Interaction databaseSupplement × PrescriptionReviewed May 2026

Amlodipine and Fish Oil, a synergy.

Omega-3 fatty acids in fish oil produce small but consistent reductions in blood pressure (about 2-3 mmHg systolic at doses of 2-3 g/day) and lower triglycerides, complementing amlodipine's antihypertensive effect. The combination is generally beneficial in patients with hypertension or cardiovascular disease.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Amlodipine and Fish Oil
Pair type
Synergy
Evidence (highest tier)
Strong
Source citations
2 sources
Stack Score effect
+2 to your Stack Score (per scored synergy row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Synergy · Strong evidence

Synergy

What is happening. Omega-3 fatty acids in fish oil produce small but consistent reductions in blood pressure (about 2-3 mmHg systolic at doses of 2-3 g/day) and lower triglycerides, complementing amlodipine's antihypertensive effect. The combination is generally beneficial in patients with hypertension or cardiovascular disease.

Mechanism. EPA and DHA enhance endothelial nitric oxide production, reduce vascular inflammation, and modulate ion channels in cardiomyocytes. These effects complement amlodipine's L-type calcium channel blockade.

Recommendation. Fish oil at 1-3 g/day combined with amlodipine is appropriate for most patients with cardiovascular risk. Monitor blood pressure when starting, and tell your prescriber if you use high doses (>3 g/day) since the hemodynamic effect can become additive.

Sources (2)
  1. Morris MC, Sacks F, Rosner B. Does fish oil lower blood pressure? A meta-analysis of controlled trials. Circulation. 1993;88(2):523-33. PMID 8339414
  2. Bailey DG, Malcolm J, Arnold O, Spence JD. Grapefruit juice-drug interactions. Br J Clin Pharmacol. 1998;46(2):101-10. PMID 9723817

Stack Score

How this pair moves the number.

Effect on the composite score

If both Amlodipine and Fish Oil are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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