Medication Concerns: Timing Fish Oil and CLA with Neurology Drugs - Neurology

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Issues with Medication Use


Hello Dr.
Huang, I would like to ask if it is safe for me to take fish oil or conjugated linoleic acid (CLA) at different times while I am currently on medication for "lamotrigine" and "muscle relaxants" due to my illness.
Thank you for your response, Dr.
Huang.

Wan Hsuan, 20~29 year old female. Ask Date: 2009/02/18

Dr. Huang Yingzhe reply Neurology


Dear Wan-Hsuan,
This is a response from Pharmacist Mei-Ying Lu of the Tainan Hospital, Department of Health, Executive Yuan.

There are no clear reports of interactions between Neurontin (gabapentin) and muscle relaxants in the literature, nor with fish oil.
However, if fish oil is taken alongside Aspirin or warfarin, it may affect anticoagulation and platelet function.
This is particularly important if large amounts of fish oil or alpha-linolenic acid are consumed, as there is a risk of bleeding or toxicity from vitamins A and D, especially in patients with a history of bleeding disorders.

Additionally, for patients with a history of diabetes, fish oil may also impact blood sugar control.
Regarding your inquiry, if you are not currently taking anticoagulants or Aspirin, it should generally be safe to take fish oil.
It is advisable to space the doses by 2-4 hours if you choose to take it.
Note: Recommended intake of Vitamin A - Women: 500 RE (Upper limit: 3000 RE)
Recommended intake of Vitamin D - Under 50 years: 5 micrograms (Upper limit: 50 micrograms)
Wishing you good health and all the best!
Sincerely,
Tainan Hospital, Department of Health, Executive Yuan

Reply Date: 2009/02/18

More Info


When considering the timing of fish oil and conjugated linoleic acid (CLA) with your current medications for neurological conditions, it's essential to understand both the potential interactions and the benefits of these supplements.

Fish oil, rich in omega-3 fatty acids, has been shown to have anti-inflammatory properties and may support brain health. Some studies suggest that omega-3 fatty acids can be beneficial for neurological conditions, potentially improving mood and cognitive function. However, fish oil can also have blood-thinning effects, which might be a concern if you are taking medications that affect coagulation or if you have a bleeding disorder.

CLA is a fatty acid that is often marketed for weight loss and muscle building. While it has some purported benefits, its direct effects on neurological health are less well-established compared to fish oil. CLA is generally considered safe, but like any supplement, it can interact with medications, particularly those affecting metabolism or fat processing.

Regarding the timing of these supplements with your medications, here are some general guidelines:
1. Consult Your Doctor: The best course of action is to discuss with your healthcare provider or neurologist. They can provide personalized advice based on your specific medications and health status.

2. Timing: If your doctor approves the use of fish oil and CLA, consider taking them at different times from your medications. For example, if you take your neurological medications in the morning, you might take fish oil and CLA in the evening. This can help minimize any potential interactions.

3. Monitor for Side Effects: When introducing any new supplement, it's crucial to monitor for any side effects or changes in your condition. If you notice any adverse effects, report them to your healthcare provider immediately.

4. Dietary Considerations: Ensure that your overall diet supports your health. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can complement the benefits of fish oil and CLA.

5. Stay Informed: Keep yourself updated on the latest research regarding supplements and their interactions with medications. This knowledge can empower you to make informed decisions about your health.

In summary, while fish oil and CLA may offer benefits, their timing with your neurological medications should be carefully considered. Always prioritize communication with your healthcare provider to ensure that your treatment plan is safe and effective.

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