Phytomenadione
| Above: molecular structure of phytomenadione
Below: 3D representation of a phytomenadione molecule | |
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| Trade names | Mephyton, Hemophyt, others | 
| Other names | Vitamin K1, phytonadione, phylloquinone, (E)-phytonadione | 
| AHFS/Drugs.com | Monograph | 
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| Routes of administration | By mouth, subcutaneous, intramuscular, intravenous | 
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| ECHA InfoCard | 100.001.422 | 
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| Formula | C31H46O2 | 
| Molar mass | 450.707 g·mol−1 | 
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Phytomenadione, also known as vitamin K1, phylloquinone, or phytonadione, is a vitamin found in food and used as a dietary supplement. It is on the World Health Organization's List of Essential Medicines.
It is used to treat certain bleeding disorders, including warfarin overdose, vitamin K deficiency, and obstructive jaundice. Use is typically recommended by mouth, intramuscular injection or injection under the skin. When given by injection benefits are seen within two hours. It is also recommended for preventing and treating vitamin K deficiency bleeding in infants. Many countries in the world choose intramuscular injections in newborn to keep them safe from vitamin K deficiency bleeding. It is considered a safe treatment and saves many children from death and severe neurologic deficit every year.
Side effects when given by injection may include pain at the site of injection. Severe allergic reactions may occur when it is injected into a vein or muscle, but this has mainly happened when large doses of a certain type of supplement containing castor oil were given intravenously. Use during pregnancy is considered safe, use is also likely okay during breastfeeding. It works by supplying a required component for making a number of blood clotting factors. Food sources include green vegetables, vegetable oil, and some fruit.
Phytomenadione was first isolated in 1939. In 1943 Edward Doisy and Henrik Dam were given a Nobel Prize for its discovery.