drugs it affects

For each ingredient in Superior Joint Care 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.

Astaxanthin2 drug types · 671 drugs

Cytochrome P450 2B6 (Cyp2B6) Substrates

Theoretically, astaxanthin may decrease levels of drugs metabolized by CYP2B6.
In vitro research shows that astaxanthin induces cytochrome CYP2B6 enzyme activity in human hepatocytes. This effect has not been reported in humans.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Substrates

Theoretically, astaxanthin may decrease levels of drugs metabolized by CYP3A4.
In vitro research shows that astaxanthin induces CYP3A4 enzyme activity in human hepatocytes. This effect has not been reported in humans.

Likelihood Possible Evidence D

Krill Oil2 drug types · 208 drugs

Anticoagulant/Antiplatelet Drugs

Theoretically, krill oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Taking high doses of omega-3 fatty acids from fish oil can modestly decrease platelet aggregation. Since krill oil also contains these fatty acids, taking high doses of krill oil might also inhibit platelet aggregation. Theoretically, taking high doses of krill oil with antiplatelet or anticoagulant drugs might increase the risk of bleeding. However, the omega-3 content of krill oil is much lower than that of fish oil.

Likelihood Possible Evidence D
Antidiabetes Drugs

Theoretically, taking krill oil with antidiabetes drugs might increase the risk of hypoglycemia.
Some research in animals and humans shows that krill oil might lower blood glucose levels. However, a small study shows that taking krill oil does not reduce blood glucose levels in patients with type 2 diabetes, most of whom were taking antidiabetes drugs.

Likelihood Possible Evidence B
The maker

Brand information

Manufacturer and brand details for Superior Joint Care, from the product label.

Schiff MegaRed

See all Schiff MegaRed products
Name
RB Health (US) LLC
City
Parsippany
State
NJ
ZipCode
07054-0224
Phone Number
1-800-526-6251
Web Address
www.megared.com
Pharmacist Counseling Corner

Superior Joint Care by Schiff MegaRed: Common Questions

Does Superior Joint Care by Schiff MegaRed interact with any medications?
Yes. Based on its ingredients, Superior Joint Care has a known interaction with 838 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Superior Joint Care contains 3 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Will this help my joint pain?
We don't have enough reliable evidence to rate hyaluronic acid or astaxanthin for joint pain. Krill oil may help with dry eye specifically. For a real answer about whether this is right for your joints, talk with your doctor.
Are there any common side effects I should know about?
Krill oil may cause bloating, diarrhea, nausea, fishy burps, and heartburn. Astaxanthin can cause abdominal pain, diarrhea, or red-colored stools. These tend to be mild, and gastrointestinal effects from krill oil are often less severe than from fish oil.
Can I take this if I'm allergic to shellfish?
Krill oil is derived from crustaceans, so avoid this product if you have a shellfish allergy.
Is it safe to take while I'm pregnant or breastfeeding?
Astaxanthin safety data advise against use in pregnancy and while breastfeeding. Krill oil has insufficient safety data — talk with your doctor before using. No pregnancy or breastfeeding data are on file for hyaluronic acid, so check with your healthcare provider about that ingredient too.
How much of each ingredient is in one softgel?
The ingredients are listed as a proprietary blend, which means the exact amounts of each aren't shown on the label. If you need that breakdown, contact the manufacturer directly.

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

Not sure if Superior Joint Care is safe with your meds?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.

Superior Joint Care label
Sources

Sources & How We Checked

Superior Joint Care'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.

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 20 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.

Hyaluronic Acid 4 references
  1. Park Y, Song JS, Choi CY, Yoon KC, Lee HK, Kim HS. A randomized multicenter study comparing 0.1%, 0.15%, and 0.3% sodium hyaluronate with 0.05% cyclosporine in the treatment of dry eye. J Ocul Pharmacol Ther. 2017;33(2):66-72. PubMed
  2. U.S. Food and Drug Administration. Do Not Use Needle-Free Devices for Injection of Dermal Fillers - FDA Safety Communication. October 8, 2021. Available at: https://www.fda.gov/medical-devices/safety-communications/do-not-use-needle-free-devices-injection
  3. Disphanurat W, Srisantithum B. Efficacy and safety of 0.15% isobutylamido thiazolyl resorcinol combined with hyaluronic acid vs 0.15% isobutylamido thiazolyl resorcinol or hyaluronic acid alone in melasma treatment: A randomized evaluator-blind trial. J C PubMed
  4. Humbert P, Mikosinki J, Benchikhi H, Allaert FA. Efficacy and safety of a gauze pad containing hyaluronic acid in treatment of leg ulcers of venous or mixed origin: a double-blind, randomised, controlled trial. Int Wound J 2013;10(2):159-66. PubMed

See these in context on the Hyaluronic Acid monograph →

Astaxanthin 3 references
  1. Kupcinskas L, Lafolie P, Lignell A, et al. Efficacy of the natural antioxidant astaxanthin in the treatment of functional dyspepsia in patients with or without Helicobacter pylori infection: A prospective, randomized, double blind, and placebo-controlled
  2. Kistler, A., Liechti, H., Pichard, L., Wolz, E., Oesterhelt, G., Hayes, A., and Maurel, P. Metabolism and CYP-inducer properties of astaxanthin in man and primary human hepatocytes. Arch.Toxicol. 2002;75(11-12):665-675. PubMed
  3. Choi HD, Youn YK, Shin WG. Positive effects of astaxanthin on lipid profiles and oxidative stress in overweight subjects. Plant Foods Hum Nutr. 2011;66:363-369. PubMed

See these in context on the Astaxanthin monograph →

Krill Oil 13 references
  1. Leaf A. On the reanalysis of the GISSI-Prevenzione. Circulation 2002;105:1874-5. PubMed
  2. Connor WE. n-3 Fatty acids from fish and fish oil: panacea or nostrum? Am J Clin Nutr 2001;74;415-6. PubMed
  3. 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
  4. Bunea R, El Farrah K, Deutsch L. Evaluation of the effects of Neptune Krill Oil on the clinical course of hyperlipidemia. Altern Med Rev 2004;9:420-8.
  5. Sampalis F, Bunea R, Pelland MF, et al. Evaluation of the effects of Neptune Krill Oil on the management of premenstrual syndrome and dysmenorrhea. Altern Med Rev 2003;8:171-9.
  6. Harris WS, Miller M, Tighe AP, et al. Omega-3 fatty acids and coronary heart disease risk: clinical and mechanistic perspectives. Atherosclerosis 2008;197:12-24. PubMed
  7. Tandy S, Chung RW, Wat E, et al. Dietary krill oil supplementation reduces hepatic steatosis, glycemia, and hypercholesterolemia in high-fat-fed mice. J Agric Food Chem 10-14-2009;57:9339-45. PubMed
  8. Maki, K. C., Reeves, M. S., Farmer, M., Griinari, M., Berge, K., Vik, H., Hubacher, R., and Rains, T. M. Krill oil supplementation increases plasma concentrations of eicosapentaenoic and docosahexaenoic acids in overweight and obese men and women. Nutr.R PubMed
  9. Albert BB, Derraik JG, Brennan CM, et al. Supplementation with a blend of krill and salmon oil is associated with increased metabolic risk in overweight men. Am J Clin Nutr 2015;102(1):49-57.
  10. Berge K, Musa-Veloso K, Harwood M, Hoem N, Burri L. Krill oil supplementation lowers serum triglycerides without increasing low-density lipoprotein cholesterol in adults with borderline high or high triglyceride levels. Nutr Res 2014;34(2):126-33. PubMed
  11. Lobraico JM, DiLello LC, Butler AD, Cordisco ME, Petrini JR, Ahmadi R. Effects of krill oil on endothelial function and other cardiovascular risk factors in participants with type 2 diabetes, a randomized controlled trial. BMJ Open Diabetes Res Care. 2015 PubMed
  12. van der Wurff ISM, von Schacky C, Bergeland T, Zeegers MP, Kirschner PA, de Groot RHM. Krill oil supplementation's effect on school grades in typically developing adolescents. Prostaglandins Leukot Essent Fatty Acids 2023;191:102553. PubMed
  13. van der Wurff ISM, von Schacky C, Bergeland T, et al. Effect of 1 year krill oil supplementation on cognitive achievement of Dutch adolescents: A double-blind randomized controlled trial. Nutrients. 2019;11(6):1230. PubMed

See these in context on the Krill Oil monograph →

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

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