User:Mr. Ibrahem/Cyanocobalamin

Mr. Ibrahem/Cyanocobalamin
Clinical data
Pronunciationsye AN oh koe BAL a min[3]
Trade namesCobolin-M,[3] Depo-Cobolin,[3] others[4]
AHFS/Drugs.comProfessional Drug Facts
MedlinePlusa604029
License data
Pregnancy
category
  • AU: Exempt
Routes of
administration
By mouth, intramuscular, nasal spray[1][2]
Legal status
Legal status
  • US: OTC / Rx-only
Chemical and physical data
FormulaC63H88CoN14O14P
Molar mass1,355.39 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.[3] The deficiency may occur in pernicious anemia, following surgical removal of the stomach, with fish tapeworm, or due to bowel cancer.[5] It is less preferred than hydroxocobalamin for treating vitamin B12 deficiency.[1] It is used by mouth, by injection into a muscle, or as a nasal spray.[1][2]

Cyanocobalamin is generally well tolerated.[6] Minor side effects may include diarrhea and itchiness.[7] Serious side effects may include anaphylaxis, low blood potassium, and heart failure.[7] Use is not recommended in those who are allergic to cobalt or have Leber's disease.[5] Vitamin B
12
is an essential nutrient meaning that it cannot be made by the body but is required for life.[8][6]

Cyanocobalamin was first manufactured in the 1940s.[9] It is available as a generic medication and over the counter.[1][6] In the United Kingdom it costs the NHS about £2.90 per injection as of 2019.[1] In the United States the wholesale cost of this amount was about US$0.77 in 2019.[10] In 2017, it was the 170th most commonly prescribed medication in the United States, with more than three million prescriptions.[11][12]

References

change
  1. 1.0 1.1 1.2 1.3 1.4 British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. pp. 993–994. ISBN 9780857113382.
  2. 2.0 2.1 "Cyanocobalamin Side Effects in Detail". Drugs.com. Archived from the original on 8 March 2021. Retrieved 19 April 2019.
  3. 3.0 3.1 3.2 3.3 "Vitamin B12 Injection: Side Effects, Uses & Dosage". Drugs.com. Archived from the original on 19 April 2019. Retrieved 19 April 2019.
  4. "Cyanocobalamin – Drug Usage Statistics, United States, 2006–2016". ClinCalc.com. Archived from the original on 2019-11-09. Retrieved 2019-11-09.
  5. 5.0 5.1 "DailyMed – cyanocobalamin, isopropyl alcohol". dailymed.nlm.nih.gov. Archived from the original on 22 August 2019. Retrieved 19 April 2019.
  6. 6.0 6.1 6.2 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.
  7. 7.0 7.1 "Cyanocobalamin - FDA prescribing information, side effects and uses". Drugs.com. Archived from the original on 19 April 2019. Retrieved 19 April 2019.
  8. Markle HV (1996). "Cobalamin". Critical Reviews in Clinical Laboratory Sciences. 33 (4): 247–356. doi:10.3109/10408369609081009. PMID 8875026.
  9. 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.
  10. "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Archived from the original on 2019-03-06. Retrieved 3 March 2019.
  11. "The Top 300 of 2020". ClinCalc. Archived from the original on 12 February 2021. Retrieved 11 April 2020.
  12. "Cyanocobalamin - Drug Usage Statistics". ClinCalc. Archived from the original on 9 November 2019. Retrieved 11 April 2020.