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Omega-3 fatty acids (fish oil) & Epilepsy

Checked 2026. nov. 11. · Epilepsy

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Written based on 26 research studies on PubMed, searched on 2026. nov. 11..

The claim

Posts online say that omega-3 fatty acids (fish oil) helps with epilepsy.

Where research stands

We found 76 published papers on omega-3 fatty acids (fish oil) and epilepsy. They were published between 2000 and 2027. 12 of them are studies in people. 10 of them compared people who got it with a group that did not. 33 were studies in animals, and none was only in cells in the lab. 14 papers are reviews that sum up other studies. 1 research project on omega-3 fatty acids (fish oil) for epilepsy is funded and still running.

  • 12In people10 with a comparison group
  • 33In animals
  • 0Only in the lab

What the studies found

We have not summed up these studies in words yet. The most important papers are listed under Sources.

Verdict

Omega-3 fatty acids (fish oil) has been tested in randomised trials in people with epilepsy.

What this means for you: A study in people is not proof that it helps you. Do not stop or change your medicines because of it. Ask your doctor before you start taking it.

Sources

  1. Omega-3 supplementation in children with ADHD and intractable epilepsy.2021 · J Clin Neurosci · Randomised trial
  2. Altered IFN-γ Levels after Treatment of Epileptic Patients with Omega-3 Fatty Acids.2021 · J Mol Neurosci · Randomised trial
  3. The effect of omega-3 fatty acids on clinical and paraclinical features of intractable epileptic patients: a triple blind randomized clinical trial.2019 · Clin Transl Med · Randomised trial
  4. Clinical Trial of Efficacy Evaluation of Omega-3 with Risperidone on Seizures Frequency in Children with Refractory Epilepsy and Attention-Deficit/Hyperactivity Disorder.2018 · Iran J Child Neurol · Randomised trial
  5. The differential effects of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) on seizure frequency in patients with drug-resistant epilepsy - A randomized, double-blind, placebo-controlled trial.2018 · Epilepsy Behav · Randomised trial
  6. Fish oil (n-3 fatty acids) in drug resistant epilepsy: a randomised placebo-controlled crossover study.2015 · J Neurol Neurosurg Psychiatry · Randomised trial
  7. n-3 fatty acids (fish oil) for epilepsy, cardiac risk factors, and risk of SUDEP: clues from a pilot, double-blind, exploratory study.2008 · Epilepsy Behav · Randomised trial
  8. Erythrocyte and plasma fatty acid profiles in patients with epilepsy: does carbamazepine affect omega-3 fatty acid concentrations?2008 · Epilepsy Behav · Randomised trial
  9. Non-randomized open trial of eicosapentaenoic acid (EPA), an omega-3 fatty acid, in ten people with chronic epilepsy.2012 · Epilepsy Behav · Study in people
  10. A 31-phosphorus neurospectroscopy study of omega-3 long-chain polyunsaturated fatty acid intervention with eicosapentaenoic acid and docosahexaenoic acid in patients with chronic refractory epilepsy.2007 · Prostaglandins Leukot Essent Fatty Acids · Study in people
  11. Exploratory Dietary Approaches for Drug-Resistant Epilepsy Beyond Standard Ketogenic Diet and Fish Oil: A Systematic Review of Preliminary Clinical Evidence.2026 · Neurol Int · Review
  12. Omega-3 fatty acids: multi-target mechanisms and therapeutic applications in neurodevelopmental disorders and epilepsy.2025 · Front Nutr · Review
  13. Dose-specific impact of omega-3 fatty acid in epilepsy: Evidence from a dose-responsive network meta-analysis.2025 · Seizure · Review
  14. Can Omega-3 fatty acid supplementation support the clinical management of drug-resistant epilepsy? A meta-analysis of randomized controlled trials.2025 · Seizure · Review
  15. The effect of omega-3 fatty acid supplementation on seizure frequency in individuals with epilepsy: a systematic review and meta-analysis.2022 · Nutr Neurosci · Review
  16. Association of Omega-3 Fatty Acid and Epileptic Seizure in Epileptic Patients: A Systematic Review.2018 · Int J Prev Med · Review
  17. Effects of maternal docosahexaenoic acid intake on febrile seizures and increased seizure susceptibility after febrile seizures: study using mouse models and human samples.2027 · J Nutr Biochem · In animals
  18. Long-Term Fish Oil Supplementation Attenuates Spike Wave Discharges in the Amygdala of Adult Rats with Early-Life Febrile Seizures.2025 · Brain Sci · In animals
  19. A Compared Study of Eicosapentaenoic Acid and Docosahexaenoic Acid in Improving Seizure-Induced Cognitive Deficiency in a Pentylenetetrazol-Kindling Young Mice Model.2023 · Mar Drugs · In animals
  20. Suppressive Effects of Docosahexaenoic Acid Intake on Increased Seizure Susceptibility after Growth Due to Febrile Seizures in Infancy.2023 · Biol Pharm Bull · In animals
  21. Effects of high-dose docosahexaenoic acid supplementation as an add-on therapy for canine idiopathic epilepsy: A pilot study.2023 · Open Vet J · In animals
  22. Causal relationship between human blood omega-3 fatty acids and the risk of epilepsy: A two-sample Mendelian randomization study.2023 · Front Neurol · In animals
  23. Omega-3 Fatty Acids May Prevent Sudden Unexpected Death in Epilepsy in Children.2022 · J Pediatr Pharmacol Ther · Other paper
  24. [Omega-6/omega-3 ratio and cognition in children with epilepsy].2019 · An Pediatr (Engl Ed) · Other paper
  25. Omega-3 fatty acids and SUDEP prevention.2016 · Lancet Neurol · Other paper
  26. Omega-3 fatty acids and SUDEP prevention - Authors' reply.2016 · Lancet Neurol · Other paper

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