VCVITAMINS/CHART

The Bottom Line

Yes, you can take krill oil and St. John's Wort together. No known significant interaction exists between these two supplements, and they work through separate pathways.

VERDICT

Taking Krill Oil and St. John's Wort together is safe—they don't interfere with each other. Krill oil's omega-3s and St. John's Wort's active compounds act through independent mechanisms, so no significant interaction is expected. This combination is well-tolerated for most healthy adults.

Safe to combine Moderate evidence
01 / MECHANISM

How They Interact

Krill oil provides omega-3 fatty acids (EPA and DHA) bound to phospholipids, which are absorbed through intestinal lipid pathways and incorporated into cell membranes. St. John's Wort contains hypericin and hyperforin, which are absorbed separately and are known inducers of cytochrome P450 enzymes, especially CYP3A4 and P-glycoprotein. These enzymes primarily metabolize pharmaceutical drugs, not dietary lipids or phospholipids. Since omega-3s from krill oil are not substrates for CYP3A4 or P-glycoprotein, there is no metabolic competition or altered breakdown. Additionally, krill oil is anti-inflammatory and St. John's Wort has mild serotonergic effects, but these actions do not overlap or amplify each other, resulting in a neutral interaction profile.

02 / BEST PRACTICES

How To Take Them

For best results, take both supplements together with your morning meal: krill oil benefits from dietary fat, and morning dosing of St. John's Wort helps avoid insomnia. No spacing is required between them. If you take prescription medications, take St. John's Wort at least 2 hours apart from those medications to reduce any enzyme-mediated interference, but this is not necessary for krill oil. Choose high-quality krill oil certified by third-party sustainability programs and a standardized St. John's Wort extract to ensure consistent potency. If you miss a dose, take it as soon as you remember unless it's almost time for the next dose.

03 / FORM MATTERS

Form & Quality Differences

Krill oil is typically sold as softgels with phospholipid-bound EPA/DHA, which may offer better absorption than fish oil, but this does not alter the interaction with St. John's Wort. St. John's Wort is available as capsules, tablets, teas, and standardized extracts; choose a product standardized to 0.3% hypericin for consistent dosing. No specific formulation of either supplement changes the safety of combining them.

05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful Because St. John's Wort strongly induces liver enzymes, it can reduce the effectiveness of many prescription drugs, including oral contraceptives, immunosuppressants, anticoagulants, and antiretrovirals. Krill oil in high doses may have a mild antiplatelet effect, so individuals on warfarin or other blood thinners should monitor clotting status. Pregnant or breastfeeding women should avoid St. John's Wort due to lack of reliable safety data. People with depression should not self-treat with St. John's Wort without professional guidance, as it can trigger mood swings or serotonin syndrome when combined with antidepressants.
08

Sources & Further Reading

  1. NIH ODS NIH Office of Dietary Supplements — Krill Oil Fact Sheet
  2. NIH ODS NIH Office of Dietary Supplements — St. John's Wort Fact Sheet
  3. Examine.com Examine.com — Krill Oil interaction page
  4. Examine.com Examine.com — St. John's Wort interaction page

Reviewed by Caroline M. on January 15, 2026 for accuracy against the sources listed above. This page is educational and is not a substitute for professional medical advice.

WANT THE FULL PICTURE?

The matrix has 86 supplements and 7310 pairwise interactions. Click any cell to see the full breakdown.

Back To The Vitamins Chart All Krill Oil Interactions All St. John's Wort Interactions