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Lampreys attached to a lake trout

As pests

Sea lampreys have become a major pest in the North American Great Lakes after artificial canals allowed their entry during the early 20th century. They are considered an invasive species, have no natural enemies in the lakes, and prey on many species of commercial value, such as lake trout. Lampreys are now found mostly in the streams that feed the lakes, and controlled with special barriers to prevent the upstream movement of adults, or by the application of toxicants called lampricides, which are harmless to most other aquatic species. However, those programs are complicated and expensive, and do not eradicate the lampreys from the lakes, but merely keep them in check. New programs are being developed, including the use of chemically sterilized male lampreys in a method akin to the sterile insect technique. Research currently under way on the use of pheromones and how they may be used to disrupt the lifecycle has met with some success.[40][41] Control of Sea lampreys in the Great Lakes is conducted by the U.S. Fish and Wildlife Service and the Canadian Department of Fisheries and Oceans. The work is coordinated by the Great Lakes Fishery Commission.

Lake Champlain, bordered by New York, Vermont, and Quebec, and New York's Finger Lakes are also home to high populations of sea lampreys that warrant control. Lake Champlain's lamprey control program is managed by the New York State Department of Environmental Conservation, the Vermont Department of Fish and Wildlife, and the U.S. Fish and Wildlife Service. New York's Finger Lakes sea lamprey control program is managed solely by the New York State Department of Environmental Conservation.​

Portuguese lamprey rice

As food

Lampreys have long been used as food for humans. They were highly appreciated by ancient Romans. During the Middle Ages, they were widely eaten by the upper classes throughout Europe, especially during fasting periods, since their taste is much meatier than that of most other fish. King Henry I of England is said to have died from eating "a surfeit of lampreys."[36]

On 4 March 1953, Queen Elizabeth II's coronation pie was made by the Royal Air Force using lampreys.[37]

Especially in southwestern Europe (Portugal, Spain, and France), and in the northern half in Finland, larger lampreys are still a highly prized delicacy. Sea lamprey is the most sought species in Portugal and one of only two that can legally bear the commercial name "lamprey" (lampreia): the other one being Lampetra fluviatilis, the European river lamprey, both according to Portaria (Government regulation no. 587/2006, from 22 June). Overfishing has reduced their number in those parts. Lampreys are also consumed in Sweden, Finland, Russia, New Zealand, the Baltic countries, Japan, and South Korea.

The mucus and serum of several lamprey species, including the Caspian lamprey (Caspiomyzon wagneri), river lampreys (Lampetra fluviatilis and L. planeri), and sea lamprey (Petromyzon marinus), are known to be toxic, and require thorough cleaning before cooking and consumption.[38][39]

In Britain, lampreys are commonly used as bait, normally as dead bait. Northern pike, perch, and chub all can be caught on lampreys. Frozen lampreys can be bought from most bait and tackle shops.​