Solution for injection with 3,000 µg (3 mg) cyanocobalamin (i.v., i.m.) For vitamin B12 deficiency
For the treatment of vitamin B12 deficiency that cannot be treated with diet.
Vitamin B12 deficiency can be manifested by general symptoms such as:
- easily becoming fatigued
and specific symptoms such as:
- burning sensation on the tongue
Why do we need vitamin B12?
Elderly people and vegans often have vitamin B12 deficiency
Vitamin B12 deficiency develops as people age when the gastric mucosa erode (atrophic gastritis). As a result, too little of a substance which aids in the absorption of vitamin B12 is formed. To make up for this deficiency the body needs to take in considerably higher amounts of vitamin B12. Veganism, a diet which involves abstaining from not only meat but all animal foods and therefore all foods that contain vitamin B12 such as eggs, cheese or yoghurt, can result in vitamin B12 deficiency if this vitamin is not supplemented.
Ammonium sulfate, sodium chloride, hydrochloric acid, water for injection.
Vitamin B12 deficiency that cannot be treated with diet. Vitamin B12 deficiency can present with the following clinic pictures: − Hyperchromic macrocytic megaloblastic anemia (pernicious anemia, Biermer’s anemia, Addison’s anemia. All are maturation disorders of red blood cells). −Funicular spinal disease (damage to the spinal cord). Vitamin B12 deficiency confirmed by laboratory tests may occur in cases of
− undernourishment and malnutrition for years (e.g., caused by strict vegetarian diet),
− malabsorption (insufficient vitamin B12 is absorbed by the intestines) due to
− insufficient production of intrinsic factor (a protein that is synthesized in the gastric mucosa and that is needed to absorb vitamin B12),
− diseases of the terminal section of the ileum (part of the small intestine), e.g., sprue
− Fish tapeworm infestation or
− Blind-loop syndrome (change to the course of the intestines following gastric surgery),
− congenital Vitamin B12 transport disorders.
Vitamin B12 forte-Hevert injekt is contraindicated in cases of intolerability to any of the ingredients.
There have been isolated reports of skin symptoms (acne and drug-induced eczema or urticaria) and hypersensitivity symptoms (anaphylactic or anaphylactoid reactions).
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