Cyanocobalamin Injection is a sterile injectable solution containing cyanocobalamin 2 mg/mL supplied in a 30 mL multi-dose vial for intramuscular or subcutaneous administration. Dosage and frequency of administration should be individualized by the prescribing healthcare provider based on the severity of deficiency, patient condition, laboratory monitoring, and therapeutic response. Administer by intramuscular or ...
Storage and handling
Store Cyanocobalamin Injection at USP Controlled Room Temperature, 20°C to 25°C (68°F to 77°F); excursions permitted between 15°C and 30°C (59°F to 86°F). Protect from light and freezing. Inspect solution visually prior to administration. Do not use if solution is cloudy, discolored, or contains particulate matter. Use aseptic technique when handling and withdrawing product from the multi-dose vial.
Cyanocobalamin 2mg/mL Injection is a sterile, red-colored, preservative-containing injectable solution supplied as a multi-dose vial for intramuscular or subcutaneous administration. Cyanocobalamin is a synthetic form of vitamin B12 essential for normal hematopoietic function, neurologic function, DNA synthesis, and red blood cell maturation.
Each mL contains:
Cyanocobalamin .................................. 2 mg
Benzyl Alcohol .................................. 0.9%
Sodium Chloride ................................ 9 mg
Sterile Water for Injection .............. q.s.
The pH is adjusted with hydrochloric acid and/or sodium hydroxide to a target pH range of 4.0 to 7.5.
Cyanocobalamin appears as dark red crystals or crystalline powder and is hygroscopic in the anhydrous form. It is sparingly soluble in water and stable under normal storage conditions when protected from light.
Components
Each mL contains:
Cyanocobalami 2 mg
Benzyl alcohol 0.9%
Sodium chloride 9 mg
Sterile water for injection qs
pH is ajusted to 4.0-7.5 with Hydrochloric acid and/or Sodium Hydroxide
Dosage and Administration
DOSAGE & ADMINISTRATION SECTION
Cyanocobalamin Injection is a sterile injectable solution containing cyanocobalamin 2 mg/mL supplied in a 30 mL multi-dose vial for intramuscular or subcutaneous administration.
Dosage and frequency of administration should be individualized by the prescribing healthcare provider based on the severity of deficiency, patient condition, laboratory monitoring, and therapeutic response.
Administer by intramuscular or subcutaneous injection only. Administration should be performed by a licensed healthcare professional under appropriate medical supervision. This product is not intended for self-administration by the patient.
Inspect the solution visually prior to administration. Do not use if the solution is cloudy, discolored, or contains particulate matter, or if the container closure is damaged.
Use aseptic technique during withdrawal and administration. Follow applicable facility procedures for handling, storage, beyond-use dating after puncture, and disposal of multi-dose vials.
Contraindications
CONTRAINDICATIONS SECTION
Cyanocobalamin Injection is contraindicated in patients with known hypersensitivity to cyanocobalamin, vitamin B12 preparations, cobalt, benzyl alcohol, or any component of the formulation.
Hypersensitivity reactions, including anaphylactic shock and death, have been reported following parenteral administration of cyanocobalamin.
Administration to patients with hereditary optic nerve atrophy (Leber’s disease) may result in severe and rapid optic nerve atrophy.
Storage and Handling
STORAGE AND HANDLING SECTION
Store Cyanocobalamin Injection at USP Controlled Room Temperature, 20°C to 25°C (68°F to 77°F); excursions permitted between 15°C and 30°C (59°F to 86°F).
Protect from light and freezing.
Inspect solution visually prior to administration. Do not use if solution is cloudy, discolored, or contains particulate matter.
Use aseptic technique when handling and withdrawing product from the multi-dose vial.
Package Label. Principal Display Panel
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL
Front labelCyanocobalamin Injection
2 mg/mL
For Intramuscular or Subcutaneous Use
30 mL Multi-Dose Vial
Rx Only
Sterile, Preservative-Containing Solution
Each mL contains:
Cyanocobalamin 2 mg, Benzyl Alcohol 0.9%, Sodium Chloride 9 mg, Sterile Water for Injection q.s. pH adjusted with Hydrochloric Acid and/or Sodium Hydroxide.
Store at USP Controlled Room Temperature 20°C to 25°C (68°F to 77°F). Protect from light and freezing.
Compounded by:
Xseer Pharmaceuticals
1990 Westwood Blvd., Suite 300
Los Angeles, CA 90025
Phone: (888) 658-8005
Lot #: __________
Exp. Date: __________
To report SUSPECTED ADVERSE REACTIONS, contact FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
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