Interações de Vitamina K

A vitamina K (nos suplementos e nas folhas verdes) neutraliza diretamente a varfarina, por isso manter uma ingestão constante importa mais do que evitá-la.

Vitamina K tem 30 interações documentadas nas bulas da FDA e nas fichas informativas que indexamos (graves: 7; moderadas: 20; leves: 3; casos em que uma bula relata não haver interação significativa: 0). Cada item abaixo cita a frase em que se baseia. Esta página (categoria: Vitaminas e minerais) é um ponto de partida, não um veredito para a sua situação.

Interações segundo a bula

Interações 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). (bula de Butalbital + ácido acetilsalicílico + cafeína, Contraindicações)

  • CapecitabinaantimetabólitoGrave

    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. (bula de Capecitabina, Advertência em caixa preta)

  • FenitoínaanticonvulsivanteGrave

    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. (bula de Fenitoína, Advertências e precauções)

  • FondaparinuxanticoagulanteGrave

    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. (bula de Fondaparinux, Advertências e precauções)

  • FosfenitoínaanticonvulsivanteGrave

    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. (bula de Fosfenitoína, Advertências e precauções)

  • RifampicinaantibióticoGrave

    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. (bula de Rifampicina, Advertências)

  • VarfarinaanticoagulanteGrave

    A vitamina K reduz o efeito anticoagulante da varfarina; mudanças repentinas no consumo, por suplementos ou pela dieta, podem desregular o INR. (NIH Office of Dietary Supplements, Vitamin K)

Interações moderadas (20)

  • ApixabanaanticoagulanteModerada

    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. (bula de Apixabana, Advertências e precauções)

  • BicalutamidaandrogênioModerada

    Some patients had serious bleeding including intracranial, retroperitoneal, and gastrointestinal requiring blood transfusion and/or administration of vitamin K. (bula de Bicalutamida, Advertências e precauções)

  • This can adversely affect patients with inherited (i.e. hemophilia) or acquired (i.e. liver disease or vitamin K deficiency) bleeding disorders. (bula de Butalbital + ácido acetilsalicílico + cafeína + codeína, Advertências e precauções)

  • CefazolinacefalosporinaModerada

    Prothrombin time should be monitored in patients at risk and exogenous vitamin K administered as indicated (5.5) (bula de Cefazolina, Advertências e precauções)

  • CefepimacefalosporinaModerada

    Prothrombin time should be monitored in patients at risk, and exogenous vitamin K administered as indicated. (bula de Cefepima, Advertências e precauções)

  • CefiximacefalosporinaModerada

    Prothrombin time should be monitored in patients at risk and exogenous vitamin K administered as indicated. (bula de Cefixima, Advertências e precauções)

  • CefotetanacefalosporinaModerada

    Prothrombin time should be monitored and exogenous vitamin K administered as indicated. (bula de Cefotetana, Advertências)

  • CeftriaxonacefalosporinaModerada

    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. (bula de Ceftriaxona, Advertências e precauções)

  • Colesevelamsequestrante de ácidos biliaresModerada

    Vitamin K or Fat-Soluble Vitamin Deficiencies: Colesevelam hydrochloride may decrease absorption of fat-soluble vitamins. (bula de Colesevelam, Advertências e precauções)

  • DabigatranaanticoagulanteModerada

    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. (bula de Dabigatrana, Advertências e precauções)

  • EdoxabanaanticoagulanteModerada

    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. (bula de Edoxabana, Advertências e precauções)

  • Levotiroxina + liotironinahormônio tireoidianoModerada

    Drug Interactions Oral Anticoagulants — Thyroid hormones appear to increase catabolism of vitamin K-dependent clotting factors. (bula de Levotiroxina + liotironina, Interações medicamentosas)

  • NeomicinaaminoglicosídeoModerada

    Oral neomycin sulfate may enhance the effect of coumarin in anticoagulants by decreasing vitamin K availability. (bula de Neomicina, Interações medicamentosas)

  • OrlistateModerada

    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) ] . (bula de Orlistate, Interações medicamentosas)

  • PentoxifilinametilxantinaModerada

    Increased prothrombin time has been reported in patients concomitantly treated with pentoxifylline and vitamin K antagonists. (bula de Pentoxifilina, Interações medicamentosas)

  • Propiltiouracilamedicamento antitireoidianoModerada

    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. (bula de Propiltiouracila, Interações medicamentosas)

  • QuininaantimaláricoModerada

    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. (bula de Quinina, Interações medicamentosas)

  • RivaroxabanaanticoagulanteModerada

    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. (bula de Rivaroxabana, Advertências e precauções)

  • SugamadexModerada

    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. (bula de Sugamadex, Advertências e precauções)

  • Tiamazol (metimazol)medicamento antitireoidianoModerada

    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… (bula de Tiamazol (metimazol), Interações medicamentosas)

Menções leves (3)

  • Cutaneous Reactions Parenteral administration of vitamin K replacements (including phytonadione injectable emulsion) may cause cutaneous reactions. (bula de Fitomenadiona (vitamina K1), Advertências e precauções)

  • Metilergometrinaalcaloide do ergotLeve

    Methylergonovine maleate has been administered instead of vitamin K and Hepatitis B vaccine, medications which are routinely administered to the newborn. (bula de Metilergometrina, Advertências)

  • PrimidonaanticonvulsivanteLeve

    Neonatal hemorrhage, with a coagulation defect resembling vitamin K deficiency, has been described in newborns whose mothers were taking primidone and other anticonvulsants. (bula de Primidona, Advertências)

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Não é aconselhamento médico. A gravidade reflete a redação da bula, não as suas circunstâncias. Um alerta “grave” pode ser rotina sob supervisão, e um “leve” pode ser importante em doses altas. Pergunte a um farmacêutico.