Precautions while using Cyanocobalamin

Cyanocobalamin is a man-made form of vitamin B12, used to prevent and treat vitamin B12 deficiency in the blood. Cyanocobalamin needs to be prescribed by a doctor/pharmacist to ensure its effectiveness.

1.1. What is cyanocobalamin? Cyanocobalamin is a man-made form of vitamin B12 prescribed by a doctor, indicated to prevent and treat low blood levels of vitamin B12.
Cyanocobalamin belongs to the group of minerals and vitamins. The main ingredient is Cyanocobalamin, commonly known as vitamin B12. Cyanocobalamin is produced in many different forms and strengths: Tablets: 100mcg, 250mcg, 500mcg, 1,000mcg. Extended release tablet form 1,000mcg strength. 2,500mcg sublingual tablet. Solution for injection 1000 mcg per ml. Nasal spray 500mcg per spray. 1.2. What does cyanocobalamin do? Cyanocobalamin has a very essential role in our body such as:
Used to treat blood diseases such as pernicious anemia, megaloblastic anemia (spontaneous, or after gastrectomy). Treat sciatica and nerve pain in the neck - arm or pain due to nerve diseases. Treatment in vitamin B12 deficiency due to Spru disease (digestive disorder, and making the body unable to absorb vitamin B12), fatty diarrhea or partial gastric bypass, hookworm infection. Prophylaxis in anemia associated with Vitamin B12 deficiency in patients undergoing gastrectomy or extensive ileostomy and malabsorption. Cyanocobalamin can be used as a tonic for patients with fatigue. Contraindications:
Patients with hypersensitivity to the components contained in Cyanocobalamin and sensitive to Cobalt.

Dosage of Cyanocobalamin in adults:
Adults over 19 years old: Use 2.4mcg. Pregnant women: Take 2.6mcg. Lactation: Take 2.8mcg. Dietary Supplements: 50 to 6,000mcg per day. Children:
Children 0 to 6 months: Use 0.4mcg. Children 7 to 12 months: Use 0.5mcg. Children from 1 to 3 years: Use 0.9mcg. Children 4 to 8 years old: Take 1.2mcg. Children 9 to 13 years: Take 1.8mcg. Children over 14 years: Use 2.4mcg. Treatment of pernicious anemia:
Dosage for adults:
Manufacturer's recommendation: 100mcg intramuscularly or subcutaneously once daily for 6 to 7 days, then every other day for 7 doses, then 3 to 4 days for 2 to 3 weeks, then monthly. Alternate dose: 1,000mcg intramuscularly or subcutaneously once daily for 7 days, Nasal spray: 500mcg (1 spray in 1 nostril) weekly. If the patient is taking a hot meal, it should be sprayed 1 hour before or after the meal. Dosage for children:
Doses 30 to 50 mcg IM or subcutaneously once daily for 2 weeks or more for a total dose of 1,000 mcg to 5,000 mcg, co-administered with 1 mg/day folic acid for 1 month. Maintenance: Use 100mcg intramuscularly or subcutaneously monthly. Treatment of vitamin B12 deficiency:
Dosage for adults:
Initial dose is 30mcg IM once daily for 5 to 10 days. Maintenance: Use 100 to 200mcg intramuscularly monthly. Nasal dose: 500mcg administered once a week. Treatment when missed dose:
In case the patient misses a dose of Cyanocobalamin, take it as soon as possible (usually it can be taken 1 to 2 hours before the time ordered by the doctor). But if it is too close to the next dose, skip the missed dose and take the next dose of Cyanocobalamin at the scheduled time. Note that do not take double the prescribed dose to make up for the missed dose. Treatment of Overdose:
Cyanocobalamin contains Vitamin B12 which is a water soluble vitamin, so they are quite safe even in high doses. However, taking too much Cyanocobalamin can cause some serious side effects in certain groups of people. In case of an emergency, immediately call 911 or go to the nearest local health station for instructions on handling.

Vitamin B12 has many brand names, strengths and packaging forms. Patients need to read the instructions for use carefully, because the vitamin B12 content may vary from product to product. Vitamin C (ascorbic acid) can decrease the amount of vitamin B12 you absorb. Therefore, avoid taking large doses of vitamin C about 1 hour before, or after taking Cyanocobalamin with Vitamin B12. Patients should not take Cyanocoba Mide if they are allergic to cobalt or have Leber's disease. Cyanoacetamide can damage the optic nerve (and possibly cause blindness) in people with Leber's disease. Before taking Cyanocobalamin, the patient should:
Tell your doctor if you are allergic to vitamin B12 or any other type or herb or dietary supplement. Tell your doctor if you are pregnant and plan to become pregnant or are breast-feeding. Note when using for people who are pregnant or breast-feeding:
Cyanocobalamin is considered relatively safe when used during pregnancy or in people who are breast-feeding. In fact, organizations recommend that pregnant women who are completely or partially vegetarian should supplement with vitamin B12 to avoid the risk of deficiency. However, like any drug or supplement, patients should consult their doctor before taking it to weigh the benefits against the risks when taking. Cyanocobalamin is distributed in breast milk but is safe for the nursing infant.

Shortness of breath (even with mild exertion), swelling or rapid weight gain. Chest pain. Hot, red, and unusual pain in an arm or leg. Common side effects:
Headache or dizziness and weakness. Nausea and abdominal pain or diarrhea. Numbness or tingling, rash; Fever or joint pain and swelling of the tongue Not all patients using Cyanocobalamin will experience the same side effects as above. If you have any questions about side effects, consult your doctor or pharmacist.

Cyanocobalamin has no known serious interactions with other medications.
Moderate Cyanocobalamin interactions such as:
Dichlorphenamide. Cyanocobalamin has minor interactions with at least 71 different drugs.

Cyanocobalamin storage time is 36 months from the date of manufacture. Store Cyanocobalamin in a cool, dry place, at a temperature not exceeding 30°C, in the original packaging and protected from light and acidic environments. Keep out of reach of small children and pets. Before using Cyanocobalamin should carefully check the expiration date of the drug. Absolutely do not use Cyanocobalamin after the expiry date printed on the package. The basic information about Cyanocobalamin in the above article is for reference only. Cyanocobalamin requires a prescription, so patients should not use it on their own, but contact a specialist directly for a suitable prescription to ensure safety for health.