Docosahexaenoic acid 100mg capsules
A mixture of fish oil and primrose oil, doconexent is used as a high-docosahexaenoic acid (DHA) supplement.
Safety information for pregnancy and breastfeeding
Pregnancy
Always consult your doctor or midwife before taking any medicine during pregnancy or while breastfeeding. Source: DrugBank (CC BY-NC 4.0).
Official documents, adverse reaction reporting, and safety monitoring
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Official medicine documents
Yellow Card
Report side effects (MHRA)
Drug safety updates
MHRA alerts for Docosahexaenoic acid
Safety monitoring data
Yellow Card reports
The MHRA Yellow Card scheme collects reports of suspected side effects from healthcare professionals and patients. View the Drug Analysis Profile (iDAP) for real-world adverse reaction data.
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Suspected adverse reactions reported for Docosahexaenoic acid
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Interactive Drug Analysis Profiles for all medicines
Report a side effect
Submit a Yellow Card report to the MHRA
Data from the MHRA Yellow Card scheme. A reported reaction does not necessarily mean the medicine caused it. Contains public sector information licensed under the Open Government Licence v3.0.
EudraVigilance
The European Medicines Agency (EMA) collects suspected adverse reaction reports from across the EU/EEA through the EudraVigilance system. Search for safety data on this medicine.
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Browse substances A–Z in the European adverse reaction database
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Learn about EU pharmacovigilance and safety monitoring
EudraVigilance data is published by the European Medicines Agency (EMA). A suspected adverse reaction is not necessarily caused by the medicine.
1 branded products available
NHS prescribing volume and spending trends
Guidelines from the National Institute for Health and Care Excellence
NICE clinical guidance(2)
Schizophrenia: omega-3 fatty acid medicines (ESUOM19)
Icosapent ethyl with statin therapy for reducing the risk of cardiovascular events in people with raised triglycerides (TA805)
Source: National Institute for Health and Care Excellence (NICE). Contains public sector information licensed under the Open Government Licence v3.0.
Check stock at pharmacies and supply information
Pharmacy stock checkers
Search for this medicine at major UK pharmacy chains. These links open the retailer's own website — results depend on their current online catalogue.
Supply & safety information
Official UK regulator monitoring and safety alerts
Pharmacy links redirect to the retailer's own search and do not represent real-time stock levels. Shortage and safety information sourced from MHRA drug safety updates (gov.uk, Crown Copyright under OGL v3.0).
Codes for healthcare professionals and prescribing systems
These codes are used by healthcare IT systems and prescribers to identify this medicine.
NHS UK identifiers
SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0.
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Academic studies and reviews for this medicine's active substance
Showing the 50 most relevant studies.
Reviews & meta-analyses: 39 · Randomised trials: 8 · 1999–2026
Showing the 50 most relevant studies, sorted by most relevant.
J. Brenna, Behzad Varamini, R. G. Jensen, et al.
The American journal of clinical nutrition, 2007
P. Miller, M. V. Van Elswyk, D. Alexander
American Journal of Hypertension, 2014
M. Makrides, R. Gibson, A. McPhee, et al.
JAMA, 2009
K. Stark, M. V. Van Elswyk, M. R. Higgins, et al.
Progress in lipid research, 2016
M. Weiser, C. Butt, M. Mohajeri
Nutrients, 2016
Docosahexaenoic acid (DHA) is the predominant omega-3 (n-3) polyunsaturated fatty acid (PUFA) found in the brain and can affect neurological function by modulating signal transduction pathways, neurotransmission, neurogenesis, myelination, membrane receptor function, synaptic plasticity, neuroinflammation, membrane integrity and membrane organization. DHA is rapidly accumulated in the brain during gestation and early infancy, and the availability of DHA via transfer from maternal stores impacts the degree of DHA incorporation into neural tissues. The consumption of DHA leads to many positive physiological and behavioral effects, including those on cognition. Advanced cognitive function is uniquely human, and the optimal development and aging of cognitive abilities has profound impacts on quality of life, productivity, and advancement of society in general. However, the modern diet typically lacks appreciable amounts of DHA. Therefore, in modern populations, maintaining optimal levels of DHA in the brain throughout the lifespan likely requires obtaining preformed DHA via dietary or supplemental sources. In this review, we examine the role of DHA in optimal cognition during development, adulthood, and aging with a focus on human evidence and putative mechanisms of action.
Abstract licence: CC BY 4.0
Grace Y. Sun, Á. Simonyi, K. Fritsche, et al.
Prostaglandins, leukotrienes, and essential fatty acids, 2017
D. Hwang, Jeong-a Kim, J. Y. Lee
European journal of pharmacology, 2016
I. Aasen, H. Ertesvåg, T. Heggeset, et al.
Applied Microbiology and Biotechnology, 2016
Jacqueline K. Innes, P. Calder
International Journal of Molecular Sciences, 2018
Turck D, Bohn T, Cámara M, et al.
2026
Following a request from the European Commission, the Panel on Nutrition, Novel Foods and Food Allergens (NDA) was asked to deliver a scientific opinion on the revision of the safe level of intake for supplemental docosahexaenoic acid (DHA). Systematic reviews of the literature were conducted to identify human intervention studies administering supplemental DHA alone from a source with an eicosapentaenoic acid (EPA)/DHA ratio < 0.3 for at least 8 weeks, without restrictions on population or outcome. Hazard identification focused on bleeding complications (including bleeding time, platelet function and blood clotting parameters), glucose homeostasis, blood lipid profile, markers of lipid peroxidation, immune function, pregnancy endpoints and safety, tolerability and adverse events. The risk of spontaneous bleeding was selected as the critical effect on which to base the UL/safe level of intake for supplemental DHA alone. In the absence of adequate data to characterise a dose-response relationship and identify a reference point, no UL for supplemental DHA alone can be established for any population group. Therefore, the Panel derived a safe level of intake, which differs from a UL in that it is based on intakes up to which no adverse effects have been observed. Based on the available evidence, the Panel retains the safe level of intake of 1 g/day for supplemental DHA alone established in 2012 for all population groups (i.e. infants, children, adolescents and adults, including pregnant and lactating women). This safe level of intake applies to DHA added to foods or consumed as food supplements in any chemical form (e.g. triacylglycerols, ethyl esters, phospholipids) from sources (e.g. fish oil concentrates, algal oils, krill oils) containing DHA alone or mostly DHA (i.e., EPA/DHA ratio < 0.3).
Abstract licence: CC BY-ND
Sources: aggregated from Europe PMC (EMBL-EBI), OpenAlex, Crossref, PubMed and other open scholarly databases. Retracted articles are excluded. Study information is provided for research purposes and does not constitute medical advice.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
None known
Half-life
20 hours
Mechanism
DHA and its conversion to other lipid signalling moleccules compete with the ara…
Food interactions
None known
Human targets
9 targets
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Absorption
Half-life
20 hours
[A19370]
Volume of distribution
Metabolism
Pharmacokinetic data: DrugBank · CC BY-NC 4.0
Known interactions with other medicines. Always consult a healthcare professional.
Showing 50 of 329 interactions
DHA acts as a ligand at peroxisome proliferator-activated receptor (PPAR) gamma and alpha that regulate lipid signalling molecule-mediated transduction pathways and modulate inflammation.
As a natural ligand, DHA induces a protective effect in retinal tissues by activating retinoid x receptors and subsequent ERK/MAPK signaling pathway in photoreceptors to promote their survival and differentiation, stimulating the expression of antiapoptotic proteins such as Bcl-2 and preserving mitochondrial membrane potential [A19453].
How the body processes this drug — absorption, distribution, metabolism, and elimination
[A19370]
[A19452]
[A19431]
DHA may also be metabolized to 19,20-epoxydocosapentaenoic acids (EDPs) and isomers via CYP2C9 activity.
Epoxy metabolites are reported to mediate anti-tumor activity by inhibiting angiogenesis, tumor growth, and metastasis.
Proteins and enzymes this drug interacts with in the body
Activated by oleylethanolamide, a naturally occurring lipid that regulates satiety. Receptor for peroxisome proliferators such as hypolipidemic drugs and fatty acids. Regulates the peroxisomal beta-oxidation pathway of fatty acids.
Functions as a transcription activator for the ACOX1 and P450 genes. Transactivation activity requires heterodimerization with RXRA and is antagonized by NR2C2. May be required for the propagation of clock information to metabolic pathways regulated by PER2
Key regulator of adipocyte differentiation and glucose homeostasis. ARF6 acts as a key regulator of the tissue-specific adipocyte P2 (aP2) enhancer. Acts as a critical regulator of gut homeostasis by suppressing NF-kappa-B-mediated pro-inflammatory responses.
Plays a role in the regulation of cardiovascular circadian rhythms by regulating the transcription of BMAL1 in the blood vessels (By similarity)
PMID:10874028 PMID:11162439 PMID:11915042 PMID:37478846
Forms homo- or heterodimers with retinoic acid receptors (RARs) and binds to target response elements in response to their ligands, all-trans or 9-cis retinoic acid, to regulate gene expression in various biological processes .
PMID:10195690 PMID:11162439 PMID:11915042 PMID:16107141 PMID:17761950 PMID:18800767 PMID:19167885 PMID:28167758 PMID:37478846
The RAR/RXR heterodimers bind to the retinoic acid response elements (RARE) composed of tandem 5'-AGGTCA-3' sites known as DR1-DR5 to regulate transcription .
PMID:10195690 PMID:11162439 PMID:11915042 PMID:17761950 PMID:28167758
The high affinity ligand for retinoid X receptors (RXRs) is 9-cis retinoic acid .
PMID:1310260
In the absence of ligand, the RXR-RAR heterodimers associate with a multiprotein complex containing transcription corepressors that induce histone deacetylation, chromatin condensation and transcriptional suppression .
PMID:20215566
On ligand binding, the corepressors dissociate from the receptors and coactivators are recruited leading to transcriptional activation .
PMID:20215566 PMID:37478846 PMID:9267036
Serves as a common heterodimeric partner for a number of nuclear receptors, such as RARA, RARB and PPARA .
PMID:10195690 PMID:11915042 PMID:28167758 PMID:29021580
The RXRA/RARB heterodimer can act as a transcriptional repressor or transcriptional activator, depending on the RARE DNA element context .
PMID:29021580
The RXRA/PPARA heterodimer is required for PPARA transcriptional activity on fatty acid oxidation genes such as ACOX1 and the P450 system genes .
PMID:10195690
Together with RARA, positively regulates microRNA-10a expression, thereby inhibiting the GATA6/VCAM1 signaling response to pulsatile shear stress in vascular endothelial cells .
PMID:28167758
Acts as an enhancer of RARA binding to RARE DNA element .
PMID:28167758
May facilitate the nuclear import of heterodimerization partners such as VDR and NR4A1 .
PMID:12145331 PMID:15509776
Promotes myelin debris phagocytosis and remyelination by macrophages .
PMID:26463675
Plays a role in the attenuation of the innate immune system in response to viral infections, possibly by negatively regulating the transcription of antiviral genes such as type I IFN genes .
PMID:25417649
Involved in the regulation of calcium signaling by repressing ITPR2 gene expression, thereby controlling cellular senescence PMID:30216632
The high affinity ligand for RXRs is 9-cis retinoic acid (By similarity)
Enzymes involved in drug metabolism — important for understanding drug interactions
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
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Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Linked compound data from DrugBank Open Data (CC BY-NC 4.0)
Doconexent
Matched from: Docosahexaenoic acid
Additional database identifiers
Drugs Product Database (DPD)
1796
ChemSpider
393183
BindingDB
50210259
PDB
HXA
ZINC
ZINC000004474564
HUGO Gene Nomenclature Committee (HGNC)
HGNC:9232
GenAtlas
PPARA
GeneCards
PPARA
GenBank Gene Database
L02932
GenBank Protein Database
307341
Guide to Pharmacology
593
UniProt Accession
PPARA_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:9236
GenAtlas
PPARG
GeneCards
PPARG
GenBank Gene Database
U79012
GenBank Protein Database
1711117
Guide to Pharmacology
595
UniProt Accession
PPARG_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:10477
GenAtlas
RXRA
GeneCards
RXRA
GenBank Gene Database
X52773
GenBank Protein Database
35885
Guide to Pharmacology
610
UniProt Accession
RXRA_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:10478
GenAtlas
RXRB
GeneCards
RXRB
GenBank Gene Database
X63522
GenBank Protein Database
30448
Guide to Pharmacology
611
UniProt Accession
RXRB_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:10479
GenAtlas
RXRG
GeneCards
RXRG
GenBank Gene Database
U38480
GenBank Protein Database
1053069
Guide to Pharmacology
612
UniProt Accession
RXRG_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:9604
GenAtlas
PTGS1
GeneCards
PTGS1
GenBank Gene Database
M31822
GenBank Protein Database
387018
Guide to Pharmacology
1375
UniProt Accession
PGH1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:9605
GenAtlas
PTGS2
GeneCards
PTGS2
GenBank Gene Database
L15326
GenBank Protein Database
291988
Guide to Pharmacology
1376
UniProt Accession
PGH2_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:11289
GeneCards
SREBF1
UniProt Accession
SRBP1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:7553
GeneCards
MYC
UniProt Accession
MYC_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:2623
GenAtlas
CYP2C9
GeneCards
CYP2C9
GenBank Gene Database
AY341248
Guide to Pharmacology
1326
UniProt Accession
CP2C9_HUMAN
DrugBank citations
If you use DrugBank data in your research, please cite:
- DrugBank 6.02024Recommended citationKnox C., Wilson M., Klinger C.M., et alDrugBank 6.0: the DrugBank Knowledgebase for 2024Nucleic Acids Res. 2024 Jan 552(D1):D1265-D1275
- DrugBank 5.02018Wishart D.S., Feunang Y.D., Guo A.C., et alDrugBank 5.0: a major update to the DrugBank database for 2018Nucleic Acids Res. 2017 Nov 846(D1):D1074-D1082
- DrugBank 4.02014Law V., Knox C., Djoumbou Y., et alDrugBank 4.0: shedding new light on drug metabolismNucleic Acids Res. 2014 Jan 142(1):D1091-7
- DrugBank 3.02011Knox C., Law V., Jewison T., et alDrugBank 3.0: a comprehensive resource for 'omics' research on drugsNucleic Acids Res. 2011 Jan39(Database issue):D1035-41
- DrugBank 2.02008Wishart D.S., Knox C., Guo A.C., et alDrugBank: a knowledgebase for drugs, drug actions and drug targets.Nucleic Acids Research2008 Jan36(Database issue):D901-6
- DrugBank 1.02006Wishart D.S., Knox C., Guo A.C., et alDrugBank: a comprehensive resource for in silico drug discovery and exploration.Nucleic Acids Research2006 Jan 134(Database issue):D668-72