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Drug interactions

Colesevelam + Vitamin k1

Severity: Minor

Colesevelam and Vitamin k1: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Colesevelam may reduce absorption of oral fat-soluble vitamins including vitamin K. Long-term use could lower vitamin K status, which matters in patients with malabsorption or on anticoagulants.

What this interaction means in plain words

Colesevelam and Vitamin k1 have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Colesevelam belongs to Endocrine; Vitamin k1 belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Bile acid sequestration reduces micelle formation and binds fat-soluble vitamins, decreasing their absorption.

What to do

Take oral vitamin K at least 4 hours before colesevelam and monitor INR or vitamin K status in at-risk patients.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Colesevelam with Vitamin k1?

MediHelp rates the interaction as minor. Colesevelam and Vitamin k1 have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Colesevelam may reduce absorption of oral fat-soluble vitamins including vitamin K. Long-term use could lower vitamin K status, which matters in patients with malabsorption or on anticoagulants.

How serious is the interaction between Colesevelam and Vitamin k1?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take oral vitamin K at least 4 hours before colesevelam and monitor INR or vitamin K status in at-risk patients.

What other medicines interact with Colesevelam?

MediHelp also lists interactions of Colesevelam with, for example, Amlodipine-olmesartan-hydrochlorothiazide, Amlodipine-olmesartan, Chenodiol. The full list is on the Colesevelam page.

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