Supplement × Prescription·timing-sensitive·Strong evidence

Cholestyramine + Vitamin K1

Timing Sensitive Strong evidence

Cholestyramine can reduce vitamin K absorption and may increase bleeding risk or alter INR.

From the database

What the row says.

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Pair type
Timing Sensitive
Evidence
Strong
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
Timing SensitiveStrong evidence

What is happening. Cholestyramine can reduce vitamin K absorption and may increase bleeding risk or alter INR.

Mechanism. Bile acid sequestration impairs absorption of fat-soluble vitamin K.

Recommendation. Separate vitamin K from cholestyramine and monitor INR if anticoagulated or if bleeding occurs.

Stack Score

How it moves the number.

Effect on the composite score

If both Cholestyramine and Vitamin K1 are in the same stack, this pair applies −5 to your Stack Score (per scored timing-sensitive row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1DailyMed. Cholestyramine US prescribing information. 2026.Needs sourceNo link

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