No. 022supplement

Omega-3 fatty acids

Omega-3 fatty acids is a supplement that is sold over the counter.

Also known as Fish oil, EPA, DHA, Algal oil

EPA and DHA are omega-3 fats found in fatty fish and algae and are part of brain and cell membranes. Supplements are among the most popular in the US; prescription versions exist for very high triglycerides.

In 2 example journals

Golden softgel capsules scattered loosely across a plain white surface, bright and airy overhead composition.
Over the counter

Is Omega-3 fatty acids FDA-approved?

Sold without a prescription. Supplements are not reviewed by the FDA before sale, so third-party testing matters. Sold as a dietary supplement; separate FDA-approved prescription omega-3 products are used for high triglycerides.

As of September 23, 2026.

Key takeaways

  • Omega-3s (EPA and DHA) are fats from fish and algae that are built into your heart, brain and eye cells.
  • Prescription omega-3s reliably lower high triglycerides.
  • In the large VITAL trial, over-the-counter omega-3s did not reduce heart attacks, strokes or cancer in the general population.
  • Higher intakes have been linked to atrial fibrillation and may add to bleeding risk with blood thinners.

How does Omega-3 fatty acids work?

EPA and DHA become part of your cell membranes, especially in the heart, brain and retina, and influence inflammation, heart rhythm and blood fats.

Your body makes very little EPA or DHA from plant omega-3s, so fish, algae or supplements are the main sources.

What does the evidence say about Omega-3 fatty acids?

Moderate human evidence

Solid evidence for lowering triglycerides; large trials show mixed results for heart events and little benefit for memory or cognition in healthy adults.

What do clinicians say about Omega-3 fatty acids?

Cardiologists support omega-3s for specific groups, such as people with heart disease or very high triglycerides, but not as a general preventive supplement.

Summaries of published guidelines, drug labels, regulators and reviews, each attributed to its source. DiscoverMedica does not employ clinicians.

Is Omega-3 fatty acids right for you, and who should avoid it?

Often considered for

  • People with high triglycerides, under a clinician (often prescription products)
  • People with established heart disease, where guidance supports it
  • People who rarely eat fish

Not a fit, or needs extra care

  • People on blood thinners, without medical advice
  • People with atrial fibrillation or at high risk of it
  • Fish or shellfish allergy: check the source or choose algae oil

Only a licensed clinician who knows your history can decide whether it is right for you.

What are the risks and side effects of Omega-3 fatty acids?

  • Fishy aftertaste, reflux and loose stools are common.
  • Higher intakes may raise bleeding risk with blood thinners and have been linked to atrial fibrillation in some trials.
  • People with fish or shellfish allergy should check the source.

What should you ask a clinician about Omega-3 fatty acids?

  • Do my triglycerides or diet suggest I would benefit?
  • Is it safe with my blood thinner or heart rhythm history?

These save with the compound when you add it to My Journal, so they’re on the printout for your visit.

How do people buy Omega-3 fatty acids?

An overhead array of several ceramic bowls and dishes holding unbranded capsules, softgels and tablets on a light surface.
  1. No prescription is needed. Supplement brands and retailers sell it online and in stores.

  2. Check with a clinician or pharmacist first if you take prescription medication or have a chronic condition.

  3. Choose a product with independent testing, such as NSF Certified for Sport or USP Verified, because FDA does not check supplements before they are sold.

Where some people buy it

  • Nordic NaturalsFish oil specialist; its Sport line is NSF Certified for Sport, and it offers a certificate of analysis lookup.
  • ThorneSells Super EPA direct; some of its range is NSF Certified for Sport.
  • MomentousSells an omega-3 supplement direct, with third-party certification.
  • Life ExtensionSells a range of fish oils direct.

From each provider’s own site, checked September 23, 2026. Programs change, so confirm the details before you sign up.

Where can I get Omega-3 fatty acids?

16 providers list Omega-3 fatty acids on DiscoverMedica, lowest listed price first.

Nature MadeFish Oil softgels, 100 count
Lowest listed priceNo prescription
$17.49listed price†
Buy at Nature Made
NOW FoodsUltra Omega-3 Fish Oil softgels, 90 count
No prescription
$27.99listed price†
Buy at NOW Foods
Garden of LifeMinami Platinum Omega-3 Fish Oil softgels, 30 count
No prescription
$28.79listed price†
Buy at Garden of Life
Nordic NaturalsUltimate Omega (fish oil)
No prescription
From $29.95listed price†
Buy at Nordic Naturals
MomentousOmega-3
No prescription
$39.99listed price†
Buy at Momentous
ThorneSuper EPA, 90 gelcaps
No prescription
$45listed price†
Buy at Thorne
Pure EncapsulationsO.N.E. Omega softgel capsules, 30 count
No prescription
$45.50listed price†
Buy at Pure Encapsulations
AmazonOmega-3 fish oil (multiple brands)
No prescription
see site
Buy at Amazon
CostcoOmega-3 fish oil (multiple brands)
No prescription
see site
Buy at Costco
CVS PharmacyOmega-3 fish oil (multiple brands)
No prescription
see site
Buy at CVS Pharmacy
GNCFish oil and omegas (multiple brands)
No prescription
see site
Buy at GNC
iHerbOmega-3 fish oil (multiple brands)
No prescription
see site
Buy at iHerb
Life ExtensionFish oil and omega-3 range
No prescription
see site
Buy at Life Extension
TargetOmega-3 fish oil (multiple brands)
No prescription
see site
Buy at Target
WalgreensOmega-3 fish oil (multiple brands)
No prescription
see site
Buy at Walgreens
WalmartOmega-3 fish oil (multiple brands)
No prescription
see site
Buy at Walmart

† Prices as listed by the provider when we checked; they change.

Omega-3 fatty acids: questions, answered

Should everyone take fish oil?

No. Large trials like VITAL found no benefit for heart attacks, strokes or cancer in the general population. Eating fish is still encouraged.

Does it help my brain?

Large trials have shown little benefit for memory or thinking in healthy adults.

What about prescription omega-3?

Prescription products are used for very high triglycerides and, in one case, for heart risk in people already on statins. They are different from supplements.

Can I get it through telehealth?

Supplements do not need a prescription. Prescription omega-3 products come from your own clinician.

Important safety information

Key risks

  • Fishy aftertaste, reflux and loose stools are common.
  • Higher intakes may raise bleeding risk with blood thinners and have been linked to atrial fibrillation in some trials.
  • People with fish or shellfish allergy should check the source.

Talk to a clinician first, or avoid it, if

  • People on blood thinners, without medical advice
  • People with atrial fibrillation or at high risk of it
  • Fish or shellfish allergy: check the source or choose algae oil

This is not a complete list of risks. Talk to a licensed clinician or pharmacist about your own situation. If you have a severe reaction, call 911. You can report side effects to the FDA through MedWatch at 1-800-FDA-1088.

Sources

Also checked for this guide

Guide reviewed September 23, 2026.

Educational information only, not medical advice. It does not replace a conversation with a licensed clinician.

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