Kanavit

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Kanavit

Method of action: Antihemorrhagics

Treatment option:

Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Kanavit

Kanavit: A Definition and Classification

Kanavit is a specific pharmaceutical brand formulation whose active component is Phytomenadione (INN), a compound classified as a hemostatic agent and belonging to the essential vitamin class of medications. This classification reflects its fundamental function in promoting the biological processes that assist in stopping bleeding by encouraging blood clot formation. It is typically manufactured as a single-ingredient product, containing this specific compound for its therapeutic effect.

The medication is a medicinal, synthetic form of Vitamin K1 (Phylloquinone), which is vital for normal coagulation processes. Kanavit is supplied in different dosage forms, including a solution for injection—often stabilized using specialized aqueous colloidal systems—and as an oral tablet. This specific brand is utilized for its versatility in both acute and general clinical settings.

What Type of Compound is Kanavit (Phytomenadione)?

The active substance, Phytomenadione, is a synthetic preparation of a fat-soluble compound that belongs chemically to the naphthoquinone derivative family. While this vitamin occurs naturally in plants, the medicinal product is synthesized to ensure purity and stability for clinical use. The formulation is often prepared in an aqueous micellar solution for injection, making it distinct from older, oil-based injectable forms, and is suitable for both parenteral (injection) and oral administration routes.

General Purpose: Why is Vitamin K1 Administered as Kanavit?

The general purpose of administering Kanavit is to provide the necessary coagulation cofactor required by the liver. Phytomenadione is essential for activating a group of proteins, including four critical clotting factors (Factors II, VII, IX, and X). The core function is its role in promoting hemostasis, serving as an agent that restores the ability of blood to clot. Furthermore, the compound is clinically utilized as an antidote to counteract the effects of certain oral blood thinners (coumarin-type anticoagulants), a therapeutic application that is pharmacologically established.

Regulatory References

  1. Phytonadione (Vitamin K1) Drug Information
  2. Phytonadione (Vitamin K1) - StatPearls

What side effects are possible with Kanavit?

Possible Side Effects and Safety Information

The official safety profile of Phytomenadione (Kanavit) is organized by system-organ classes and classified according to the likelihood of occurrence, reflecting data from post-marketing surveillance and clinical trials reported to regulatory authorities like the FDA and EMA-aligned agencies.

Serious Adverse Reactions and Hypersensitivity

Fatal and severe hypersensitivity reactions, including anaphylaxis (a serious, immediate allergic reaction), have occurred, primarily following intravenous (IV) or intramuscular (IM) administration. These events may present with signs such as shock, cyanosis, hypotension, and cardiorespiratory arrest.

Adverse Reactions by System and Frequency

System-Organ Class Rare Reactions (Less than 0.1%) Very Rare/Not Known Frequency
Immune / Vascular Hypotension, rapid and weak pulse, cyanosis. Anaphylactoid reactions, profuse sweating, dizziness, dyspnea.
Skin / Local Injection site reactions (inflammation, atrophy, necrosis), scleroderma-like lesions. Pain, swelling, and tenderness at the injection site.
Hepatobiliary Hyperbilirubinemia (in newborns). Jaundice and Hemolysis (in newborns).

Transient flushing sensations and a peculiar sensation of taste (dysgeusia) have also been noted with parenteral administration.

Population-Specific Safety Notes

The label includes specific warnings for neonates and infants. Excessive doses have been associated with hyperbilirubinemia and hemolysis. Furthermore, some injectable formulations containing the preservative benzyl alcohol carry a risk of serious, sometimes fatal, toxicity known as “gasping syndrome” in this population.

Safety Restrictions

Phytomenadione is contraindicated in individuals with known hypersensitivity to the drug or any component of its formulation. Administration of large doses can induce temporary resistance to the effects of coumarin-type anticoagulants. Importantly, the drug is stated not to counteract the anticoagulant action of heparin.

Overdose and Emergency Response

Overdose and when to seek help

Official regulatory documents indicate that there are no specific symptoms or clinical signs of overdosage reported from clinical experience for the active substance, Phytomenadione (Vitamin K1), itself. Acute toxicity from the compound is generally considered low, though any suspected overdosage requires the user to seek immediate medical attention for assessment and supportive care.

The primary serious concerns documented in the regulatory profile relate to the administration of the injectable form. Severe and fatal hypersensitivity reactions, including anaphylaxis and shock, have been reported following the parenteral administration of this medication. If signs of a severe reaction, such as difficulty breathing, shock, or cardiorespiratory arrest, are observed, emergency services must be contacted immediately.

Management for overdosage is defined as symptomatic and supportive treatment, as no specific antidote is known for Phytomenadione itself. Following administration, close monitoring of the patient's coagulation status, often involving the International Normalized Ratio (INR), is required to assess the degree of effect.

A population-specific risk exists for newborns and premature infants. Exceeding the recommended dose in this population may result in hyperbilirubinemia and jaundice. Furthermore, certain preservative-containing formulations pose a serious risk of gasping syndrome in infants, a condition characterized by CNS depression and metabolic acidosis.

Therapeutic Uses of Kanavit

What Kanavit Treats: Main Uses and Benefits

Kanavit (Phytomenadione) is commonly used to address conditions presenting with symptomatic impairment of the body's ability to stop bleeding, relevant in contexts linked to Vitamin K status. The medication is indicated for coagulation disorders caused by faulty clotting factor formation due to Vitamin K deficiency or interference with its activity, primarily in two key therapeutic domains.

The medicine is used for managing conditions such as Vitamin K Deficiency Bleeding (VKDB) in newborns, hypoprothrombinemia caused by malabsorption or liver issues, and serving as a relevant supportive agent in the reversal of coumarin-type oral anticoagulant effects during periods of active major bleeding or dangerous over-anticoagulation.


Counteracting Bleeding Risk from Oral Anticoagulants

Kanavit is generally applied in situations requiring supportive symptomatic assistance to address the effects of certain oral blood thinners (coumarin-type anticoagulants) when a patient is over-anticoagulated or experiences active major bleeding. It is applied across domains where short-term symptomatic assistance is needed to address the symptomatic episode of uncontrolled hemorrhage and contributes to the supportive benefit of easing the high bleeding risk to assist with maintaining functional stability, which helps maintain a sense of stability when symptoms are more noticeable.

Preventing and Treating Vitamin K Deficiency Bleeding

The medication is commonly used to manage bleeding that arises from a fundamental lack of Vitamin K. This is particularly relevant for newborns, where routine use is applied to help manage the risks associated with VKDB, including the potential for intracranial hemorrhage. In older patient groups, it addresses clotting failure linked to conditions that cause malabsorption, providing the essential benefit of supporting the normalization of clotting function to manage and prevent episodes of excessive bleeding and easy bruising, which supports the patient during difficult episodes by easing the overall symptom load.


Quick Fact: Relevance for Excessive Bleeding Tendency

Kanavit is relevant in contexts involving heightened systemic burden where coagulation is impaired, helping to address symptoms that interfere with daily comfort and may assist in managing the effects of physiological strain.

Eligibility and Restrictions for Use

Kanavit, which contains the active ingredient phytonadione (Vitamin K1), is primarily used to treat and prevent conditions related to low levels of prothrombin and other Vitamin K-dependent clotting factors, known as hypoprothrombinemia.

Who Can Use Kanavit?

Kanavit is indicated for:

  • Neonates: For the prophylaxis and treatment of Vitamin K Deficiency Bleeding (VKDB), formerly known as hemorrhagic disease of the newborn.
  • Adults: To treat bleeding or risk of bleeding due to coumarin or indanedione anticoagulant overdose (e.g., warfarin), which causes a severe deficiency in clotting factors. It is also used to treat hypoprothrombinemia resulting from certain medical conditions like obstructive jaundice, celiac disease, or long-term broad-spectrum antibiotic use.

Who Should Not Use Kanavit? (Contraindications)

Kanavit is contraindicated in patients with known hypersensitivity or allergic reactions to phytonadione or any of the product's components. Due to the potential for severe hypersensitivity reactions, the intravenous (IV) and intramuscular (IM) routes of administration are generally avoided unless the subcutaneous route is not feasible and the serious risk is considered justified. The intramuscular route is also discouraged for anticoagulated patients due to the high risk of hematoma formation.

For oral prophylaxis in newborns, caution is advised in infants who are preterm, unwell, have cholestasis, or whose mothers took specific medications like anticonvulsants or rifampicin during pregnancy.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The regulatory interaction profile for Kanavit (Phytomenadione/Vitamin K1) is structured primarily by its use as an antidote and its requirements for absorption.


Documented Pharmacodynamic and Pharmacokinetic Interactions

Classification Interacting Entity or Condition Official Regulatory Statement
Pharmacodynamic Antagonism Prothrombin-depressing anticoagulants (e.g., Warfarin) Kanavit may induce temporary resistance to the effect of these anticoagulants.
Absorption Limitation Bile Acid Sequestrants (e.g., Cholestyramine), Mineral Oil These substances may impair the gastrointestinal absorption of orally administered Kanavit.
Population-Specific Clearance Liver Disease / Severely Impaired Liver Function The effects may be increased due to the slower removal of the medicine from the body.
Drug–Gut Flora Interaction Oral Antibacterial Agents Reduction in Vitamin K-producing gut bacteria can cause the hypoprothrombinemia that Kanavit is indicated to address.

Administration Constraints

The official prescribing information includes specific procedural requirements for the oral form. For patients with deficient bile supply, the presence of bile salts must be given with the oral tablet to ensure the drug's proper absorption. No medicinal product combinations are strictly listed as contraindicated due to an interaction risk in core regulatory labels, though the intentional antagonism of anticoagulants is the primary interaction recorded.

Mechanism of Action

Cofactor Restoration and the Vitamin K Cycle

The mechanism of action centers on supplying the essential precursor for the required cofactor activity in the liver. Phytomenadione supplies the necessary substrate to fuel the Vitamin K Cycle, which facilitates the presence of the active reduced form, Vitamin K hydroquinone (KH2). This action supports the functionality of the Vitamin K Epoxide Reductase (VKORC1) enzyme and enables sustained enzymatic function by outcompeting the competitive inhibition of coumarin-type molecules.


Enzyme-Driven Coagulation Factor Activation

KH2 allows the hepatic enzyme gamma-Glutamyl Carboxylase (GGC) to catalyze the post-translational gamma-carboxylation of precursors for key coagulation factors (II, VII, IX, X). This modification creates the essential Gla domain, which confers the ability for these proteins to bind calcium ions and anchor to injured vascular surfaces. By producing and releasing these newly activated, functional factors, the mechanism increases the functional concentration of procoagulant proteins, leading to the formation of a stable fibrin mesh, which is the physiological event of hemostasis. The mechanism is dependent on hepatic protein synthesis and is specific only to Vitamin K-dependent proteins.

Dosage and Administration Information

How to Use Kanavit (Phytomenadione): Administration and Dosing

The use of Kanavit, which contains Phytomenadione (Vitamin K1), involve specific administration routes and dosing regimens determined by the clinical scenario. The medication is available as a solution for injection and in an oral tablet form.

Administration Routes and Dosing Patterns

The injectable solution is utilized for intravenous (IV), subcutaneous (SC), and intramuscular (IM) administration. The subcutaneous route is generally used when a rapid IV response is not required, as the IV route must be administered very slowly, not exceeding 1 mg per minute.

Dosing is primarily a short-term intervention based on coagulation test results, rather than a fixed schedule:

  • Adult Dosing: For reversal of coumarin anticoagulant effects, initial doses commonly range from 2.5 mg to 10 mg, given orally or parenterally (SC/IV). Subsequent doses are dependent on the patient's prothrombin time (INR) response.
  • Neonatal Prophylaxis: A single IM or SC dose of 0.5 mg to 1 mg is typically administered shortly after birth. Specific oral dosing schedules may be used in certain regions, involving repeat doses after the initial administration.

Procedural and Population-Specific Conditions

When IV administration is required, the solution must be diluted immediately before use and administered right away, as it is unstable after mixing. Dosage adjustments are applied for certain patient groups: dosing for older adults should be considered at the lower end of the recommended ranges due to increased sensitivity to the reversal effect. If a dose is missed in a neonatal oral prophylaxis regimen, the dose should be repeated if the infant vomits it within one hour.

Recent Clinical Evidence

Kanavit: Recent Clinical Evidence

The body of research for Kanavit (Phytomenadione) consists of clinical trials, large surveillance studies, and evidence reviews conducted by regulatory bodies and scientific institutions. This research describes the specific clinical situations that have been studied.

Evidence for Correcting Anticoagulation

This research consists of short-term Randomized Controlled Trials (RCTs) and Systematic Reviews examining adult patients with highly elevated blood clotting markers (INR) due to oral anticoagulant use. The primary measurements examined were biomarker changes in the blood, specifically the INR, and the time intervals related to reaching a specific INR threshold. Studies monitored how the INR biomarker changed, reporting patterns of value change over short periods. However, evidence for clinical outcomes, such as major bleeding or new clotting episodes, is categorized as Moderate to Low, as most trials are not primarily designed to track these less common events.

Evidence for Preventing Bleeding in Newborns

The research base includes RCTs and large Observational Surveillance Studies to monitor the observed occurrence of Vitamin K Deficiency Bleeding (VKDB) in newborns and infants. Studies monitored the incidence of VKDB and blood markers of clotting status. Research has documented the pattern of classic VKDB occurrence in infants observed in the studies. The evidence for intramuscular prophylaxis is generally considered High. Long-term effects for oral regimens are less established, as effectiveness can be uncertain depending on adherence to scheduled doses.

Research Gaps and Limitations

A primary limitation across several indications is that the research often relies on surrogate endpoints, such as the INR blood marker, instead of directly tracking clinical outcomes related to major bleeding events or mortality. Follow-up durations were limited in many corrective studies, meaning there is limited information for long-term outcomes. Subgroup findings for patients with complex underlying conditions (like severe liver dysfunction) are often uncertain due to modest sample sizes and heterogeneous study populations.

Key Studies & References

  1. Treatment of excessive anticoagulation with phytonadione (vitamin K): a review of the evidence

Frequently Asked Questions (FAQ)

Common questions about Kanavit (FAQ)


Q: How quickly does Kanavit start to work after being administered?

A: Kanavit is used to correct low clotting factors in the blood. Official information indicates that for the reversal of excessive blood-thinning effects, a significant change in blood clotting markers (like the INR) is usually seen within 4–6 hours after intravenous administration. The effect takes longer following oral administration, typically showing changes within 8–24 hours.


Q: Is Kanavit known by different names in other regions of the world?

A: Yes, the active ingredient in Kanavit is Phytomenadione, which is also widely known by the generic name Phytonadione or Vitamin K1. Depending on the country, the medicine may be sold under various different brand names, such as Konakion or Mephyton, but they all contain the same core substance.


Q: Can Kanavit cause a noticeable reaction at the injection site?

A: Official safety data indicates that reactions at the injection site are possible. These may include localized pain, swelling, or tenderness, which are generally temporary. Regulatory documents note that rare but more severe reactions, such as inflammation or tissue changes, have been reported in some instances.


Q: Does Kanavit need to be administered more than once?

A: For adults receiving treatment to restore normal blood clotting, the initial dose may need to be repeated based on follow-up blood test results. For infants receiving the oral version of the supplement to prevent bleeding, official schedules require multiple doses over a specified time period to be effective.


Q: Is there an oral liquid form of the vitamin that is considered an alternative to the injection?

A: Yes, in certain regions, an oral form of the vitamin is used as an alternative to the injection, particularly for preventing bleeding in full-term infants. This oral product is typically a liquid solution or drops, and its use requires following a specific multiple-dose schedule.


Q: What is the risk if a baby does not receive Kanavit?

A: Official public health information emphasizes that newborns who do not receive the prophylaxis have a significantly higher risk of developing Vitamin K Deficiency Bleeding (VKDB). Studies indicate that the risk of VKDB is significantly higher in infants who do not receive prophylaxis compared to those who do.


Q: Does Kanavit affect bone health or development?

A: The active ingredient, Vitamin K1, is known to have a role in bone health in addition to its function in blood clotting. Official information acknowledges that Vitamin K is essential for activating certain proteins necessary for the proper metabolism and strength of bone tissue.


Q: Are there any long-term health concerns that have been studied regarding Kanavit use?

A: Long-term surveillance studies have been conducted to assess the safety of the drug's administration in infancy. Reviews of this research, including claims about a potential cancer link, have generally found no association between the administration of the injection and an increased risk of childhood cancers.


Q: Why is Kanavit injection the preferred form for newborns in some countries?

A: The intramuscular injection is generally cited as the preferred route by many regulatory bodies because it offers the most reliable absorption into the body. Official guidance states this route provides reliable and sustained protection against Vitamin K Deficiency Bleeding (VKDB), including the late-onset form.


Q: Why are babies born with low levels of the vitamin found in Kanavit?

A: Babies are born with low levels because the vitamin does not easily pass through the placenta from the mother during pregnancy. This natural deficiency, combined with the fact that breast milk contains only minimal amounts, leads to the need for supplementation to establish appropriate levels for blood clotting.


Q: Does breastfeeding provide enough of the vitamin Kanavit is based on?

A: No. Official health guidance states that breast milk contains only small, insufficient amounts of the vitamin needed for a newborn to establish healthy stores. Because of this, administration is recommended for all infants by major health organizations, regardless of how they are fed.


Q: How does the oral form of the vitamin compare to the injection in terms of effectiveness?

A: Official reviews indicate that a single oral dose is considered less reliable than the injection for preventing late-onset bleeding. The effectiveness of the oral regimen is dependent on strict adherence, as multiple doses are required to maintain adequate protection.


Q: What are the typical ingredients, besides the main vitamin, in the Kanavit injection solution?

A: Besides the active ingredient (Phytonadione), official labels list several inactive ingredients. These typically include sterile water for injection, a dissolving agent, and a stabilizer. Some formulations may also contain a preservative, such as benzyl alcohol.


Q: Is Kanavit always given immediately after birth?

A: The dose is typically administered within one hour of birth. While this is the most common practice, official information states that administering the dose later (e.g., up to six hours or more after birth) is still considered beneficial and necessary for prophylaxis.


Q: Are there any known issues with giving Kanavit to premature babies?

A: Special precautions are advised in official safety profiles for premature infants. Excessive doses, particularly if given intravenously, have been historically associated with a small risk of severe complications, which is why the dose must be carefully adjusted based on the infant's weight.


Q: Is there a link between Kanavit and an increased risk of jaundice?

A: Official safety data lists hyperbilirubinemia (which can lead to jaundice) as a very rare or unknown frequency adverse reaction in newborns. The risk has been associated specifically with high or excessive doses and is not generally a concern with the standard, recommended prophylactic dose.


Q: Why do some sources suggest a possible, but unproven, link between Kanavit and cancer?

A: This concern stems from an initial, unconfirmed research finding from the early 1990s. Since then, multiple subsequent large-scale surveillance studies have been conducted and reviewed by medical bodies, and these reviews have generally concluded that there is no increased risk associated with the injection.


Q: Can a baby who did not receive Kanavit at birth still receive it later?

A: Yes. Health organizations recommend that if an infant misses the initial dose, administration at a later date is supported by official health organizations. This late administration is still important to reduce the risk of late-onset Vitamin K Deficiency Bleeding (VKDB), which can occur throughout the first six months of life.


Q: Does having a difficult birth make Kanavit more necessary?

A: The prophylaxis is recommended for all newborns because low levels of Vitamin K are a normal physiological state at birth. While a difficult birth may inherently increase the risk of bleeding, the supplementation is recommended for all infants to establish adequate clotting reserves.


Q: Are there any religious or cultural reasons why Kanavit might be refused by parents?

A: Medical literature and public health guidance acknowledge that parents may choose to decline the administration for their infants based on personal, cultural, or religious beliefs. Despite this, regulatory bodies maintain a universal recommendation for the administration due to its demonstrated health benefits.


Q: What are the signs of the condition Kanavit helps to prevent?

A: Kanavit helps prevent Vitamin K Deficiency Bleeding (VKDB). The condition's signs can include visible symptoms like prolonged bleeding from the umbilical cord or circumcision site, and easy bruising. Crucially, it can also involve dangerous internal bleeding in the brain or intestines, which may not be immediately obvious.


Q: Can a mother's diet during pregnancy influence the need for Kanavit?

A: No. Official health guidance states that the amount of the vitamin consumed by the mother, even through a rich diet or high-dose supplements, does not significantly cross the placenta. Therefore, the newborn will still have the physiologically low levels that require the administration of Kanavit after birth.


Q: Do formula-fed babies need Kanavit, since formula contains the vitamin?

A: Yes. Although infant formulas contain Vitamin K, the amount is not sufficient to compensate for the baby's lack of stored vitamin at birth. The administration of Kanavit is needed to provide immediate, robust protection and build the necessary stores required to prevent bleeding.


Q: What happens if a baby has a liver problem regarding the use of Kanavit?

A: Caution is advised for infants with severe liver problems, such as cholestasis, as this can impair the absorption of the orally administered medicine. Official guidance indicates that in these situations, the injection is typically the required route to ensure that the medicine is effective.


Q: How is the safety of Kanavit monitored after it has been administered?

A: The overall safety of the medicine is monitored by regulatory bodies through ongoing post-marketing surveillance. Parents are typically advised to monitor the infant for any signs of an injection site reaction or symptoms of potential bleeding issues following administration.


Q: Is there a distinction between the Kanavit injection and 'Vitamin K shot' mentioned online?

A: The term 'Vitamin K shot' is the widely used, common phrase used by the public to refer to the injection given to newborns. Kanavit is one specific pharmaceutical brand, but the active ingredient it contains, Phytomenadione, is the same substance used in all 'Vitamin K shots'.


Q: How common is the condition Kanavit is meant to prevent in areas without its use?

A: Official health studies provide estimates for the historical incidence of the condition. In the absence of prophylactic administration, the early and classic forms of Vitamin K Deficiency Bleeding are estimated to occur in about 1 in 60 to 1 in 250 newborns.


Q: Does taking Kanavit cause any temporary discomfort for the baby?

A: As with any intramuscular injection, official information states that the baby may experience temporary discomfort, pain, swelling, or minor bruising at the administration site. This is a known and usually brief reaction following the injection.

How should Kanavit be stored and disposed of?

Kanavit (Phytomenadione) must be stored and handled according to strict regulatory requirements to maintain the stability of the active ingredient.

Storage Conditions

Requirement Specification
Temperature Store at controlled room temperature, typically 20 C to 25 C (68 F to 77 F).
Protection Keep protected from light at all times and store in the original container.
Prohibited The product must not be frozen.
Handling Visually inspect the solution before use; discard if it shows turbidity or phase separation.
Child Safety Keep out of the sight and reach of children.

Disposal Instructions

Any unused portion of diluted solution must be immediately discarded. Expired or unused Kanavit and related materials, such as needles and syringes, must be disposed of according to local regulations for medicinal and sharps waste. Do not dispose of the product in household trash or via wastewater.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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