Cyanocobalamin is indicated for vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue
Analytical procedures may include retention time comparison, spectral confirmation and comparative profiling under controlled laboratory conditions
For example, some patients get a B shot (methylcobalamin, cyanocobalamin or hydroxocobalamin) once a month in addition to weekly B-Complex shots
To meet worldwide demand for vitamin B12 injection, manufacturers in India maintain operations which enable them to produce their products at high capacity
