Vitamin K1 (Phylloquinone)

Vitaminfat-solubleStrong dose evidence

Also known as: phylloquinone, phytonadione, phytomenadione, vitamin K1

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Phylloquinone is the plant form of vitamin K found in leafy greens and the main dietary form. Supplements use either natural phylloquinone or synthetic phytonadione, which NIH ODS lists as well absorbed. It is the cofactor for the enzyme that activates clotting proteins and bone proteins such as osteocalcin, and it is used in bone formulas, multivitamins, and products for people whose diets are low in greens. Because it is the form most directly antagonized by warfarin, consistent intake matters for anyone on that drug.

Research summary

Cofactor for gamma-glutamyl carboxylase, which activates clotting factors II, VII, IX, X and bone matrix proteins; converted in tissues to MK-4.

Dosage

Daily amounts, of compound.

Lowest studiedTypical rangeHighest studiedUpper limit
90 mcg90–200 mcg5,000 mcg

Doses are mcg phylloquinone. Adequate Intake is 120 mcg for men and 90 mcg for women; DV 120 mcg. No UL was set because no adverse effects from food or supplements have been reported. A 2-year trial in older women used 200 mcg/day with vitamin D3 and calcium, a randomized trial in warfarin patients used 200 mcg/day to steady anticoagulation control, and the ECKO trial gave 5 mg (5,000 mcg)/day to postmenopausal women with osteopenia for 2 to 4 years. Fat-soluble; take with food.

Standardization: ≥98% phytonadione (USP) or 1% to 5% dilution on a carrier

Source material: synthetic phytonadione (also available from alfalfa)

As supplied: Typically a 1% to 5% dry dilution on a carrier; 0.1 mg per mcg assumes a 1% grade and is supplier dependent

Forms of Vitamin K

FormTypical doseElement %FormatsPrice
Vitamin K1 (Phylloquinone)90–200 mcgCapsule, Tablet, Powder, Softgel, Gummy, Liquidlow
Vitamin K2 (MK-7)90–200 mcgCapsule, Softgel, Tablet, Gummy, Liquid, Powdermid
Vitamin K2 (MK-4)100–1,500 mcgCapsule, Softgel, Tablet, Powder, Liquidmid

Format suitability

  • Capsule
  • Powder
  • Tablet
  • Softgel
  • Gummy
  • Liquid

Light-sensitive; protect from UV. Oil grades suit softgels, dry dilutions suit tablets and powders.

Formulation notes

Antagonizes warfarin and related vitamin K antagonists; any product with meaningful vitamin K needs a label caution for anticoagulant users. Commonly paired with vitamin D3 and calcium in bone formulas.

  • Notable drug interactions

Sources

  1. Vitamin K — Health Professional Fact SheetNIH ODS
  2. Two-year randomized controlled trial of vitamin K1 (phylloquinone) and vitamin D3 plus calcium on the bone health of older women. (Bolton-Smith C, 2007)PubMed
  3. Vitamin K supplementation in postmenopausal women with osteopenia (ECKO trial): a randomized controlled trial. (Cheung AM, 2008)PubMed
  4. Effect of 200μG/day of vitamin K1 on the variability of anticoagulation control in patients on warfarin: a randomized controlled trial. (Majeed H, 2013)PubMed

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