Cyanocobalamin: functions, dosage, side effects, how to use

What Medicine Cyanocobalamin?

What is Cyanocobalamin for?

Cynacobalamin is an artificial vitamin B12. This vitamin is made to prevent vitamin B12 deficiency in humans. Some people get vitamin B12 from the food they eat on a daily basis.

This vitamin is essential for maintaining your body's metabolism as well as blood and nerve cells. Vitamin B12 deficiency can lead to reduced red blood cell count (anemia), indigestion, and permanent nerve damage.

Vitamin B12 deficiency can be caused by certain conditions such as stomach / intestinal disorders, malnutrition, cancer, HIV infection, pregnancy, elderly people, and alcohol. Deficiency of this vitamin can also be affected by a very strict diet such as vegan.

How to use Cyanocobalamin?

This vitamin is taken by mouth, usually once a day with or without food according to your doctor's instructions or the directions for use on the package. Take this vitamin regularly to get optimal benefits. To help you remember, take this vitamin at the same time every day. The recommended dosage depends on your health condition, body response and the results of your laboratory tests. For more information, consult your doctor and pharmacist.

There are various types of Cyanocobalamin (B12) available. Read the instructions for use carefully because each product has a different dosage.

If you are taking liquid medicine, use the dosage provided in the package. Do not use a regular spoon, as the dosage may not be correct. Some brands recommend that you shake the medicine first before drinking it.

If you are taking vitamins in tablet form, don't crush them first. If you do, it could be that certain side effects will occur. Do not split the tablet unless there are precise instructions from your doctor or pharmacist. Swallow the tablet whole without crushing or chewing it.

If you are taking chewable vitamins, chew the tablet whole before swallowing it.

If you are taking a rapidly dissolving tablet, place the tablet in your mouth or under your tongue before swallowing, with or without water according to your doctor's instructions or directions for use.

Vitamin C can reduce the amount of vitamin B12 that is absorbed. Do not take vitamin C one hour before or after taking vitamin B12.

If your condition worsens, seek medical attention immediately.

How is Cyanocobalamin stored?

Cyanocobalamin is a drug that is best stored at room temperature, away from direct light and damp places. Don't keep it in the bathroom. Don't freeze it. Other brands of this drug may have different storage rules. Observe the storage instructions on the product package or ask your pharmacist. Keep all medicines away from children and pets.

Do not flush medicines down the toilet or down the drain unless instructed to do so. Discard this product when it has expired or when it is no longer needed. Consult your pharmacist or local waste disposal company about how to safely dispose of your product.

Cyanocobalamin dosage

The information provided is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist before starting treatment.

What is the Cyanocobalamin dosage for adults?

For seniors, the starting dose of cyanocobalamin is:

• The initial dose is 100 mcg by injection into the muscle once daily for 7 days. Some patients are recommended to inject 100 to 1000 mcg into the muscle.
• Vitamin B12 in spray or gel form is usually 500 mcg, taken through the nose once a week.

To treat malnutrition, the dosage of cyanocobalamin is:

• Oral: 25 to 250 mgc per day
• Nasal spray or gel: (Nascobal) 500 mcg intranasally once a week and (CaloMist) 25 mcg once daily (dose may be increased to 50 mgc).

What is the dosage of Cyanocobalamin for children?

For babies with anemia, the cyanocobalamin dosage is:

• Initial dose: injection into the muscle 0.2 mcg / kg for the first 2 days, then followed by a dose of 100 mcg / kg for 2 to 7 days.

For children with anemia, the cyanocobalamin dosage is:

• Initial dose: intravenous injection of 20 to 50 mcg per day for the first 2 weeks or more (maximum dose up to 1000 mcg), followed by a dose of 100 mcg / month.

For children who are deficient in vitamin B12, the cyanocobalamin dosage is:

• Initial dose of 0.2 mgc / kg for 2 days, then followed by giving a dose of 1000 mcg / day for 2 to 7 days, then followed by a dose of 100 mcg / week for a month or 100 mcg / day for 10 to 15 days (maximum dose of 1 to 15 mcg), then once or twice a week for the next several months.

In what dosage is Cyanocobalamin available?

Cyanocobalamin dosage preparations are:

• Injection 1000 mcg / mL
• Tablets 100 mcg, 200 mcg, 1000 mcg

Cyanocobalamin side effects

What side effects can be experienced due to Cyanocobalamin?

The most common side effects of cyanocobalamin are:

• Headache
• Limp, tired, powerless
• Nausea
• Gag
• Stomach ache
• Diarrhea
• Fever
• Joint pain
• Itchy rash
• Swollen tongue

Not everyone experiences these side effects. There may be some side effects not listed above. If you have concerns about certain side effects, consult your doctor or pharmacist.

Cyanocobalamin Drug Warnings and Cautions

What should be known before using Cyanocobalamin?

Do not take this vitamin if you are allergic to Cobalt, or if you have Leber's disease. This drug can damage blood vessels (can cause blindness) in Leber sufferers.

Is Cyanocobalamin safe for pregnant and lactating women?

There are no adequate studies regarding the risks of using this drug in pregnant or breastfeeding women. Always consult your doctor to weigh the potential benefits and risks before using this medication. This drug is included in the risk of pregnancy category C according to the US Food and Drug Administration (FDA) in the United States, or the equivalent of the POM in Indonesia.

The following references the pregnancy risk categories according to the FDA:

• A = Not at risk
• B = No risk in several studies
• C = Maybe risky
• D = There is positive evidence of risk
• X = Contraindicated

Cyanocobalamin Drug Interactions

What medicines may interact with Cyanocobalamin?

Drug interactions can change the performance of your medications or increase the risk of serious side effects. Not all possible drug interactions are listed in this document. Keep a list of all the products you use (including prescription / non-prescription drugs and herbal products) and consult your doctor or pharmacist.

Can food or alcohol interact with Cyanocobalamin?

Certain drugs should not be used with meals or when eating certain foods because drug interactions can occur. Consuming alcohol or tobacco with certain drugs can also cause interactions to occur. Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.

What health conditions may interact with Cyanocobalamin?

Any other health conditions you have can affect the use of this drug. Some of the health conditions that may interact with the cyanocobalamin drug are:

• All kinds of infections
• Iron or acid deficiency
• Kidney or liver disease
• If you are having other medications that affect your spinal cord

Cyanocobalamin overdose

What should I do in an emergency or overdose?

In case of an emergency or overdose, contact the local emergency services provider (112) or immediately to the nearest hospital emergency department.

What should I do if I miss a dose?

If you forget a dose of this medicine, take it as soon as possible. However, when it is nearing the time of the next dose, skip the missed dose and return to the usual dosing schedule. Don't double the dose.