NOVIRELL B12 1 mg injection solution, 10x1 ml

Instructions for use for NOVIRELL B12 1 mg injection solution, 10x1 ml

Application notes

All ages

1 Ampoule

2 times a week

regardless of the time of day

Application areas

Mode of action

How does the ingredient of the medicine work?

The active ingredient is a preliminary stage of the vitamin B12 and is converted into the body. Vitamin B12 is involved in blood formation in the body.

Composition

Contradictions

What speaks against an application?

- Hypersensitivity to the ingredients

What about pregnancy and lactation?
- Pregnancy: According to current knowledge, the drug has no harmful effects on the development of your child or birth.
- Still -time: According to current knowledge, there is no evidence that the medicine must not be applied during breastfeeding.

If the medicine has been prescribed to you despite a counter -notification, speak to your doctor or pharmacist. The therapeutic benefit can be higher than the risk of using the application.

Side effects

What adverse effects may occur?

For the medicine, only side effects are described that have so far only occurred in exceptional cases.

If you notice a disorder or change during treatment, contact your doctor or pharmacist.

For information at this point, side effects are taken into account that occurs in at least one of 1,000 patients treated.

Hints

What should you consider?
- There can be medicinal products with which interactions occur. Therefore, you should generally provide the doctor or pharmacist before treatment with a new medicine. This also applies to medicines that you buy yourself, only apply occasionally or that the application has been available for some time.

Detailed instructions for NOVIRELL B12 1 mg injection solution, 10x1 ml

Field of use

• The preparation is a vitamin B₁₂preparation. Cyanocobalamin belongs to the group of fabrics that togetherfaithful as "vitamin B₁₂.
• Field of use:
  • Vitamin B₁₂deficiency, which cannot be remedied in terms of diet.
  • Vitamin B₁₂deficiency can comment in the following clinical pictures:
    • Hyperchrom macocytic megaloblast anemia (Perniciosa, Biermer-Anemia, Addison-Anemia; these are ripening disorder of the red blood cells)
    • Funicular spinal disease [Rückenmarkschädigung]
  • A laboratory diagnostically secured vitamin B₁₂deficiency can occur with:
    • Years of deficiency and malnutrition (e.g. through strictly vegetarian food).
    • Malabsorption (insufficient absorption of vitamin B₁₂ in the intestine),
      • insufficient production of intrinsic factor (a protein that is formed in the gastric mucosa and required to absorb vitamin B₁₂ ),
      • Diseases in the end section of the ileum (part of the small intestine), e.g. B. Sprue,
      • Fish bandwurmfall or
      • Blind loop syndrome (change in the intestinal course after stomach operation).
    • Congenital vitamin B₁₂transport disorders.

Active ingredients / ingredients / ingredients

1 mg cyanocobalamine
Sodium chloride auxiliary material (+)
Sodium hydroxide auxiliary substance (+)
Salic acid, concentrated auxiliary material (+)
Water, for injection purposes auxiliary material (+)

Contradictions

• The medicine must not be used,
  • if you are hypersensitive (allergic) against cyanocobalamin or one of the other components of the preparation.

dosage

• Always apply the medicine exactly according to the instruction. Please ask your doctor or pharmacist if you are not quite sure.
• Unless otherwise prescribed by the doctor, the usual dose is:
  • At the beginning of the treatment, 1 ml (1 ampoule) is administered once or twice a week in the first two weeks after diagnosis, according to 1000 - 2000 µg cyanocobalamine per week.
  • In the case of proven vitamin B₁₂admission disorder in the intestine, 100 µg cyanocobalamine are then administered once a month.

 

• Duration of the application:
  • The medicine is intended for longer use.
  • Please ask your doctor.

 

• When a larger amount was used
  • Poisoning or overdose symptoms are not known.

 

• When the application was forgotten
  • The double dose should not be applied if the previous application has been forgotten.

 

• If you cancel the application
  • If the treatment is interrupted, you endanger the success of the treatment! If you experience unpleasant side effects, please talk to your doctor about further treatment.

Taking

• The drug is usually administered intramuscularly (injected into a muscle). However, it can also slowly be intravenous or subcutaneous (injected into a vein or under the skin).

Patient information

• Particular caution when using the drug is required
  • There are no special precautions required.

Pregnancy

• Ask your doctor or pharmacist for advice before using all medicines.

• The recommended daily vitamin B₁₂intake during pregnancy and lactation is 4 µg. According to the previous experience, higher applications have no adverse effects on the unborn child. Vitamin B₁₂ is excreted in breast milk.

Hints

Miscellaneous

Because of the instability of vitamin B12, the loss of vitamin can occur by adding other substances.

Manufacturer:  sanorell pharma GmbH & Co KG, Hurststraße 31, 77815 Bühl