VCVITAMINS/CHART

The Bottom Line

Yes, you can take chamomile with cod liver oil—no significant interaction exists between the two.

VERDICT

Cod liver oil and chamomile together are neutral—they don't interact or compete. You can safely add chamomile tea to your daily routine without affecting the benefits of your fish oil supplement.

Safe to combine Strong evidence
01 / MECHANISM

How They Interact

Cod liver oil delivers fat-soluble vitamins A and D plus long-chain omega-3s (EPA/DHA), which are absorbed through the gut with dietary fat and incorporated into chylomicrons. Chamomile's active compounds, such as apigenin and bisabolol, are water-soluble polyphenols and terpenoids that absorb via different intestinal transporters and do not interfere with lipid absorption. Neither supplement significantly induces or inhibits the cytochrome P450 enzymes at typical intakes, so the risk of a metabolic drug-like interaction is negligible. Vitamin A and vitamin K from cod liver oil are not influenced by chamomile, nor does chamomile alter the anti-inflammatory pathways of EPA/DHA in any known clinically relevant way.

02 / BEST PRACTICES

How To Take Them

To take both supplements together, simply incorporate cod liver oil with a meal—ideally breakfast or lunch—and sip chamomile tea whenever you like, even during the same meal. If you prefer capsules, take cod liver oil mid-meal; if using liquid, follow the serving size and keep it refrigerated. There is no need to separate cod liver oil and chamomile by hours, as their absorption pathways do not overlap. If you miss a dose of cod liver oil, skip it and resume the next day; do not double up. Chamomile tea is safe to drink daily, but if you take a concentrated extract, start with the lowest effective serving.

03 / FORM MATTERS

Form & Quality Differences

The dosage form matters more for quality than for the interaction itself. Cod liver oil is available as a liquid or as softgels; liquid can oxidize more quickly, so choose products with added vitamin E or clear expiration dates. Chamomile is usually consumed as a tea, as dried herb in capsules, or as a liquid extract; tea is gentler for everyday use, while concentrated extracts have higher active compound levels but still show no known interaction with cod liver oil. Avoid chamomile essential oil orally, as it is not food-grade and can be toxic.

04 / COMMON STACKS

Where This Pair Shows Up

These two are not commonly found together in branded wellness products; cod liver oil is usually stacked with vitamin D, vitamin K, or other omega-3s, while chamomile is often paired with magnesium or lemon balm in sleep and relaxation formulas.

Multivitamins Prenatals Performance Longevity
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Practical Tips

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Frequently Asked Questions

Who Should Be Careful People who are pregnant or breastfeeding should avoid high-dose cod liver oil due to vitamin A risk, and chamomile tea in large amounts is not well studied during pregnancy—moderate use is generally considered safe, but consult your provider. If you take anticoagulant or antiplatelet drugs (warfarin, clopidogrel, aspirin), both supplements can have mild additive effects on bleeding, so let your clinician know. Chamomile can also interact with cyclosporine and sedative medications, though this is unrelated to cod liver oil.
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Sources & Further Reading

  1. NIH ODS NIH Office of Dietary Supplements — Cod Liver Oil Fact Sheet
  2. NIH ODS NIH Office of Dietary Supplements — Chamomile Fact Sheet
  3. Examine.com Examine.com — Cod Liver Oil interaction page
  4. Examine.com Examine.com — Chamomile interaction page

Reviewed by Caroline M. on April 14, 2025 for accuracy against the sources listed above. This page is educational and is not a substitute for professional medical advice.

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