From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionModerate evidence
What is happening. Rifampin can alter vitamin K dependent anticoagulation control and prolonged antibiotic therapy may affect vitamin K status.
Mechanism. Enzyme induction and gut flora changes can alter vitamin K dependent clotting balance.
Recommendation. Coordinate vitamin K intake and INR monitoring if anticoagulated; do not make abrupt supplement changes.
Stack Score
How it moves the number.
Effect on the composite score
If both Rifampin and Vitamin K1 are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1DailyMed. Rifampin US prescribing information. 2026.Needs sourceNo link