Interacciones de Vitamina K
La vitamina K (en suplementos y verduras de hoja verde) contrarresta directamente la warfarina, por lo que mantener una ingesta constante importa más que evitarla.
Vitamina K tiene 30 interacciones documentadas en las etiquetas de la FDA y las hojas informativas que indexamos. Graves: 7; moderadas: 20; leves: 3; casos en los que una etiqueta indica que no hay ninguna interacción significativa: 0. Cada entrada de abajo cita la frase que la respalda. Esta página, de la categoría «Vitaminas y minerales», es un punto de partida, no un veredicto sobre su situación.
Interacciones según la etiqueta
Interacciones graves (7)
Patients with a hemorrhagic diathesis (e.g., hemophilia, hypoprothrombinemia, von Willebrand's disease, the thrombocytopenias, thrombasthenia and other ill-defined hereditary platelet dysfunctions, severe vitamin K deficiency and severe liver damage). (etiqueta de Butalbital, ácido acetilsalicílico y cafeína, Contraindicaciones)
WARNING: SERIOUS ADVERSE REACTIONS OR DEATH IN PATIENTS WITH COMPLETE DPD DEFICIENCY and INCREASED RISK OF BLEEDING WITH CONCOMITANT USE OF VITAMIN K ANTAGONISTS Increased risk of serious adverse reactions or death in patients with complete DPD deficiency • Test patients for genetic variants of DPYD prior to initiating XELODA unless immediate treatment is necessary. (etiqueta de Capecitabina, Advertencia en recuadro)
A potentially life-threatening bleeding disorder related to decreased levels of vitamin K-dependent clotting factors may occur in newborns exposed to phenytoin in utero. (etiqueta de Fenitoína, Advertencias y precauciones)
Do not administer agents that enhance the risk of hemorrhage with fondaparinux sodium unless essential for the management of the underlying condition, such as vitamin K antagonists for the treatment of VTE. (etiqueta de Fondaparinux, Advertencias y precauciones)
A potentially life-threatening bleeding disorder related to decreased levels of vitamin K-dependent clotting factors may occur in newborns exposed to phenytoin in utero. (etiqueta de Fosfenitoína, Advertencias y precauciones)
Postmarketing reports suggest that concomitant administration of high doses of cefazolin and rifampin may prolong the prothrombin time, leading to severe vitamin K–dependent coagulation disorders that may be life-threatening or fatal. (etiqueta de Rifampicina, Advertencias)
La vitamina K reduce el efecto anticoagulante de la warfarina; los cambios bruscos en la ingesta a través de suplementos o de la dieta pueden desajustar el INR. (NIH Office of Dietary Supplements, Vitamin K)
Interacciones moderadas (20)
For patients with APS (especially those who are triple positive [positive for lupus anticoagulant, anticardiolipin, and anti-beta 2-glycoprotein I antibodies]), treatment with DOACs has been associated with increased rates of recurrent thrombotic events compared with vitamin K antagonist therapy. (etiqueta de Apixabán, Advertencias y precauciones)
Some patients had serious bleeding including intracranial, retroperitoneal, and gastrointestinal requiring blood transfusion and/or administration of vitamin K. (etiqueta de Bicalutamida, Advertencias y precauciones)
This can adversely affect patients with inherited (i.e. hemophilia) or acquired (i.e. liver disease or vitamin K deficiency) bleeding disorders. (etiqueta de Butalbital, ácido acetilsalicílico, cafeína y codeína, Advertencias y precauciones)
Prothrombin time should be monitored in patients at risk and exogenous vitamin K administered as indicated (5.5) (etiqueta de Cefazolina, Advertencias y precauciones)
Prothrombin time should be monitored in patients at risk, and exogenous vitamin K administered as indicated. (etiqueta de Cefepima, Advertencias y precauciones)
Prothrombin time should be monitored in patients at risk and exogenous vitamin K administered as indicated. (etiqueta de Cefixima, Advertencias y precauciones)
Prothrombin time should be monitored and exogenous vitamin K administered as indicated. (etiqueta de Cefotetán, Advertencias)
Patients with impaired vitamin K synthesis or low vitamin K stores (e.g., chronic hepatic disease and malnutrition) may require monitoring of prothrombin time during Ceftriaxone for Injection and Dextrose Injection treatment. (etiqueta de Ceftriaxona, Advertencias y precauciones)
Vitamin K or Fat-Soluble Vitamin Deficiencies: Colesevelam hydrochloride may decrease absorption of fat-soluble vitamins. (etiqueta de Colesevelam, Advertencias y precauciones)
For patients with APS (especially those who are triple-positive [positive for lupus anticoagulant, anticardiolipin, and anti-beta 2-glycoprotein I antibodies]), treatment with DOACs has been associated with increased rates of recurrent thrombotic events compared with vitamin K antagonist therapy. (etiqueta de Dabigatrán, Advertencias y precauciones)
For patients with APS (especially those who are triple positive [positive for lupus anticoagulant, anticardiolipin antibodies, and anti-beta 2-glycoprotein I antibodies]), treatment with DOACs has been associated with increased rates of recurrent thrombotic events compared with vitamin K antagonist therapy. (etiqueta de Edoxabán, Advertencias y precauciones)
Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (etiqueta de Levotiroxina y liotironina, Interacciones medicamentosas)
Drug Interactions Anticoagulants (oral): Due to potential inhibition of vitamin K activity by methimazole, the activity of oral anticoagulants (e.g., warfarin) may be increased; additional monitoring of PT/INR should be considered, especially before surgical procedures. β-adrenergic blocking agents: Hyperthyroidism may cause an increased clearance of beta blockers… (etiqueta de Metimazol, Interacciones medicamentosas)
Oral neomycin sulfate may enhance the effect of coumarin in anticoagulants by decreasing vitamin K availability. (etiqueta de Neomicina, Interacciones medicamentosas)
- OrlistatModerada
The effect of ORLISTAT on the absorption of supplemental vitamin D, vitamin A, and nutritionally-derived vitamin K is not known at this time [see Clinical Pharmacology (12.3) , and Warnings and Precautions (5.1) ] . (etiqueta de Orlistat, Interacciones medicamentosas)
Increased prothrombin time has been reported in patients concomitantly treated with pentoxifylline and vitamin K antagonists. (etiqueta de Pentoxifilina, Interacciones medicamentosas)
Drug Interactions Anticoagulants (oral) : Due to the potential inhibition of vitamin K activity by propylthiouracil, the activity of oral anticoagulants (e.g., warfarin) may be increased; additional monitoring of PT/INR should be considered, especially before surgical procedures. (etiqueta de Propiltiouracilo, Interacciones medicamentosas)
Warfarin and oral anticoagulants Cinchona alkaloids, including quinine, may have the potential to depress hepatic enzyme synthesis of vitamin K-dependent coagulation pathway proteins and may enhance the action of warfarin and other oral anticoagulants. (etiqueta de Quinina, Interacciones medicamentosas)
For patients with APS (especially those who are triple positive [positive for lupus anticoagulant, anticardiolipin, and anti-beta 2-glycoprotein I antibodies]), treatment with DOACs has been associated with increased rates of recurrent thrombotic events compared with vitamin K antagonist therapy. (etiqueta de Rivaroxabán, Advertencias y precauciones)
- SugammadexModerada
In vitro experiments demonstrated additional aPTT and PT(INR) prolongations for sugammadex in combination with vitamin K antagonists, unfractionated heparin, low molecular weight heparinoids, rivaroxaban, and dabigatran up to ~25% and ~50% at C max levels of sugammadex corresponding to 4 mg/kg and 16 mg/kg doses, respectively. (etiqueta de Sugammadex, Advertencias y precauciones)
Menciones leves (3)
Cutaneous Reactions Parenteral administration of vitamin K replacements (including phytonadione injectable emulsion) may cause cutaneous reactions. (etiqueta de Fitomenadiona (vitamina K1), Advertencias y precauciones)
Methylergonovine maleate has been administered instead of vitamin K and Hepatitis B vaccine, medications which are routinely administered to the newborn. (etiqueta de Metilergometrina, Advertencias)
Neonatal hemorrhage, with a coagulation defect resembling vitamin K deficiency, has been described in newborns whose mothers were taking primidone and other anticonvulsants. (etiqueta de Primidona, Advertencias)
Compruebe Vitamina K frente a todo lo que toma. Añada su lista completa; todos los pares se comprueban a la vez.
Abrir en el verificadorNo es un consejo médico. La gravedad refleja la redacción de la etiqueta, no sus circunstancias. Una señal «grave» puede ser algo habitual bajo supervisión y una «leve» puede ser importante a dosis altas. Consulte a un farmacéutico.