(sye an oh koe bal' a min)
WHY is this medicine prescribed?
Cyanocobalamin nasal gel is used to prevent a lack of vitamin B
HOW should this medicine be used?
Cyanocobalamin comes as a gel to apply to the inside of the nose. It is usually used once a week. To help you remember to use cyanocobalamin nasal gel, use it on the same day of the week every week. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use cyanocobalamin nasal gel exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.
Cyanocobalamin nasal gel will supply you with enough vitamin B
Hot foods and drinks may cause your nose to produce mucus that can wash away cyanocobalamin nasal gel. Do not eat or drink hot foods or drinks for 1 hour before you plan to use cyanocobalamin nasal gel or for 1 hour after you use this medication.
Your doctor or pharmacist will show you how to use cyanocobalamin nasal gel. You will also be given the manufacturer's printed information on using this medication. Read the information carefully and ask your doctor or pharmacist if you have any questions.
To use the nasal gel, follow these steps:
Are there OTHER USES for this medicine?
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What SPECIAL PRECAUTIONS should I follow?
Before using cyanocobalamin nasal gel ,
- tell your doctor and pharmacist if you are allergic to cyanocobalamin nasal gel, tablets, or injection; hydroxycobalamin; multi-vitamins; any other medications or vitamins; or cobalt.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: azathioprine; antibiotics such as chloramphenicol; cancer chemotherapy; colchicine; folic acid; iron supplements; medications for human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) such as lamivudine (Epivir) and zidovudine (Retrovir); methotrexate (Rheumatrex, Trexall), para-aminosalicylic acid (Paser), and pyrimethamine (Daraprim). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you drink or have ever drunk large amounts of alcohol, if you have any type of infection, and if you have or have ever had Leber's hereditary optic neuropathy (slow, painless loss of vision, first in one eye and then in the other); allergies that often cause your nose to be stuffed, itchy, or runny; or kidney disease.
- tell your doctor if you get a cold or a runny or stuffy nose at any time during your treatment. You may have to use another form of vitamin B
12until your symptoms go away.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using cyanocobalamin nasal gel, call your doctor. Talk to your doctor about the amount of vitamin B
12you should get every day when you are pregnant or breastfeeding.
What SPECIAL DIETARY instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.
What should I do IF I FORGET to take a dose?
Use the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.
What SIDE EFFECTS can this medicine cause?
Cyanocobalamin nasal gel may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- upset stomach
- stuffed or runny nose
- sore tongue
Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
- unusual bruising or bleeding
- muscle weakness, cramps, or pain
- leg pain
- extreme thirst
- frequent urination
- burning or tingling in the arms, legs, hands or feet
- sore throat, fever, chills, or other signs of infection
- difficulty breathing or swallowing
Cyanocobalamin nasal gel may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch ] or by phone [1-800-332-1088].
What should I know about STORAGE and DISPOSAL of this medication?
Keep this medication upright in the carton 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). Do not allow the medication to freeze. Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
What should I do in case of OVERDOSE?
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
What OTHER INFORMATION should I know?
Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your body's response to cyanocobalamin nasal gel.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
- Vitamin B
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