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At a glance

Phytomenadione (Vitamin K1) is used for the treatment of vitamin K deficiency and bleeding caused by over-anticoagulation with warfarin. It promotes hepatic synthesis of clotting factors, normalizing the blood clotting process.

Indications
  • Vitamin K deficiency (due to drugs or malabsorption)
  • Over-anticoagulation with warfarin
  • Prophylaxis of vitamin K deficiency bleeding in neonates
Pharmacology

Phytomenadione promotes hepatic synthesis of prothrombin and other clotting factors (VII, IX, X), restoring vitamin K activity. It accelerates the normal blood clotting process and helps prevent or treat bleeding caused by warfarin or vitamin K deficiency.

Dosage

Adult Dose:

  • Oral (Vitamin K deficiency): 10-40 mg daily
  • Oral (Over-anticoagulation): Up to 5 mg; depends on INR and degree of hemorrhage
  • IV (Over-anticoagulation): 0.5-5 mg slow IV injection; depends on INR and degree of hemorrhage

Pediatric Dose:

  • IM (Neonatal prophylaxis): 0.5-1 mg single dose; alternative: 2 mg oral, second dose 2 mg after 4-7 days
  • Parenteral (Neonatal bleeding): 1 mg IV/IM/SC; further doses may be given if needed
Side effects

Common Side Effects:

  • Pain, redness, or swelling at injection site
  • Allergic reactions (rare)
  • Flushing
  • Altered taste
Use in pregnancy

Use in Pregnancy: May be unsafe during pregnancy; animal studies have shown harmful effects; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Do not use if G6PD deficiency
  • Do not use as antidote for heparin
  • May decrease warfarin effect; monitor INR
  • Caution during pregnancy
Overdose effects

Overdose is rare; excessive doses may increase clotting risk; treatment: symptomatic; consult your doctor.

Storage conditions

Store in a cool and dry place, away from light; keep out of reach of children.

Phytomenadione (Vitamin K1) — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.