HomeMedication lookupGenes › VKORC1
VKORC1

Drugs affected by VKORC1

Vitamin K Epoxide Reductase Complex Subunit 1

1 medication 1 brand product

About VKORC1

VKORC1 is warfarin's molecular target. A common promoter variant determines how much VKORC1 your liver produces, and therefore how much warfarin it takes to block the vitamin K cycle enough to thin your blood.[1]

The combination of your VKORC1 and CYP2C9 genotypes explains more than half of the variation in warfarin dose between individuals.[2]

What we test for VKORC1

Gene2Rx reports your VKORC1 genotype across 2 named alleles, built from 1 variant curated by PharmVar.

2
Named alleles
1
Variants tested
PharmVar
Source
GRCh38
Genome build
Normal expression 1 Decreased expression 1

Notable VKORC1 alleles

-1639G Normal expression
Reference allele — normal VKORC1 expression; standard warfarin sensitivity.
-1639A Decreased expression
Decreased-expression allele; carriers need lower warfarin doses to reach the same anticoagulant effect.
~40% in Europeans, ~90% in East Asians
What do these allele names mean?

VKORC1 alleles are named by the underlying DNA variant rather than a star number — for example c.61C>T describes a single base change at position 61 of the coding sequence.

You inherit one allele from each parent, and the pair determines whether your VKORC1 activity is normal, decreased, or absent.

PharmVar is the international registry that curates these names. Gene2Rx tests every variant needed to call each cataloged VKORC1 allele.

Medications with VKORC1 guidelines

Gene2Rx covers 1 medication with published pharmacogenetic guidance for VKORC1, drawn from CPIC and FDA sources. Each drug links to its full pharmacogenetics page.

blood thinners

Brand products containing a VKORC1-affected ingredient

These branded medications include at least one active ingredient whose metabolism or action involves VKORC1. Each links to its full pharmacogenetic breakdown.

References

  1. CPIC. CPIC Guideline for Pharmacogenetics-Guided Warfarin Dosing (CYP2C9, VKORC1, CYP4F2) (2017). cpicpgx.org
  2. PharmGKB / Stanford University. PharmGKB: The Pharmacogenomics Knowledge Base. pharmgkb.org

Find out your personal VKORC1 phenotype

This page lists drugs affected by VKORC1. A Gene2Rx report tells you which metabolizer group you fall into, and what that means for every medication on this list.

Get your report Look up a medication

Informational only, not medical advice. The presence of a VKORC1 pharmacogenetic guideline does not mean every patient needs to change their dose. Never start, stop, or change a medication without talking to your prescribing clinician.

Get Your Report Now
Ready in One Minute