Inhouse product
PRODUCT INTRODUCTION
Phytonadione injection is used to treat
bleeding or blood clotting problems caused by vitamin K deficiency, certain
medicines (eg, warfarin), or medical conditions (obstructive jaundice,
ulcerative colitis). Phytonadione is a man-made form of vitamin K, which occurs
naturally in the body. It treats and prevents low levels of blood clotting
factors needed to help your blood to thicken and stop bleeding normally.
This medicine is available only with your
doctor’s prescription.
This product is available in the following dosage
forms:
·
Emulsion
·
Solution
In deciding to use a medicine, the risks of taking the medicine
must be weighed against the good it will do. This is a decision you and your
doctor will make. For this medicine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic
reaction to this medicine or any other medicines. Also tell your health care
professional if you have any other types of allergies, such as to foods, dyes,
preservatives, or animals. For non-prescription products, read the label or
package ingredients carefully.
Appropriate studies performed to date have not demonstrated
pediatric-specific problems that would limit the usefulness of phytonadione
injection in neonates. Safety and efficacy have not been established in
children 6 months to 17 years of age.
No information is available on the relationship of age to the
effects of phytonadione injection in geriatric patients.
There are no adequate studies in women for determining infant
risk when using this medication during breastfeeding. Weigh the potential
benefits against the potential risks before taking this medication while
breastfeeding.
Although certain medicines should not be used together at all,
in other cases two different medicines may be used together even if an
interaction might occur. In these cases, your doctor may want to change the
dose, or other precautions may be necessary. When you are taking this medicine,
it is especially important that your healthcare professional know if you are
taking any of the medicines listed below. The following interactions have been
selected on the basis of their potential significance and are not necessarily
all-inclusive.
Using this medicine with any of the following medicines may
cause an increased risk of certain side effects, but using both drugs may be
the best treatment for you. If both medicines are prescribed together, your
doctor may change the dose or how often you use one or both of the medicines.
·
Warfarin
Certain medicines should not be used at or around the time of
eating food or eating certain types of food since interactions may occur. Using
alcohol or tobacco with certain medicines may also cause interactions to occur.
The following interactions have been selected on the basis of their potential
significance and are not necessarily all-inclusive.
The presence of other medical problems may affect the use of
this medicine. Make sure you tell your doctor if you have any other medical
problems, especially:
·
Liver disease—Use with caution. The effects may be increased
because of the slower removal of the medicine from the body.
Call your doctor or pharmacist for instructions.
Store the medicine in a closed container at room temperature,
away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any
medicine you do not use.
It is very important that your doctor check your progress at
regular visits. This will allow your doctor to see if the medicine is working
properly and to decide if you should continue to use it. Blood tests are needed
to check for unwanted effects.
This medicine may cause a serious allergic reaction called
anaphylaxis, when it is given as a shot into your muscle or vein. This can be
life-threatening and requires immediate medical attention. Tell your doctor
right away if you have a rash, itching, hoarseness, trouble breathing, trouble
swallowing, or any swelling of your hands, face, or mouth after using this
medicine.
Some preparations of this medicine may contain benzyl alcohol
which may cause serious reactions (including gasping syndrome) to newborn or
premature infants.
This medicine may cause a delayed skin reaction a day or 1 year
after receiving the injection. Check with your doctor right away if you have a
new rash.
Do not take other medicines unless they have been discussed with
your doctor. This includes prescription or nonprescription (over-the-counter
[OTC]) medicines and herbal or vitamin supplements.
Along with its needed effects, a medicine may cause some
unwanted effects. Although not all of these side effects may occur, if they do
occur they may need medical attention.
Check with your doctor immediately if any of the following side
effects occur:
·
Bluish color of the fingernails, lips, skin, palms, or nail beds
·
blurred vision
·
confusion
·
cough
·
difficulty swallowing
·
dizziness, faintness, or lightheadedness when getting up
suddenly from a lying or sitting position
·
fast, pounding, or irregular heartbeat or pulse
·
hives, itching, skin rash
·
puffiness or swelling of the eyelids or around the eyes, face,
lips, or tongue
·
redness of the skin
·
tightness in the chest
·
trouble breathing
·
unusual tiredness or weakness
·
unusually warm skin
·
yellow eyes or skin
Some side effects may occur that usually do not need medical
attention. These side effects may go away during treatment as your body adjusts
to the medicine. Also, your health care professional may be able to tell you
about ways to prevent or reduce some of these side effects. Check with your
health care professional if any of the following side effects continue or are
bothersome or if you have any questions about them:
·
Change in taste
·
pain, swelling, and tenderness at the injection site
Other side effects not listed may also occur in some patients.
If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects.
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