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Vitamin B12 Sanum Ampules

Vitamin B12 Sanum Ampules

Administration form:  Ampules
Liquid dilution for injection
Preparation group:  Vitamins
Active ingredient:  Cyanocobalamin
Composition:  1 ampule of 1 ml contains: Medically active substance: 1 mg Cyanocobalamin. Other constituents: sodium chloride, sodium hydroxide 9.5 %, hydrochloric acid 5 %, isotonic sodium chloride solution.
Indication:  Vitamin B12 deficiency which cannot be resolved by dietary measures. Vitamin B12 deficiency can show itself in the following disorders: hyperchromic, macrocytic megaloblastic anaemia (pernicious anaemia, Biermers anaemia, addisonian anaemia; these are maturation disturbances of the erythrocytes); spinal cord damage.
Vitamin B12 deficiency confirmed by laboratory tests can occur in cases of long lasting malnutrition and malnourishment (e.g. a strict vegetarian diet); malabsorption (insufficient intestinal absorption of vitamin B12) caused by insufficient production of intrinsic factor (a protein which is produced by the gastric mucosa and is necessary for absorption of vitamin B12), disorders of the ileum (a part of the small intestine), such as sprue, fish tape worm infestation or blind loop syndrome (obstruction of the small intestine after abdominal operations); congenital vitamin B12 transport disorders.
Characteristics:  Cyanocobalamin ist gained from bacteria cultures; therefore it is of plant origin in contrast to hydroxycobalamin from liver extracts. Numerous metabolic processes in the organism depend on a sufficient vitamin B12 supply, especially the production of erythrocytes in the bone marrow, protein synthesis (production of DNA, RNA, growth), formation of the myelin sheath of the nerve cells, cellular detoxification, metabolism of fatty acids and folic acid.
Application:  Unless otherwise prescribed: For initial treatment during the first weeks of therapy 1 ampule of 1 ml Vitamin B 12 Sanum (1mg cyanocobalamin) 2 x weekly. In cases of verified intestinal malabsorption of vitamin B12, subsequent injections with 1000 g cyanocobalamin are administered once a month. As a rule, Vitamin B 12 Sanum is injected intramuscularly. Slow intravenous or subcutaneous injections are also possible.
Side effects:  In individual cases, skin reactions (acne as well as eczematous urticarial drug reactions) and hypersensitivity reactions (anaphylactic and anaphylacticoid reactions) have occurred.
Contraindications:  Do not administer in cases of hypersensitivity to vitamin B12 or any other constituent.
Adverse reactions:  None known.
Interactions with other remedies:  Due to the instability of vitamin B12, the addition of other preparations can lead to loss of effectiveness.
Precautions:  As with all medications and due to the variations of clinical studies, professional medical advice should be sought prior to recommending this product to women during pregnancy or breastfeeding, as well as with children.
Advice:  The recommended daily vitamin B12 intake during pregnancy and breastfeeding is 4 g. According to previous experience, higher dosages have no adverse effects on the unborn child. Vitamin B12 passes into breast milk.
Vitamin B 12 Sanum contains less than 1 mmol (23 mg) sodium chloride per ampule, i.e. it is almost sodium-chloride-free.
Duration of treatment:  Dependent on the advice of the physician or health care professional.
Special precautions for storage: 
How supplied:  The following dosage forms are available: 1 ml ampule 10 and 50.
Duration of stability: