From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Supplement
Last verified
June 4, 2026
CautionEmerging evidence
What is happening. Both rutin (and its quercetin metabolite) and the omega-3 fatty acids in fish oil can modestly reduce platelet aggregation. Used together, and especially alongside antiplatelet or anticoagulant medication, the additive effect could theoretically increase bleeding tendency.
Mechanism. Flavonoids can inhibit platelet aggregation and thromboxane formation, while EPA/DHA shift eicosanoid balance toward less aggregatory species; effects on hemostasis may be additive.
Recommendation. Generally safe for most people, but use caution if you take anticoagulants/antiplatelets, have a bleeding disorder, or are approaching surgery; discontinue before procedures and discuss with a clinician.
Stack Score
How it moves the number.
Effect on the composite score
If both Fish Oil and Rutin are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1Ganeshpurkar A, Saluja AK. The pharmacological potential of rutin. Saudi Pharmaceutical Journal. 2017.Needs sourceNo link