Swelling of lungs, chest pain, congestive heart failure, clot in blood vessels.
• Blood: Blood disorder.
• Gastrointestinal: Mild transient diarrhea.
• Skin: Itching; hives, rash, transitory exanthema (eruption of the skin).
• Miscellaneous: Swelling of entire body.
• Central Nervous System (CNS) : Headache, dizziness.
• Musculoskeletal: Muscle weakness, cramps, leg pain.
• Genitourinary: Frequent urination.
Adult: IM- 250-1,000 mcg on alternate days for 1-2 week, then 250 mcg weekly. Maintenance: 1,000-mcg monthly.
It comes as a solution (liquid) to be injected into the muscle or under the skin, without food.
Contraindicated in patients with hypersensitivity, Leber’s Disease (damage in the optic nerve leading to blindness).
• Do not substitute folic acid for this medication.
• Perform lab tests for blood regularly, to monitor the progress.
• Avoid alcohol consumption while taking this medication.
• Caution should be exercised in patients with history of kidney and liver disease, pregnancy, breast-feeding and allergy to cobalt.
Take full course of treatment.
Normally stored by healthcare providers in room temperature in vertical position.