MK-4 and MK-7 forms of vitamin K2 can interfere with warfarin. MK-7 has a longer half-life (~3 days) and may cause more sustained INR changes than K1. Even low doses can affect clotting.
Recommendation
Avoid vitamin K2 supplements on warfarin. If prescribed, requires frequent INR monitoring.
Timing
Avoid combination entirely
Sources
— Thrombosis and Haemostasis
— PMID: 17138823
Frequently Asked Questions
Can I take vitamin k2 and warfarin together?
K2 also reverses warfarin's effect. Avoid vitamin K2 supplements on warfarin. If prescribed, requires frequent INR monitoring.
How should I time vitamin k2 and warfarin?
Avoid combination entirely
Is this interaction dangerous?
This interaction is rated “Danger” by Formulate. MK-4 and MK-7 forms of vitamin K2 can interfere with warfarin. MK-7 has a longer half-life (~3 days) and may cause more sustained INR changes than K1. Even low doses can affect clotting.
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