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Drug interactions

Colestipol + Vitamin k1

Severity: Moderate

Colestipol and Vitamin k1: moderate 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

Colestipol is a bile acid sequestrant that impairs absorption of fat-soluble vitamins, including vitamin K. Prolonged use may lower vitamin K status and, in susceptible patients, contribute to prolonged clotting times or bleeding.

What this interaction means in plain words

Colestipol and Vitamin k1 can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Colestipol belongs to Cardiovascular; Vitamin k1 belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Colestipol binds bile acids in the gut, reducing micelle formation and absorption of oral vitamin K.

What to do

Give oral vitamin K at least 4 hours before or after colestipol. Monitor INR or prothrombin time in patients on long-term colestipol or with other risk factors for deficiency.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Colestipol with Vitamin k1?

MediHelp rates the interaction as moderate. Colestipol and Vitamin k1 can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Colestipol is a bile acid sequestrant that impairs absorption of fat-soluble vitamins, including vitamin K. Prolonged use may lower vitamin K status and, in susceptible patients, contribute to prolonged clotting times or bleeding.

How serious is the interaction between Colestipol and Vitamin k1?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give oral vitamin K at least 4 hours before or after colestipol. Monitor INR or prothrombin time in patients on long-term colestipol or with other risk factors for deficiency.

What other medicines interact with Vitamin k1?

MediHelp also lists interactions of Vitamin k1 with, for example, Warfarin, Cholestyramine, Ketorolac intranasal. The full list is on the Vitamin k1 page.

Full monographs, dosing and an interaction checker in the MediHelp app

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