Drug interactions
Ketorolac intranasal + Vitamin k1
Severity: Moderate
Ketorolac intranasal 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
Ketorolac inhibits platelet function and increases bleeding risk, which may work against the aim of phytonadione in bleeding or coagulopathy. Systemic exposure from the nasal form is lower than oral or injected ketorolac but still present.
What this interaction means in plain words
Ketorolac intranasal 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.
Why it happens
Ketorolac's reversible COX-1 inhibition impairs platelet aggregation, a pharmacodynamic effect not corrected by vitamin K.
What to do
Avoid ketorolac in patients with active bleeding or vitamin K-responsive coagulopathy; choose a non-NSAID analgesic.
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?
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Other interactions of Vitamin k1
- Vitamin k1 + Warfarin Major
- Cholestyramine + Vitamin k1 Moderate
- Colestipol + Vitamin k1 Moderate
- Mineral oil + Vitamin k1 Moderate
- Orlistat + Vitamin k1 Moderate
- Aescin + Vitamin k1 Minor
Frequently asked questions
Can I take Ketorolac intranasal with Vitamin k1?
MediHelp rates the interaction as moderate. Ketorolac intranasal 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. Ketorolac inhibits platelet function and increases bleeding risk, which may work against the aim of phytonadione in bleeding or coagulopathy. Systemic exposure from the nasal form is lower than oral or injected ketorolac but still present.
How serious is the interaction between Ketorolac intranasal 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: Avoid ketorolac in patients with active bleeding or vitamin K-responsive coagulopathy; choose a non-NSAID analgesic.
What other medicines interact with Vitamin k1?
MediHelp also lists interactions of Vitamin k1 with, for example, Warfarin, Cholestyramine, Colestipol. The full list is on the Vitamin k1 page.
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