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

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.
| Valproic acid | Phenobarbital | Phenytoin | Carbamazepine |
Fit check03
Who needs a pharmacist's advice before taking it?
Anyone on seizure medicine, blood thinners or antidepressants should ask first.
Next step04
What is a sensible next step?
Read the ingredient page, then talk to a pharmacist.
The price shows at checkout if you look.
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
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