Phenytoin and Phytonadione (vitamin K1) interaction

Phenytoin and Phytonadione (vitamin K1): the Phenytoin prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Phenytoin label · effective 2024-12-24

Major

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.

Warnings and precautionsby drug classView label on DailyMed
Minor

This drug-induced condition can be prevented with vitamin K administration to the mother before delivery and to the neonate after birth.

Warnings and precautionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.