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Acetyl L Carnitine Side Effects: Fishy Odor, Stomach Upset and Seizures

Quick answer

Acetyl l carnitine side effects at about 3 grams a day include nausea, vomiting, cramps, diarrhea and a fishy body odor. In people with seizure disorders it can also cause seizures. N-acetyl L-carnitine HCl is one of six names listed for MemoPryl.

Prepared by the MemoPryl label deskUpdated · 3 min read

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Effects01

What are the acetyl l carnitine side effects?

Acetyl l carnitine side effects include nausea, vomiting, cramps, diarrhea and a fishy body odor. The NIH fact sheet ties these to about 3 grams a day (NIH ODS, Carnitine).

Seizures02

Is acetyl-L-carnitine safe with seizure disorders?

No, carnitine can cause seizures in people with seizure disorders. Ask a neurologist before using it (NIH ODS, Carnitine).

Keep taking prescribed medicine and ask your doctor or pharmacist.

Seizure drugs that lower blood carnitine
Valproic acidPhenobarbitalPhenytoinCarbamazepine

Fit check03

Who needs a pharmacist's advice before taking it?

Anyone on seizure medicine, blood thinners or antidepressants should ask first.

1. Do you take a blood thinner such as warfarin, apixaban (Eliquis) or clopidogrel, or aspirin every day?
2. Do you take an antidepressant, birth control pills, or medicine for HIV, seizures, a transplant or the heart?
3. Are you pregnant or nursing, or under 18?
4. Do you have a seizure disorder, a bleeding problem, thyroid disease or surgery coming up in the next two weeks?
5. Sudden confusion, trouble speaking, weakness on one side, a severe headache, or memory loss that is getting worse fast?
Answer all 5Your result shows here. It is a checklist, not medical advice.

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Next step04

What is a sensible next step?

Read the ingredient page, then talk to a pharmacist.

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FAQ05

Carnitine safety questions

Why does carnitine cause a fishy smell?

The NIH fact sheet lists a fishy body odor among effects at about 3 grams a day (NIH ODS, Carnitine). It is a known effect at high intake, not a sign of spoilage. Tell a pharmacist if it bothers you.

Is there an upper limit for carnitine?

No upper intake level has been set, according to the NIH fact sheet (NIH ODS, Carnitine). That does not make high intake safe, since nausea and odor appear around 3 grams a day.

Did trials find more side effects than placebo?

In the Cochrane review of 16 trials, adverse events did not differ significantly from placebo (Cochrane, acetyl-L-carnitine). Trial doses and people differ from real life, so ask a pharmacist.

Who wrote this06

Written and reviewed by

Written byThe MemoPryl label deskMemoprylofficial, MemoPryl U.S. order-link partner

Pages built from the label, the official site, the sales page and linked NIH, FDA, FTC and peer-reviewed sources.

Medically reviewed byDr. Neelum Aggarwal, MD, PhysicianRole: Medical reviewerReview date: October 19, 2026

Last updated . Find our editorial standards and how we check reviews. This website is run by a U.S. order-link partner, not by the maker of MemoPryl. This site earns a commission when you buy through our order links.

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