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.
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?
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Other interactions of Colesevelam
- Amlodipine-olmesartan-hydrochlorothiazide + Colesevelam Moderate
- Amlodipine-olmesartan + Colesevelam Moderate
- Chenodiol + Colesevelam Moderate
- Cholic acid + Colesevelam Moderate
- Colesevelam + Cyclosporin Moderate
- Colesevelam + Glibenclamide Moderate
Other interactions of Vitamin k1
- Vitamin k1 + Warfarin Major
- Cholestyramine + Vitamin k1 Moderate
- Colestipol + Vitamin k1 Moderate
- Ketorolac intranasal + Vitamin k1 Moderate
- Mineral oil + Vitamin k1 Moderate
- Orlistat + Vitamin k1 Moderate
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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