Supplement × Prescription·a caution·Emerging evidence

Icosapent Ethyl + Vitamin E

Caution Emerging evidence

Vitamin E may increase bleeding tendency and can be a concern with Icosapent Ethyl when high-dose vitamin E is combined with omega-3 therapy or antithrombotic drugs.

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Pair type
Caution
Evidence
Emerging
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence

What is happening. Vitamin E may increase bleeding tendency and can be a concern with Icosapent Ethyl when high-dose vitamin E is combined with omega-3 therapy or antithrombotic drugs.

Mechanism. Additive platelet or coagulation effects can become clinically relevant when the drug or disease state increases bleeding risk.

Recommendation. Avoid high-dose use unless the prescriber agrees; seek care for unusual bruising, bleeding, black stools, or severe headache.

Stack Score

How it moves the number.

Effect on the composite score

If both Icosapent Ethyl and Vitamin E 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.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1Natural Medicines and perioperative supplement bleeding-risk reviews.Needs sourceNo link

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