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Nascobal Coupon - Nascobal 1.3ml of 500mcg/spray nasal spray
CYANOCOBALAMIN is a man made form of vitamin B12. Vitamin B12 is essential in the development of healthy blood cells, nerve cells, and proteins in the body. It also helps with the metabolism of fats and carbohydrates. This medicine is used to treat people who can not absorb enough vitamin B12. Compare vitamin B12 analogues.
Nascobal Coupon - Nascobal 1.3ml of 500mcg/spray nasal spray
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OverviewTOP

Vitamins are compounds that you must have for growth and health. They are needed in small amounts only and are usually available in the foods that you eat. Vitamin B 12 is necessary for healthy blood. Cyanocobalamin and hydroxocobalamin are man-made forms of vitamin B 12.

Some people have a medical problem called pernicious anemia in which vitamin B 12 is not absorbed from the intestine. Others may have a badly diseased intestine or have had a large part of their stomach or intestine removed, so that vitamin B 12 cannot be absorbed. These people need to receive vitamin B 12 by injection.

Some conditions may increase your need for vitamin B 12. These include:

  • Alcoholism
  • Anemia, hemolytic
  • Fever (continuing)
  • Genetic disorders such as homocystinuria and/or methylmalonic aciduria
  • Intestine diseases
  • Infections (continuing or chronic)
  • Kidney disease
  • Liver disease
  • Pancreas disease
  • Stomach disease
  • Stress (continuing)
  • Thyroid disease
  • Worm infections

In addition, persons that are strict vegetarians or have macrobiotic diets may need vitamin B 12 supplements.

Increased need for vitamin B 12 should be determined by your health care professional.

Lack of vitamin B 12 may lead to anemia (weak blood), stomach problems, and nerve damage. Your health care professional may treat this by prescribing vitamin B 12 for you.

Claims that vitamin B 12 is effective for treatment of various conditions such as aging, allergies, eye problems, slow growth, poor appetite or malnutrition, skin problems, tiredness, mental problems, sterility, thyroid disease, and nerve diseases have not been proven. Many of these treatments involve large and expensive amounts of vitamins.

Injectable vitamin B 12 is given by or under the supervision of a health care professional. Some strengths of oral vitamin B 12 are available only with your health care professional's prescription. Others are available without a prescription.

Proper UseTOP

If you are taking vitamin B 12 intranasal gel:

  • Take it at least one hour before or one hour after hot foods or liquids
  • Check with your doctor for follow-up blood tests every 3 to 6 months.

For patients receiving vitamin B12 by injection for pernicious anemia or if part of the stomach or intestine has been removed:

  • You will have to receive treatment for the rest of your life. You must continue to receive vitamin B12 even if you feel well, in order to prevent future problems.

DosingTOP

The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For nasal dosage form (intranasal gel):
    • To prevent deficiency, you are given this dosage form only if you have received vitamin B12 by injection into the muscle and are in remission state:
      • Adults—500 mcg (0.5 mg) into the nostrils once a week.
  • For oral dosage forms (tablets or extended-release tablets):
    • To prevent deficiency, the amount taken by mouth is based on normal daily recommended intakes:

        For the U.S.

      • Adults and teenagers—2 micrograms (mcg) per day.
      • Pregnant females—2.2 mcg per day.
      • Breast-feeding females—2.6 mcg per day.
      • Children 7 to 10 years of age—1.4 mcg per day.
      • Children 4 to 6 years of age—1 mcg per day.
      • Children birth to 3 years of age—0.3 to 0.7 mcg per day.

        For Canada

      • Adults and teenagers—1 to 2 mcg per day.
      • Pregnant females—2 to 3 mcg per day.
      • Breast-feeding females—1.5 to 2.5 mcg per day.
      • Children 7 to 10 years of age—0.8 to 1 mcg per day.
      • Children 4 to 6 years of age—0.5 mcg per day.
      • Children birth to 3 years of age—0.3 to 0.4 mcg per day.
    • To treat deficiency:
      • Adults, teenagers, and children—Treatment dose is determined by prescriber for each individual based on the severity of deficiency.

Missed DoseTOP

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

If you miss taking a vitamin for one or more days there is no cause for concern, since it takes some time for your body to become seriously low in vitamins. However, if your health care professional has recommended that you take this vitamin, try to remember to take it as directed.

Use & StorageTOP

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

Before UsingTOP

If you are taking a dietary supplement without a prescription, carefully read and follow any precautions on the label. For these supplements, the following should be considered:

AllergiesTOP

Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

PediatricTOP

Problems in children have not been reported with intake of normal daily recommended amounts.

GeriatricTOP

Problems in older adults have not been reported with intake of normal daily recommended amounts.

PregnancyTOP

It is especially important that you are receiving enough vitamins when you become pregnant and that you continue to receive the right amount of vitamins throughout your pregnancy. Healthy fetal growth and development depend on a steady supply of nutrients from mother to fetus. However, taking large amounts of a dietary supplement in pregnancy may be harmful to the mother and/or fetus and should be avoided.

You may need vitamin B 12 supplements if you are a strict vegetarian (vegan-vegetarian). Too little vitamin B 12 can cause harmful effects such as anemia or nervous system injury.

Breast FeedingTOP

It is especially important that you receive the right amounts of vitamins so that your baby will also get the vitamins needed to grow properly. If you are a strict vegetarian, your baby may not be getting the vitamin B 12 needed. However, taking large amounts of a dietary supplement while breast-feeding may be harmful to the mother and/or baby and should be avoided.

Drug InteractionsTOP

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Other InteractionsTOP

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical ProblemsTOP

The presence of other medical problems may affect the use of dietary supplements in this class. Make sure you tell your doctor if you have any other medical problems, especially:

  • Leber's disease (an eye disease)—Vitamin B12 may make this condition worse.
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