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Phytonadione 10 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Phytonadione

Our Phytonadione 10 mg/ml Oral Liquid is a specially crafted medication designed for oral use, ensuring a precise and controlled dosage of vitamin K. This liquid formulation is ideal for patients who experience difficulty swallowing pills, including those in pediatric and geriatric groups. Phytonadione, also known as vitamin K1, is essential for the synthesis of clotting factors, and this oral liquid is used to treat a variety of conditions related to vitamin K deficiency.

Additionally, it is indicated for patients with coagulopathy due to vitamin K deficiency, which can arise from various causes including malabsorption syndromes. This formulation is also beneficial for individuals with Cystic Fibrosis, who often require vitamin K supplementation due to malabsorption issues. Our Phytonadione Oral Liquid provides a reliable and efficient means of administering this critical nutrient to those in need.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Phytonadione
Oral Liquid
65cf824bda989bc40b0fa572
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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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 blood clotting and bone metabolism. Our specially compounded Phytonadione 10 mg/ml Oral Liquid is designed to address the needs of patients with vitamin K deficiency and related conditions. This liquid formulation ensures precise dosing and ease of administration, particularly beneficial for patients who have difficulty swallowing pills, such as young children, the elderly, or those with dysphagia. It is also an ideal choice for patients with specific preferences or restrictions that preclude the use of tablet or injectable forms of medication.

Vitamin K deficiency can lead to abnormal bleeding due to impaired blood clotting. This condition may be a result of inadequate dietary intake, malabsorption syndromes, or certain medications. It is also used in the management of warfarin overdose. Warfarin is an anticoagulant medication, and an overdose can lead to excessive bleeding. Phytonadione acts as an antidote, reversing the effects of warfarin and reducing the risk of hemorrhage.

Patients with coagulopathy, a disorder where the blood's ability to clot is impaired, can benefit from this formulation as it aids in the correction of clotting factor deficiencies. Additionally, individuals with malabsorption syndromes, such as celiac disease or Crohn's disease, may not absorb enough vitamin K from their diet, making supplementation necessary. Cystic fibrosis is another condition that often requires vitamin K supplementation due to malabsorption of fat-soluble vitamins, including vitamin K, which is crucial for maintaining adequate coagulation profiles and bone health in these patients.

Our Phytonadione 10 mg/ml Oral Liquid is compounded with the highest quality standards to ensure stability, potency, and consistency of the active ingredient. It is important for prescribers to consider the individual needs of their patients, including any concomitant medications and the patient's overall health status, when determining the appropriate dosing regimen. For patients, adherence to the prescribed dosage and monitoring for any signs of adverse effects or interactions with other medications is essential. Regular blood tests may be necessary to assess the effectiveness of the treatment and to adjust the dose accordingly.

If you have any questions or require further information about our Phytonadione 10 mg/ml Oral Liquid formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of expert compounding pharmacists is dedicated to providing personalized care and support to both patients and healthcare providers.

Drug Interactions

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Phytonadione, also known as vitamin K1, is an essential nutrient that plays a critical role in blood clotting and bone metabolism. The oral liquid formulation of phytonadione 10 mg/ml is designed to treat various conditions such as vitamin K deficiency, warfarin overdose, coagulopathy, malabsorption syndromes, and cystic fibrosis, where patients may have difficulty in synthesizing or absorbing vitamin K. It is important to be aware of potential drug interactions when administering this medication.

One of the most significant interactions is with anticoagulants, particularly warfarin. Phytonadione can antagonize the anticoagulant effects of warfarin, leading to a decreased INR (International Normalized Ratio) and an increased risk of thrombotic events. Patients on warfarin should have their INR monitored closely when starting or changing doses of phytonadione, and adjustments to the warfarin dose may be necessary.

Bile acid sequestrants such as cholestyramine and colestipol can bind to vitamin K in the gastrointestinal tract, reducing its absorption and potentially leading to a deficiency. Patients taking these medications may require monitoring of vitamin K status and possibly an adjustment in phytonadione dosage.

Broad-spectrum antibiotics can kill gut flora that synthesize vitamin K, potentially leading to a deficiency. Patients on long-term antibiotics should be monitored for signs of vitamin K deficiency and may require supplementation with phytonadione.

Some anticonvulsants, including phenytoin, phenobarbital, and carbamazepine, can induce hepatic enzymes and increase the metabolism of vitamin K, thereby reducing its effectiveness. Patients on these medications may require higher doses of phytonadione to maintain adequate vitamin K levels.

Orlistat, a weight-loss medication, can reduce the absorption of fat-soluble vitamins, including vitamin K. Patients taking orlistat may need to monitor their vitamin K status and consider supplementation if necessary.

It is also important to note that excessive doses of vitamin A and vitamin E may interfere with vitamin K functions and should be used cautiously in patients receiving phytonadione.

Lastly, patients should be advised to maintain a consistent intake of vitamin K from dietary sources to avoid fluctuations in vitamin K levels, which can affect therapy, especially if they are on anticoagulants like warfarin.

Due to the complexity of these interactions, it is crucial for prescribers to review all medications, including over-the-counter drugs and herbal supplements, that the patient is taking before initiating treatment with phytonadione. Regular monitoring of coagulation parameters and vitamin K levels may be necessary to ensure safe and appropriate use of this medication. If you have any questions or require further information regarding this formulation and its interactions, please reach out to us at Bayview Pharmacy.

How Does it Work

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Phytonadione, also known as vitamin K1, is an essential fat-soluble vitamin that plays a critical role in the synthesis of clotting factors in the liver, which are necessary for blood coagulation. The 10 mg/ml oral liquid formulation of phytonadione is designed to provide a precise dosage of vitamin K for patients who require supplementation. This liquid form is particularly beneficial for individuals who have difficulty swallowing pills, such as young children, the elderly, or those with dysphagia. It also allows for easy dose adjustments to meet the specific needs of each patient.

The mechanism by which phytonadione works involves its role as a cofactor for the enzyme gamma-glutamyl carboxylase, which is responsible for the carboxylation of glutamic acid residues on certain proteins required for blood clotting. Without adequate vitamin K, these clotting factors (II, VII, IX, and X) remain inactive, leading to an increased risk of bleeding. By supplementing with phytonadione, the body can restore the functionality of these clotting factors, thereby normalizing the coagulation process.

In the case of vitamin K deficiency, which can occur due to inadequate dietary intake, malabsorption syndromes, or certain medications, phytonadione supplementation is essential to prevent bleeding complications. Conditions such as cystic fibrosis can lead to malabsorption of fat-soluble vitamins, including vitamin K, necessitating the use of a high-dose oral liquid formulation to ensure adequate absorption and efficacy.

Phytonadione is also used in the management of warfarin overdose or when there is a need to reverse the anticoagulant effects of warfarin quickly. Warfarin works by inhibiting the recycling of vitamin K, thereby reducing the synthesis of active clotting factors. Administering phytonadione can counteract the effects of warfarin, allowing for the production of functional clotting factors and reducing the risk of hemorrhage.

Additionally, in patients with coagulopathy, which is a disorder that affects the blood's ability to clot, phytonadione oral liquid can be used to correct the deficiency of clotting factors associated with low levels of vitamin K. By providing a direct source of vitamin K, the body can resume normal production of these essential proteins.

It is important for prescribers to consider the individual needs of their patients when determining the appropriate dosage of phytonadione. Factors such as the severity of the deficiency, the presence of malabsorption issues, and the patient's response to therapy must be taken into account. 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.

For patients and prescribers interested in using this formulation, or if there are any questions regarding its use, dosing, or potential interactions with other medications, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the necessary support and guidance to ensure appropriate treatment with phytonadione 10 mg/ml oral liquid.

Other Uses

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As compounding pharmacists at Bayview Pharmacy, we pride ourselves on providing a tailored approach to medication. The Phytonadione 10 mg/ml Oral Liquid is designed for versatility beyond its primary indications. Aside from treating conditions such as Vitamin K Deficiency, Warfarin Overdose, Coagulopathy, Malabsorption Syndromes, and Cystic Fibrosis, this orally administered liquid formulation may also serve alternative therapeutic needs.

One such secondary use is in the perioperative setting for patients preparing for or recovering from surgery who may require an optimized coagulation profile. The liquid form allows for precise dose titration and is suitable for those who have undergone bariatric surgery or have other conditions leading to restrictive diets where vitamin K intake is compromised. Moreover, in pediatric care, specifically for neonates and infants at risk of vitamin K deficiency bleeding (VKDB), this oral liquid serves as a prophylactic agent due to its ease of administration compared to intramuscular injections commonly used in this population.

Furthermore, in a palliative care context, this formulation could be beneficial for cancer patients experiencing coagulopathies as a side effect of chemotherapy or liver dysfunction. It offers a practical method for quick supplementation, adjusting to the dynamic needs of patients in palliative settings. Another potential off-label use is in dietary management for individuals with disorders that affect fat absorption such as cholestasis, where the liquid dosage form ensures better assimilation than solid forms of vitamin K. Additionally, it has been considered in integrative medicine as an adjunct therapy for those with osteoporosis, taking into account vitamin K's role in bone health.

It's important to note that any off-label use of Phytonadione 10 mg/ml Oral Liquid should be carefully considered and supervised by a healthcare provider. Efficacy and safety for conditions other than those listed may not have been established through rigorous clinical trials, and individual patient factors must always be taken into account. If you have any questions or require individualized formulations for specific clinical scenarios, please reach out to us at Bayview Pharmacy. Our experienced team of compounding pharmacists is dedicated to working in concert with prescribers to ensure optimal patient outcomes.

Frequently Asked Questions

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What is Phytonadione 10 mg/ml Oral Liquid used for?

Phytonadione 10 mg/ml Oral Liquid is used to treat vitamin K deficiency, which may cause bleeding problems. It is commonly prescribed for patients who have difficulty absorbing vitamins from their diet or certain medications that interfere with vitamin K absorption.

How should Phytonadione Oral Liquid be administered?

The liquid should be measured with an appropriate measuring device to ensure an accurate dose and taken by mouth as directed by a healthcare professional. It is important to follow the specific dosing regimen prescribed for you.

Who is this formulation of Phytonadione most suitable for?

This formulation is suitable for individuals who may have difficulty swallowing pills, particularly pediatric and geriatric patients, or individuals with specific swallowing disorders.

Can Phytonadione Oral Liquid be mixed with food or beverages?

It is usually advisable to take Phytonadione on an empty stomach for better absorption, but if the taste is an issue or if it causes stomach upset, it may be mixed with a small amount of food or a beverage. Check with your healthcare provider or pharmacist before doing so.

What is the shelf life of Phytonadione 10 mg/ml Oral Liquid?

The shelf life may vary based on the manufacturer, but it should be stored as indicated on the label, away from light and moisture. Always check the expiration date on the bottle before use.

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

Like all medications, Phytonadione Oral Liquid can cause side effects, although not everybody gets them. Some common side effects include taste disturbances and mild gastrointestinal issues. Serious side effects are rare but may include allergic reactions. Notify your healthcare provider if you experience any unusual symptoms.

How soon after starting Phytonadione Oral Liquid will I see an improvement in my condition?

Improvement can depend on the individual and the severity of the vitamin K deficiency. Some patients may notice an improvement within a few days, while others may take longer. Follow up with your healthcare provider for monitoring of your condition.

Does Phytonadione Oral Liquid interact with other medications?

Phytonadione can interact with certain medications, such as blood thinners (anticoagulants). It is important to inform your healthcare provider of all medications and supplements you are taking to avoid potential interactions.

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

If you miss a dose, take it as soon as you remember unless it is almost time for your next dose. In that case, skip the missed dose and resume your usual dosing schedule. Do not double up to catch up on a missed dose. Always consult with your healthcare professional for guidance specific to your treatment plan.

How should I store Phytonadione 10 mg/ml Oral Liquid?

Store the medication at room temperature, away from direct light and moisture. Do not store in the bathroom. Keep the bottle tightly closed when not in use and out of reach of children and pets.

Can Phytonadione Oral Liquid be given to pregnant or breastfeeding women?

Phytonadione may be prescribed to pregnant or breastfeeding women if deemed necessary by a healthcare provider. However, it is crucial to consult with your healthcare professional before starting the medication to understand the potential risks and benefits.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Phytonadione 10 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Once daily