User:Mr. Ibrahem/Cyanocobalamin

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Mr. Ibrahem/Cyanocobalamin
Clinical data
Pronunciationsye AN oh koe BAL a min[1]
Trade namesCobolin-M,[1] Depo-Cobolin,[1] others[2]
AHFS/Drugs.comProfessional Drug Facts
MedlinePlusa604029
License data
Pregnancy
category
  • AU: Exempt
Routes of
administration
By mouth, intramuscular, nasal spray[3][4]
Legal status
Legal status
  • US: OTC / Rx-only
Chemical and physical data
FormulaC63H88CoN14O14P
Molar mass1355.388 g·mol−1
3D model (JSmol)
Melting point300 °C (572 °F) +
Boiling point300 °C (572 °F) +
Solubility in water1/80g/ml
  • CC1=CC2=C(C=C1C)N(C=N2)C3C(C(C(O3)CO)OP(=O)([O-])OC(C)CNC(=O)CCC4(C(C5C6(C(C(C(=C(C7=NC(=CC8=NC(=C(C4=N5)C)C(C8(C)C)CCC(=O)N)C(C7(C)CC(=O)N)CCC(=O)N)C)[N-]6)CCC(=O)N)(C)CC(=O)N)C)CC(=O)N)C)O.[C-]#N.[Co+3]
  • InChI=1S/C62H90N13O14P.CN.Co/c1-29-20-39-40(21-30(29)2)75(28-70-39)57-52(84)53(41(27-76)87-57)89-90(85,86)88-31(3)26-69-49(83)18-19-59(8)37(22-46(66)80)56-62(11)61(10,25-48(68)82)36(14-17-45(65)79)51(74-62)33(5)55-60(9,24-47(67)81)34(12-15-43(63)77)38(71-55)23-42-58(6,7)35(13-16-44(64)78)50(72-42)32(4)54(59)73-56;1-2;/h20-21,23,28,31,34-37,41,52-53,56-57,76,84H,12-19,22,24-27H2,1-11H3,(H15,63,64,65,66,67,68,69,71,72,73,74,77,78,79,80,81,82,83,85,86);;/q;-1;+3/p-2/t31-,34-,35-,36-,37+,41-,52-,53-,56-,57?,59-,60+,61+,62+;;/m1../s1
  • Key:FDJOLVPMNUYSCM-QJRSUKKJSA-L

Cyanocobalamin is a manufactured form of vitamin B
12
used to treat vitamin B12 deficiency.[1] The deficiency may occur in pernicious anemia, following surgical removal of the stomach, with fish tapeworm, or due to bowel cancer.[6] It is less preferred than hydroxocobalamin for treating vitamin B12 deficiency.[3] It is used by mouth, by injection into a muscle, or as a nasal spray.[3][4]

Cyanocobalamin is generally well tolerated.[7] Minor side effects may include diarrhea and itchiness.[8] Serious side effects may include anaphylaxis, low blood potassium, and heart failure.[8] Use is not recommended in those who are allergic to cobalt or have Leber's disease.[6] Vitamin B
12
is an essential nutrient meaning that it cannot be made by the body but is required for life.[9][7]

Cyanocobalamin was first manufactured in the 1940s.[10] It is available as a generic medication and over the counter.[3][7] In the United Kingdom it costs the NHS about £2.90 per injection as of 2019.[3] In the United States the wholesale cost of this amount was about US$0.77 in 2019.[11] In 2017, it was the 170th most commonly prescribed medication in the United States, with more than three million prescriptions.[12][13]

References[edit]

  1. ^ a b c d "Vitamin B12 Injection: Side Effects, Uses & Dosage". Drugs.com. Archived from the original on 19 April 2019. Retrieved 19 April 2019.
  2. ^ "Cyanocobalamin – Drug Usage Statistics, United States, 2006–2016". ClinCalc.com. Archived from the original on 2019-11-09. Retrieved 2019-11-09.
  3. ^ a b c d e British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. pp. 993–994. ISBN 9780857113382.
  4. ^ a b "Cyanocobalamin Side Effects in Detail". Drugs.com. Archived from the original on 8 March 2021. Retrieved 19 April 2019.
  5. ^ a b c "WHOCC - ATC/DDD Index". www.whocc.no. Archived from the original on 29 June 2020. Retrieved 9 September 2020.
  6. ^ a b "DailyMed – cyanocobalamin, isopropyl alcohol". dailymed.nlm.nih.gov. Archived from the original on 22 August 2019. Retrieved 19 April 2019.
  7. ^ a b c Lilley, Linda Lane; Collins, Shelly Rainforth; Snyder, Julie S. (2019). Pharmacology and the Nursing Process E-Book. Elsevier Health Sciences. p. 83. ISBN 9780323550468. Archived from the original on 2021-03-09. Retrieved 2019-04-19.
  8. ^ a b "Cyanocobalamin - FDA prescribing information, side effects and uses". Drugs.com. Archived from the original on 19 April 2019. Retrieved 19 April 2019.
  9. ^ Markle HV (1996). "Cobalamin". Critical Reviews in Clinical Laboratory Sciences. 33 (4): 247–356. doi:10.3109/10408369609081009. PMID 8875026.
  10. ^ Orkin, Stuart H.; Nathan, David G.; Ginsburg, David; Look, A. Thomas; Fisher, David E.; Lux, Samuel (2014). Nathan and Oski's Hematology and Oncology of Infancy and Childhood E-Book. Elsevier Health Sciences. p. 309. ISBN 9780323291774. Archived from the original on 2021-03-08. Retrieved 2019-04-19.
  11. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Archived from the original on 2019-03-06. Retrieved 3 March 2019.
  12. ^ "The Top 300 of 2020". ClinCalc. Archived from the original on 12 February 2021. Retrieved 11 April 2020.
  13. ^ "Cyanocobalamin - Drug Usage Statistics". ClinCalc. Archived from the original on 9 November 2019. Retrieved 11 April 2020.