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Formulas

Phytonadione 25 mg/ml Oral Liquid

Our Phytonadione 25 mg/ml Oral Liquid is a specially crafted medication designed for oral use, ensuring a precise and consistent dose of phytonadione, also known as vitamin K1. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills, including those in pediatric and geriatric groups. Phytonadione is essential for the synthesis of clotting factors and is commonly used to treat and prevent vitamin K deficiency, which can lead to bleeding disorders. Additionally, it is employed in the management of certain conditions that interfere with vitamin K uptake or action, such as obstructive jaundice, biliary fistulas, celiac disease, sprue, and certain medications that may deplete vitamin K levels. Our oral liquid formulation provides a reliable and effective option for patients requiring vitamin K therapy.

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Oral Liquid
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Formula Information

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Phytonadione, also known as vitamin K1, is an essential nutrient that plays a critical role in the body's blood clotting process. The Phytonadione 25 mg/ml Oral Liquid formulation is designed to provide a high concentration of this vitamin for therapeutic use. This liquid medication is specifically compounded for oral administration, ensuring that patients who have difficulty swallowing pills, such as young children or the elderly, can still receive the necessary treatment. The liquid form allows for flexible dosing and ensures that the medication can be accurately measured to meet the individual needs of each patient.

The primary indication for Phytonadione is the treatment and prevention of vitamin K deficiency, which can lead to bleeding disorders due to impaired blood clotting. This condition can be seen in various patient populations, including those with malabsorption syndromes, individuals on long-term antibiotic therapy, and neonates with vitamin K deficiency bleeding (VKDB). Additionally, Phytonadione is used to counteract the effects of anticoagulant medications such as warfarin when excessive anticoagulation leads to an increased risk of bleeding. By providing a direct source of vitamin K, this formulation helps to activate clotting factors in the liver, thereby restoring the blood's ability to clot and reducing the risk of hemorrhage.

For prescribers, it is important to note that the dosing of Phytonadione 25 mg/ml Oral Liquid must be individualized based on the patient's specific condition, the severity of vitamin K deficiency, or the degree of anticoagulation reversal required. Monitoring of coagulation parameters, such as prothrombin time (PT) or international normalized ratio (INR), is essential to ensure therapeutic effectiveness and to avoid overcorrection, which could lead to thrombotic complications. Patients should be advised to maintain a consistent intake of vitamin K from dietary sources to prevent fluctuations in therapy effectiveness, especially if they are on anticoagulant medications.

At Bayview Pharmacy, we understand the importance of providing personalized medication solutions. Our team of compounding pharmacists is dedicated to ensuring the highest quality and safety standards in the preparation of Phytonadione 25 mg/ml Oral Liquid. We are available to answer any questions and provide guidance to both patients and healthcare providers regarding the use of this specialized formulation. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Phytonadione, also known as vitamin K1, is an essential nutrient that plays a critical role in blood clotting. It is used to treat and prevent vitamin K deficiency, which can lead to bleeding problems. The 25 mg/ml oral liquid formulation of phytonadione is designed to provide a high dose of vitamin K for those who require supplementation and may be particularly useful in patients with malabsorption syndromes, those undergoing long-term antibiotic therapy, or individuals with dietary insufficiency. It is also used in the management of warfarin-induced over-anticoagulation.

When considering the use of phytonadione, it is important to be aware of potential drug interactions that may affect its efficacy or the efficacy of other medications. Phytonadione can interact with anticoagulants, particularly warfarin. While phytonadione is used to reverse the effects of warfarin in the case of over-anticoagulation, it can also reduce the effectiveness of warfarin when used concurrently for other indications. Patients on warfarin should have their international normalized ratio (INR) monitored closely if they are prescribed phytonadione, and dosage adjustments of the anticoagulant may be necessary.

Bile acid sequestrants such as cholestyramine and colestipol can decrease the absorption of vitamin K from the gastrointestinal tract, potentially reducing the effectiveness of phytonadione. Patients taking these medications should be advised to take phytonadione at least 4 to 6 hours before or after these agents to minimize the interaction. Broad-spectrum antibiotics can suppress the intestinal flora that produce vitamin K, thereby increasing the risk of vitamin K deficiency. In such cases, supplementation with phytonadione may be warranted.

Orlistat, a weight-loss medication, can also decrease the absorption of fat-soluble vitamins, including vitamin K. Patients on orlistat may require vitamin K supplementation to prevent deficiency. Additionally, anticonvulsants such as phenytoin and phenobarbital can induce hepatic enzymes that metabolize vitamin K, potentially leading to a deficiency that requires supplementation.

It is important to note that high doses of vitamin E, which act as an anticoagulant, can also affect vitamin K-dependent clotting factors. Caution should be exercised when using high doses of vitamin E in conjunction with phytonadione. Lastly, patients should be advised to maintain a consistent intake of vitamin K through their diet to avoid fluctuations in blood clotting status, especially if they are on anticoagulant therapy.

Patients and prescribers should be aware of these potential interactions and monitor therapy accordingly. It is essential to communicate all current medications, including over-the-counter drugs and dietary supplements, to the healthcare provider to ensure safe and effective use of phytonadione. If you have any questions or require further information regarding the use of phytonadione 25 mg/ml oral liquid, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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Phytonadione, also known as vitamin K1, is an essential nutrient that plays a critical role in the body's blood clotting process. The 25 mg/ml oral liquid formulation of phytonadione is designed to provide a high concentration of this vitamin for therapeutic use. When administered orally, this liquid medication is absorbed through the gastrointestinal tract and then transported to the liver, where it is utilized in the synthesis of clotting factors. These clotting factors are proteins that are essential for the blood coagulation cascade, a series of steps that lead to the formation of a blood clot.

The phytonadione oral liquid is particularly beneficial for patients with vitamin K deficiency, which can lead to increased bleeding risk due to the impaired production of clotting factors. This deficiency might be due to inadequate dietary intake, malabsorption syndromes, or the use of certain medications such as antibiotics or anticoagulants that interfere with vitamin K metabolism. Additionally, newborns are at risk for vitamin K deficiency bleeding (VKDB) due to low vitamin K stores at birth and limited placental transfer of the vitamin. Prophylactic administration of phytonadione is standard practice to prevent VKDB in newborns.

For patients with certain clotting disorders, such as warfarin-induced over-anticoagulation, phytonadione serves as an antidote to reverse the effects of the anticoagulant and restore normal clotting function. The oral liquid form is particularly useful in cases where intravenous administration is not feasible or when a rapid reversal of anticoagulation is not required. The liquid formulation allows for flexible dosing and is especially advantageous for patients who have difficulty swallowing pills, such as young children and the elderly, or for those with conditions that affect the swallowing reflex.

The oral liquid formulation of phytonadione is carefully compounded to ensure stability, bioavailability, and palatability. It is important for prescribers to consider the dose and frequency of administration based on the patient's specific condition, age, and concomitant medications. Monitoring of prothrombin time or international normalized ratio (INR) may be necessary to assess the effectiveness of the treatment and to adjust the dose accordingly.

Bayview Pharmacy is committed to providing high-quality compounded medications tailored to meet individual patient needs. Our team of knowledgeable compounding pharmacists is available to answer any questions regarding the phytonadione 25 mg/ml oral liquid formulation. Whether you are a patient or a prescriber looking to use this formulation, please do not hesitate to reach out to us for further information and guidance.

Other Uses

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Phytonadione, also known as vitamin K1, is most commonly recognized for its crucial role in the synthesis of clotting factors, thus primarily being used to treat or prevent vitamin K deficiency-related bleeding diathesis. However, this formulation's applications may extend beyond conventional uses. Patients with various malabsorption syndromes, such as cystic fibrosis, short bowel syndrome, or celiac disease, might benefit from this oral liquid form of phytonadione, as it facilitates in the absorption of vitamin K. Additionally, individuals with dietary restrictions or those on long-term antibiotic therapy, which can reduce gut flora and subsequently vitamin K synthesis, could also be supported by this formulation.

Moreover, phytonadione has been used in the management of warfarin-induced over anticoagulation in some clinical settings, as it can help to reverse the effects of anticoagulant medications and restore normal clotting function. While not its primary indication, neonates at risk of hemorrhagic disease due to vitamin K deficiency may receive phytonadione as prophylaxis or treatment, where an oral dosage form may be preferred in some instances over parenteral administration. Research exploring the use of vitamin K for osteoporosis has also suggested that it may play a role in the improvement of bone health by aiding in the regulation of calcium in the body.

It is important to note that while the oral liquid form of phytonadione provides several advantages, such as ease of dosing and administration, there can be variability in absorption when compared to parenteral forms. Close monitoring and individualized dosing are therefore paramount to ensure therapeutic efficacy. Physicians prescribing this medication and patients administering it should remain vigilant for signs of deficiency or excess. For more nuanced uses, or to address specific concerns related to this formulation, we encourage patients and prescribers to reach out to us at Bayview Pharmacy for personalized support and guidance.

Frequently Asked Questions

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What is Phytonadione 25 mg/ml Oral Liquid used for?

Phytonadione 25 mg/ml Oral Liquid is used to treat and prevent vitamin K deficiencies which can lead to issues with blood clotting. It can be prescribed for individuals who have an inability to absorb vitamin K from their diet or as a corrective measure for those on anticoagulant therapy.

How should Phytonadione Oral Liquid be stored?

This medication should be stored in a cool, dry place, away from direct sunlight and out of reach of children. It's important to keep the bottle tightly closed and to use the medication before the expiration date on the label.

Can children and elderly patients take Phytonadione Oral Liquid?

Yes, Phytonadione Oral Liquid is suitable for use in both pediatric and geriatric populations, especially those who have difficulty swallowing pills.

What is the recommended dosage of Phytonadione Oral Liquid?

The recommended dosage will vary based on individual patient needs. A healthcare provider will determine the accurate dosage and the frequency of administration. It's important to follow the dosage instructions provided by your healthcare professional.

Are there any potential side effects of taking Phytonadione Oral Liquid?

As with any medication, there can be side effects. Side effects might include upset stomach, dizziness, or an allergic reaction. If you notice any side effects, contact your healthcare provider immediately.

Can the Phytonadione Oral Liquid be mixed with food or drinks?

It is often recommended to take the medication as directed by your healthcare provider. Some liquids may be mixed with a small amount of food or drink to make it easier to ingest, but you should consult with your healthcare provider or pharmacist before doing so.

What should I do if I miss a dose of Phytonadione Oral Liquid?

If you miss a dose of Phytonadione Oral Liquid, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double up on doses without consulting your healthcare provider.

Is Phytonadione Oral Liquid safe to take with other medications?

As with any medication, there can be drug interactions. It is important to inform your healthcare provider about all other medications and supplements you are taking to avoid potential interactions.

How long does it take for Phytonadione Oral Liquid to work?

The onset of action for Phytonadione can vary based on individual conditions and the reason for treatment. Some individuals may notice effects within a few hours, while others may take longer. Consult with your healthcare provider for more specific timelines.

Is there an alternative if I cannot tolerate the taste of Phytonadione Oral Liquid?

Phytonadione can also come in tablet form or as an injectable. If you have trouble with the taste or consistency of the oral liquid, speak to your healthcare provider about other available forms that might be more suitable for you.

What should I do in case of an overdose?

If an overdose is suspected, seek immediate medical attention. Overdose symptoms may include problems with blood clotting. It is crucial to follow the prescribed dosages and to keep the medication out of reach of children to prevent accidental overdose.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.