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Phytonadione 2.5 mg/0.5 mL Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Phytonadione

The Phytonadione 2.5 mg/0.5 mL Oral Liquid is a specially crafted medication designed for oral use, ensuring a precise and manageable mode of delivery for patients who may find it difficult to swallow pills, such as children and the elderly. This liquid formulation allows for accurate dosing of phytonadione, also known as vitamin K1, which is essential for the synthesis of clotting factors in the liver and is commonly used to treat and prevent vitamin K deficiency bleeding in newborns, as well as to reverse the effects of anticoagulant medications like warfarin in cases of excessive anticoagulation or overdose. Additionally, it may be prescribed for individuals with certain malabsorption disorders that lead to vitamin K deficiency.

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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.

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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
65ce3a6fba34188f8e0fb642
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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 the body's blood clotting process. The Phytonadione 2.5 mg/0.5 mL Oral Liquid formulation has been specifically designed for oral administration, providing a precise 2.5 mg dose of phytonadione in each 0.5 mL of the liquid. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as young children, the elderly, or those with dysphagia. The liquid form allows for easy dosage adjustments and ensures accurate administration of the medication.

The primary indication for this phytonadione formulation is the prevention and treatment of vitamin K deficiency, which can lead to bleeding disorders due to impaired clotting. It is also used in the management of certain bleeding disorders such as warfarin-induced over-anticoagulation or in newborns with vitamin K deficiency bleeding (VKDB). By providing a direct source of vitamin K, this formulation helps to activate clotting factors in the blood, which are necessary for proper coagulation and the prevention of excessive bleeding.

For patients with compromised vitamin K levels, this oral liquid formulation offers a rapid and efficient means of restoring vitamin K to adequate levels in the body. It is important for prescribers to consider the patient's overall health status, including liver function and concurrent medications, as these can influence the metabolism and effectiveness of phytonadione. Additionally, consistent monitoring of coagulation parameters may be necessary to ensure therapeutic effectiveness and to adjust dosing as needed.

Bayview Pharmacy's team of compounding pharmacists ensures that each batch of Phytonadione 2.5 mg/0.5 mL Oral Liquid is prepared with the highest standards of quality and precision. We are committed to providing personalized care and are available to answer any questions or concerns regarding this formulation. Whether you are a patient seeking more information about your medication or a healthcare provider considering this formulation for your patients, please do not hesitate to reach out to us for assistance.

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 health. When formulated as a 2.5 mg/0.5 mL oral liquid, it is particularly useful for patients who have difficulty swallowing pills, such as young children or the elderly, or for those with specific medical conditions that affect swallowing. This formulation is often prescribed to treat or prevent vitamin K deficiency, which can lead to bleeding problems or exacerbate osteoporosis.

It is important to be aware of potential drug interactions when taking phytonadione. Anticoagulants, such as warfarin, are of particular concern. Phytonadione can antagonize the anticoagulant effects of warfarin, potentially reducing its effectiveness and increasing the risk of clot formation. 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 interfere with the absorption of fat-soluble vitamins, including vitamin K. Patients taking these medications may require adjustments in their phytonadione dosage to ensure adequate vitamin K levels are maintained. Similarly, mineral oil and orlistat, used to treat constipation and obesity respectively, can also reduce the absorption of vitamin K from the gastrointestinal tract.

Some antibiotics, particularly broad-spectrum antibiotics, can kill the gut flora that produce vitamin K, potentially leading to a deficiency. In such cases, supplementation with phytonadione may be necessary. Conversely, antibiotics such as cephalosporins that possess anti-vitamin K activity can increase the risk of bleeding and may require careful monitoring of vitamin K status when used concurrently with phytonadione.

Patients with liver disease should use phytonadione with caution, as the liver is involved in the metabolism of vitamin K, and impaired liver function can affect both the efficacy and safety of phytonadione treatment. Additionally, individuals with a history of hypersensitivity to phytonadione or any components of the formulation should not use this medication.

It is also important to note that excessive doses of vitamin K can lead to complications, such as jaundice in newborns or the reversal of anticoagulant effects in patients taking warfarin. Therefore, the prescribed dose should be strictly adhered to, and any concerns or symptoms of overdose should be reported to a healthcare provider immediately.

Patients and prescribers should be aware that this is not an exhaustive list of all potential interactions. It is essential to disclose all medications, supplements, and underlying health conditions to the healthcare provider to ensure safe and appropriate use of phytonadione oral liquid. If you have any questions or require further information regarding this formulation and its interactions, please reach out to us at Bayview Pharmacy for personalized 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 active ingredient in this formulation, phytonadione, works by providing the necessary vitamin K1 to the liver, which is required for the synthesis of certain clotting factors. These clotting factors are proteins that are essential for the blood to clot properly, helping to prevent excessive bleeding when injuries occur.

The 2.5 mg/0.5 mL oral liquid formulation of phytonadione is designed to ensure precise dosing and ease of administration. When ingested, the liquid formulation allows for rapid absorption of the vitamin K1 from the gastrointestinal tract into the bloodstream. Once absorbed, it is transported to the liver where it facilitates the activation of clotting factors II, VII, IX, and X. These factors are part of the prothrombin complex, which is crucial for the blood coagulation cascade, ultimately leading to the formation of a blood clot.

This oral liquid formulation is particularly beneficial for patients who have difficulty swallowing pills, such as young children, the elderly, or those with certain medical conditions that affect swallowing. It is also useful in situations where rapid onset of action is desired or when precise dosing is necessary, as it allows for easy adjustment of doses when compared to solid forms of medication.

Phytonadione is used to treat and prevent vitamin K deficiency, which can lead to bleeding disorders due to insufficient clotting factors. It is also used in the treatment of certain bleeding disorders such as warfarin-induced over-anticoagulation or in newborns with vitamin K deficiency bleeding (VKDB). By providing the body with an external source of vitamin K1, this formulation helps to restore the levels of clotting factors, thereby reducing the risk of hemorrhage and ensuring proper blood clotting.

Additionally, the effectiveness of the treatment should be monitored through blood tests to ensure that the clotting factors reach and maintain the desired levels.

If you have any questions about this formulation or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure appropriate treatment for your patients.

Other Uses

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Phytonadione, commonly known as vitamin K1, is an essential nutrient that plays a critical role in blood coagulation by aiding the synthesis of coagulation factors. While the primary indication for the administration of phytonadione 2.5 mg/0.5 mL Oral Liquid is the prevention and treatment of vitamin K deficiency, which may lead to bleeding disorders, there are other clinical situations where physicians might consider its use. It is often prescribed for patients with certain malabsorption syndromes, where the gastrointestinal absorption of vitamins is impaired, as well as for those who have been on long-term treatment with antibiotics that may kill vitamin K-producing gut flora.

Additionally, this oral liquid formulation may serve as adjunctive therapy in patients with excessively elevated levels of anticoagulation as a result of therapeutic treatment with warfarin or other vitamin K antagonists. Rapid correction of over-anticoagulation and the risk of bleeding is achieved through the administration of vitamin K, albeit with caution and under medical supervision, to avoid thrombosis. Furthermore, it can be used prophylactically in newborns to prevent hemorrhagic disease of the newborn, a condition resulting from vitamin K deficiency in infants.

While these are some of the most well-known uses, the accessibility and precision dosing of the oral liquid form expand its potential utility for patients who require customized dosage regimens. Given the sensitivity and specificity of vitamin K's effects on blood clotting and its interactions with other medications, phytonadione should be prescribed and dosed carefully. Providers should always consider the patient's age, medical history, concomitant medications, and the potential for interaction with vitamin K before starting therapy with phytonadione oral liquid. As a team of compounding pharmacists, we are dedicated to supporting both patients and prescribers through the provision of compounded medications tailored to individual needs. Should you have any questions regarding this formulation or its potential uses, do not hesitate to reach out to us at Bayview Pharmacy for further clarification and assistance.

Frequently Asked Questions

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What is the purpose of Phytonadione 2.5 mg/0.5 mL Oral Liquid?

Phytonadione Oral Liquid is used to treat vitamin K deficiency which might lead to bleeding disorders since Vitamin K is crucial for blood clotting. It is also sometimes used to counteract the effects of certain blood thinners (anticoagulants) when taken in excess.

Who might benefit from taking Phytonadione Oral Liquid rather than a pill?

This liquid form is particularly beneficial for individuals who have difficulty swallowing pills, such as infants, young children, and the elderly population. It's also advantageous for those with conditions that impair swallowing or for patients who have enteral feeding tubes.

How should Phytonadione Oral Liquid be administered?

The liquid should be measured with an appropriate measuring device to ensure that the accurate dose is administered. It can be taken directly by mouth or mixed with a small amount of food or liquid to aid ingestion.

What is the recommended dosage of Phytonadione Oral Liquid?

The dosage of Phytonadione will vary based on the indication, age, weight, and specific needs of the patient. Always follow the healthcare provider’s prescription for the correct dosage.

How often should I take Phytonadione Oral Liquid?

The frequency of dosing is determined by the condition being treated and your response to medication. It is crucial to adhere to the schedule set by your healthcare provider.

Can I take Phytonadione Oral Liquid with other medications?

While Phytonadione can be taken with other medications, you need to inform your doctor or pharmacist about all other medicines you are taking to avoid potential interactions that can affect how your medications work or increase the risk of serious side effects.

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

Some potential side effects include an unusual taste, upset stomach, or a reaction at the injection site if given parenterally. Severe allergic reactions are rare. If you experience any side effects or signs of an allergic reaction, such as rash, itching/swelling, severe dizziness, or trouble breathing, seek immediate medical attention.

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. However, if it is nearly time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

How should Phytonadione Oral Liquid be stored?

The product should be stored at room temperature away from light and moisture. Do not store in the bathroom, and keep all medications out of reach of children and pets.

What happens if I overdose on Phytonadione Oral Liquid?

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call emergency services. Overdose symptoms may include flushing, changes in skin color, or shortness of breath. It is important to visit a healthcare professional or poison control center immediately if an overdose is suspected.

Is it safe to take Phytonadione Oral Liquid during pregnancy or while breastfeeding?

It is generally considered safe but always consult with your healthcare provider before taking any medication during pregnancy or while breastfeeding, to discuss any 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 2.5 mg/0.5 mL Oral Liquid
Oral Liquid
controlled

Take orally

Once daily