Interaction databaseSupplement × PrescriptionReviewed May 2026

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.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
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At a glance

Substances
Krill Oil and Warfarin
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.

Sources (2)
  1. Buckley MS, Goff AD, Knapp WE. Fish oil interaction with warfarin. Ann Pharmacother. 2004;38(1):50-2. PMID 14742793
  2. Tan CSS, Lee SWH. Warfarin and food, herbal or dietary supplement interactions: A systematic review. Br J Clin Pharmacol. 2021;87(2):352-374. PMID 32478963

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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