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Dietary supplement / essential fatty acid

Omega-3 Fish Oil: uses, side effects & precautions

Also known as Fish oil, Omega-3, EPA, DHA, Omega-3 fatty acids, Cod liver oil (related).

Esta información es solo orientativa de carácter general y no constituye un consejo médico. Consulta siempre a un profesional sanitario cualificado para cualquier asunto médico personal. En caso de emergencia, llama al número de emergencias de tu zona.

What it is used for

  • Supplementing omega-3 fatty acids in people with low dietary intake of oily fish
  • Supporting heart and general health as part of a balanced diet
  • Used under medical supervision for managing very high blood triglyceride levels
  • Supporting nutrition where oily fish is not eaten

How it works

Omega-3 fatty acids EPA and DHA are fats found mainly in oily fish. They are building blocks for cell membranes and help regulate inflammation and blood fats such as triglycerides. Supplementing provides these fats when the diet does not supply enough.

How it is taken

Available as capsules, soft gels and liquids, including fish oil, cod liver oil and algae-based vegetarian versions. It is usually taken with food to improve absorption and reduce a fishy aftertaste. Take it exactly as the label or your clinician or pharmacist directs, especially if used for high triglycerides.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Fishy aftertaste or burping
  • Mild stomach upset or loose stools
  • Bad breath (uncommon)

Serious effects — get help

  • Increased bleeding or bruising, especially at high doses or with blood thinners
  • Signs of an allergic reaction in people allergic to fish or shellfish

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Blood-thinning medicines and antiplatelet drugs, where bleeding risk may rise
  • Some blood pressure medicines
  • Cod liver oil also contains vitamins A and D, which can add up with other supplements

Who should take care

  • Tell your clinician if you take blood thinners or are due to have surgery
  • People with fish or shellfish allergy should choose an algae-based product or avoid fish oil
  • Do not exceed recommended amounts, particularly with cod liver oil because of its vitamin A content
  • Discuss use in pregnancy and breastfeeding with your clinician, choosing a suitable product

Frequently asked questions

Should I take fish oil or eat fish?
Eating oily fish is generally preferred as it provides omega-3 along with other nutrients. Supplements are useful when you do not or cannot eat enough oily fish.
How do I avoid the fishy burps?
Taking the capsules with meals, choosing enteric-coated forms, or keeping them in the fridge can reduce the fishy aftertaste.
Is fish oil safe with blood thinners?
High doses may increase bleeding risk when combined with blood thinners. Check with your clinician before taking them together.
Is there a vegetarian or vegan option?
Yes, algae-based omega-3 supplements provide DHA (and sometimes EPA) without using fish.

Related conditions

Related medicines

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