Krill Oil and Warfarin, a caution.
Krill oil contains the same omega-3 fatty acids (EPA and DHA) as fish oil, which reduce platelet thromboxane A2 and may prolong bleeding time. The omega-3 content per gram is lower than concentrated fish oil, so the interaction is generally weaker, but at higher doses krill oil can add pharmacodynamic bleeding risk to warfarin.
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At a glance
- Pair type
- Caution
- Evidence (highest tier)
- Emerging
- Source citations
- 2 sources
- Stack Score effect
- −5 to your Stack Score (per scored caution row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Caution · Emerging evidence
Caution
What is happening. Krill oil contains the same omega-3 fatty acids (EPA and DHA) as fish oil, which reduce platelet thromboxane A2 and may prolong bleeding time. The omega-3 content per gram is lower than concentrated fish oil, so the interaction is generally weaker, but at higher doses krill oil can add pharmacodynamic bleeding risk to warfarin.
Mechanism. EPA and DHA from krill oil displace arachidonic acid in platelet membranes, reducing thromboxane A2 generation and platelet aggregation. They may also slightly reduce factor VII activity. These pharmacodynamic effects add to warfarin's reduction of clotting factor synthesis.
Recommendation. If you take krill oil with warfarin, keep the dose constant (typically 500-1000 mg/day) and tell your anticoagulation clinic. Avoid combining krill oil with fish oil or other omega-3 sources, and watch for unusual bruising or bleeding.
Stack Score
How this pair moves the number.
Effect on the composite score
If both Krill Oil and Warfarin 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 documented at /methodology/stack-score.
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