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Drug Guide    H   Hi-B-12

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   Hi-B-12

Hi-B-12
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Cyanocobalamin is a man-made form of vitamin B12 used to treat low body levels (deficiency) of this vitamin. B12 is needed to maintain the health of nerves, skin, blood cells, and the lining of the stomach/intestines. Most people who eat a normal diet do not need extra vitamin B12.B12 deficiency may occur in certain health conditions (e.g., poor nutrition, alcoholism, pregnancy, old age, stomach/intestinal problems, HIV infection, cancer, pernicious anemia). Serious vitamin B12 deficiency may result in low numbers of red blood cells (anemia), stomach/intestine problems, and permanent nerve damage.Cyanocobalamin taken by mouth should only be used if your body can properly absorb it. You should use other cyanocobalamin products that are injected or inhaled in the nose if you have pernicious anemia, missing/damaged small intestine, damaged stomach lining, or food absorption problems.


 
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Overview Photos How To Use Side Effects Precautions Missed Dose Drug Interactions

Hi-B-12

Uses
Cyanocobalamin is a man-made form of vitamin B12 used to treat low body levels (deficiency) of this vitamin. B12 is needed to maintain the health of nerves, skin, blood cells, and the lining of the stomach/intestines. Most people who eat a normal diet do not need extra vitamin B12.B12 deficiency may occur in certain health conditions (e.g., poor nutrition, alcoholism, pregnancy, old age, stomach/intestinal problems, HIV infection, cancer, pernicious anemia). Serious vitamin B12 deficiency may result in low numbers of red blood cells (anemia), stomach/intestine problems, and permanent nerve damage.Cyanocobalamin taken by mouth should only be used if your body can properly absorb it. You should use other cyanocobalamin products that are injected or inhaled in the nose if you have pernicious anemia, missing/damaged small intestine, damaged stomach lining, or food absorption problems.
Notes
  • Do not share this vitamin with others.Laboratory and/or medical tests (e.g., serum potassium levels, complete blood count, hematocrit, vitamin B12 levels) should be performed to monitor your progress or check for side effects.
  • Consult your doctor for more details.This product is not a substitute for a proper diet.
  • Remember that it is best to get your vitamins from healthy foods.
  • Vitamin B12 is commonly found in beef, chicken, pork, fish, and milk.
  • Consult your doctor, pharmacist, or nutritionist for more details.

Storage
  • Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture.
  • Do not store in the bathroom.
  • Keep all medicines away from children and pets.


How To Use
  • Take this vitamin by mouth, usually once daily or exactly as directed by your doctor.Dosage is based on your medical condition and response to treatment.Use this vitamin regularly to get the most benefit from it.
  • To help you remember, take it at the same time each day.Tell your doctor if your condition persists or worsens.

Side Effects
  • Cyanocobalamin taken by mouth does not usually cause side effects when taken in recommended doses.
  • Itching may infrequently occur.
  • If this side effect persists or worsens, tell your doctor or pharmacist promptly.A very serious allergic reaction to this drug is rare.
  • However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before taking cyanocobalamin, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.This vitamin should not be used if you have a certain medical condition.
  • Before using this vitamin, consult your doctor or pharmacist if you have: a certain eye problem (Leber's disease).Before using this vitamin, tell your doctor or pharmacist your medical history, especially of: a certain stomach surgery (gastric resection), gout, using alcohol often, low levels of a certain blood mineral (potassium), other vitamin/mineral deficiencies (e.g., folic acid, iron).People who have a certain rare blood disorder (polycythemia vera) may infrequently have symptoms related to this disorder while taking cyanocobalamin.
  • Seek immediate medical attention if you experience chest pain (especially with shortness of breath), weakness on one side of the body, sudden vision changes, or slurred speech.Though less likely to occur with cyanocobalamin taken by mouth, other forms of this vitamin have been reported to cause low potassium levels in the blood(hypokalemia).
  • Tell your doctor immediately if you develop any signs of low blood potassium (e.g., muscle cramps, muscle weakness, irregular heartbeat).During pregnancy, this vitamin has been found to be safe when used in recommended doses.
  • Higher doses should be used during pregnancy only if clearly needed.
  • Discuss the risks and benefits with your doctor.This vitamin passes into breast milk and is considered to be safe during breast-feeding when used in recommended doses.
  • Consult your doctor for more information.

Missed Dose
  • If you miss a dose, take it as soon as you remember.
  • If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
  • Do not double the dose to catch up.

Drug Interactions
  • Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.
  • Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting cyanocobalamin.Before using this vitamin, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: aminosalicylic acid, chloramphenicol, colchicine, extended-release potassium supplements, aminoglycoside antibiotics (e.g., neomycin), anticonvulsants (e.g., phenytoin, phenobarbital, primidone).Tell your doctor or pharmacist of other vitamins you may be taking that contain cyanocobalamin, vitamin B12, or hydroxocobalamin.This vitamin may interfere with a certain laboratory test (intrinsic factor antibodies).
  • Tell all your doctors and laboratory personnel that you are taking this vitamin.Certain other drugs may interfere with laboratory tests for vitamin B12 levels, possibly causing false test results.
  • Tell laboratory personnel and all your doctors if you take any of the following: methotrexate, pyrimethamine, antibiotics (e.g., amoxicillin, erythromycin).

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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