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Is Vitamin K Safe with Warfarin?

⚠️ HIGH SEVERITY
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Maintain a consistent daily intake of dietary vitamin K rather than avoiding it entirely. Consider daily low-dose oral vitamin K supplementation to stabilize INR if dietary intake is highly variable. Monitor INR closely whenever vitamin K intake changes significantly.

Why this interaction occurs

Warfarin acts as a vitamin K antagonist; fluctuations in vitamin K intake directly alter INR control, increasing risk of bleeding (subtherapeutic) or thromboembolism (supratherapeutic). Stable vitamin K intake improves anticoagulation stability.

Evidence

Evidence level: strong.

Data source

PubMed - PMID 28635328

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 134,328 reports mentioning Warfarin. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Warfarin + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Vitamin K with Warfarin?
Avoid unless your doctor or pharmacist directs otherwise. Maintain a consistent daily intake of dietary vitamin K rather than avoiding it entirely. Consider daily low-dose oral vitamin K supplementation to stabilize INR if dietary intake is highly variable. Monitor INR closely whenever vitamin K intake changes significantly.
Does Vitamin K affect how well Warfarin works?
Warfarin acts as a vitamin K antagonist; fluctuations in vitamin K intake directly alter INR control, increasing risk of bleeding (subtherapeutic) or thromboembolism (supratherapeutic). Stable vitamin K intake improves anticoagulation stability.

Related interactions

All Vitamin K interactions →  ·  All Warfarin interactions →

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Educational only — not medical advice.
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