سعر روبيفامين 1000 مكجم 5 أمبولات 2024

Cyanocobalamin (vitamin B12) 1000 mcg ampoules by Misr; pack of 5 ampoules.

• Vitamin B12 deficiency due to malabsorption (e.g. pernicious anaemia, gastrointestinal pathology or surgery, fish tapeworm, pancreatic or bowel malignancy, folic acid deficiency)DailyMed (US National Library of Medicine)

• Pulmonary oedema and congestive heart failure early in treatment, peripheral vascular thrombosis, polycythaemia vera, mild transient diarrhoea, itching, transient exanthema, feeling of swelling of the entire body, anaphylaxis.International label, equivalent formulation · DailyMed (US National Library of Medicine)

• Sensitivity to cobalt and/or vitamin B12.International label, equivalent formulation · DailyMed (US National Library of Medicine)

• Patients with early Leber's disease (hereditary optic nerve atrophy) treated with cyanocobalamin developed severe and rapid optic atrophy.International label, equivalent formulation · DailyMed (US National Library of Medicine)
• Hypokalaemia and sudden death may occur when severe megaloblastic anaemia is treated intensively.International label, equivalent formulation · DailyMed (US National Library of Medicine)
• Anaphylactic shock and death have been reported after parenteral vitamin B12; an intradermal test dose is recommended in patients suspected of sensitivity.International label, equivalent formulation · DailyMed (US National Library of Medicine)

• Gastric acid inhibitors (PPIs, H2 antagonists) and metforminMay reduce vitamin B12 absorption or serum levels (relevant to oral intake; parenteral B12 bypasses absorption).NIH Office of Dietary Supplements

• Adequate well-controlled studies in pregnant women have not been done; vitamin B12 is an essential vitamin and requirements increase in pregnancy (recommended intake 4 mcg daily cited on the label).International label, equivalent formulation · DailyMed (US National Library of Medicine)
• Vitamin B12 is excreted in human milk; recommended intake during lactation cited on the label is 4 mcg daily.International label, equivalent formulation · DailyMed (US National Library of Medicine)

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