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All prescriptions dispensed by:
Point Douglas Pharmacy
881 Main Street
Winnipeg, Manitoba
Canada R2W 3P2
Licensed by:
The Manitoba Pharmaceutical
Association - License #32252
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Cyanocobalamin

Pronounced: (sye-an-oh-koe-BAL-a-min)
Other Names: None Listed
Catagory: Supplements
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Drug Information

Vitamin B12 is used to treat or prevent low levels either caused by poor diet or the body not being able to absorb enough. Malabsorption can be caused by certain disease states. Numerous drugs can block the absorption of this vitamin including oral contraceptives, acid-blockers (e.g., Axid, Pepcid), potassium preparations. Signs of deficiency include anemia. The elderly are most susceptible to vitamin B12 deficiency. Sources of this vitamin come from animal products, including liver, beef, chicken, egg, milk and cheese. Vegetarians are urged to use a vitamin B12 supplement. Vitamin B12 may help prevent smokers from developing mouth or throat cancer.
Mechanism:
Vitamin B-12 is an essential ingredient needed by the body. It plays and important role in all cells, including those in the stomach and intestines, nerve cells and bone marrow cells. Vitamin B12 is important for the maturation of red blood cells.
More Info:
For more information about this medicine, talk to your healthcare provider.
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Side Effects

There have been some reports of; diarrhea, itching, swelling, and anaphylaxis thought to be possibly due to impurities in the product.
Precautions:
Large amounts of Vitamin C can destroy Vitamin B-12 and should not be taken at the same time.
Preganant:
Talk to your doctor about using this medicine during pregnancy or nursing to discuss any possible risks to you or your baby. It is generally considered safe, when using recommended daily limits of 2.6 mcg (micrograms) daily during pregnancy, or 2.8 mcg (micrograms) daily while nursing.

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Dosage Information

For proper use of this medicine, follow the directions on the package, unless otherwise instructed by your doctor. Oral supplements are believed by some not to be well absorbed, so more serious deficiencies are treated with the intra-muscular injection form. Other doctors believe that oral supplements are adequate. Talk to your doctor or nurse for more advice.
Missed Dosage:
If your doctor has instructed you to take this medicine regularly and you miss a dose, take your next dose, as soon as you remember. If you are close to your next dose, do not double up. Skip the missed dose and go back to your regular schedule.
Storage:
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed.
Overdose:
Seek medical attention immediately. For non emergencies, contact your local or regional poison control center.

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