What is the indication for Nascobal?
INDICATIONS AND USAGE Nascobal Nasal Spray is indicated for the maintenance of normal hematologic status in pernicious anemia patients who are in remission following intramuscular vitamin B12 therapy and who have no nervous system involvement.
How do you prescribe Nascobal?
Recommended Dosage The recommended initial dose of Nascobal is one spray (500 mcg) administered in ONE nostril once weekly. Administer Nascobal at least one hour before or one hour after ingestion of hot foods or liquids since hot foods may cause nasal secretions and a resulting loss of medication.
How often do you take Nascobal?
Use this medication in the nose once weekly or as directed by your doctor. Hot food or drinks may produce mucus that can wash away this medication. Avoid hot food or drinks for 1 hour before or after using this medication.
Is Nascobal safe?
IMPORTANT SAFETY INFORMATION FOR NASCOBAL. Do not use NASCOBAL ® if you are allergic to cobalt, vitamin B 12, or any of the ingredients in NASCOBAL ®. NASCOBAL ® can cause serious side effects, including: Weakening of your eye nerve in patients with early Leber's disease.
What is the generic for nascobal?
GENERIC NAME: CYANOCOBALAMIN - NASAL (SYE-an-oh-koe-BAL-a-min)
What is nascobal nasal spray?
NASCOBAL ® Nasal Spray is a prescription medicine used to treat vitamin B 12 deficiency caused by lack of absorption (malabsorption) that is not related to pernicious anemia.
How many B12 injections are needed?
If your vitamin B12 deficiency is not caused by a lack of vitamin B12 in your diet, you'll usually need to have an injection of hydroxocobalamin every 2 to 3 months for the rest of your life.
Is it OK to take 1000 mcg of B12 a day?
There is no risk of an overdose when taking large amounts of vitamin B-12 such as 1000 mcg, because it is a water-soluble vitamin. Meaning the body will use the amount that it needs then the excess will be excreted through urine.
Can I take ibuprofen with vitamin B12?
Interactions between your drugs No interactions were found between ibuprofen and Vitamin B12. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
What causes megaloblastic anemia?
Causes. There are many causes of megaloblastic anemia, but the most common source in children occurs from a vitamin deficiency of folic acid or vitamin B-12. Other sources of megaloblastic anemia include the following: Digestive diseases — Certain diseases of the lower digestive tract can lead to megaloblastic anemia.
Is B12 deficiency pernicious anemia?
Pernicious anemia is a type of vitamin B12 anemia. The body needs vitamin B12 to make red blood cells. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. A special protein, called intrinsic factor (IF), binds vitamin B12 so that it can be absorbed in the intestines.
How do you get B12 intranasal?
For pernicious anemia and vitamin B12 deficiency:Adults—One spray into one nostril once a week. Each spray contains 500 micrograms (mcg). Your doctor may adjust your dose as needed.Children—Dose must be determined by your doctor.
Is B12 deficiency pernicious anemia?
Pernicious anemia is a type of vitamin B12 anemia. The body needs vitamin B12 to make red blood cells. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. A special protein, called intrinsic factor (IF), binds vitamin B12 so that it can be absorbed in the intestines.
What is cyanocobalamin injection used to treat?
Cyanocobalamin injection is used to treat or prevent vitamin B12 deficiency caused by the following conditions: Addisonian (pernicious) anemia. Stomach or bowel problems.
Can you get B12 injections?
The treatment for vitamin B12 or folate deficiency anaemia depends on what's causing the condition. Most people can be easily treated with injections or tablets to replace the missing vitamins.
What are cyanocobalamin used for?
About cyanocobalamin Cyanocobalamin is a manufactured version of vitamin B12. It's used to treat and prevent vitamin B12 deficiency anaemia (when you have low levels of this vitamin in your body). Your body requires vitamin B12 to make red blood cells.
What is the FDA approved nasal spray?
The only FDA-APPROVED prescription vitamin B 12 nasal spray. NASCOBAL® (Cyanocobalamin, USP) Nasal Spray is a prescription medicine used as a supplement to treat vitamin B 12 deficiency. It is designed to bypass the GI tract and be absorbed directly into the bloodstream.
How to use a nozzle in a nose?
Insert the nozzle into open nostril approximately ½ inch, or as far as feels comfortable, and tilt your head slightly forward. Do not press the plunger yet. Breathe in gently through your nose, close your mouth, and at the same time, press the plunger firmly with your thumb. Remove the nozzle from your nostril.
How to take nascobal?
Important Safety Information & Side Effects: 1 Follow your doctor’s instructions for how and when to take Nascobal. 2 Do not use this medication if you are allergic to any of the ingredients. 3 Serious side effects may include serious allergic reactions, weakening of eye nerve in those with early Leber disease, masking a folate deficiency, and low potassium levels or low blood platelet in those with serious megaloblastic anemia. 4 Your doctor should monitor your potassium levels and blood platelet counts during treatment. 5 The most common side effects may include infection, headache, feeling weak, nausea, swelling of your tongue, runny nose, tingling of the hands and feet. 6 It is not known if Noscabol will cause harm to an unborn baby. Let your doctor know if you are pregnant or plan to become pregnant. 7 Avoid using this medication while you have a stuffy nose or upper respiratory infection. Wait until these symptoms subside before using the medication. 8 It is not known if Noscabol is safe and effective for children. 9 Talk to your doctor about your medical history to make sure this medication is safe for you to use. 10 Certain medications may affect the way Noscabol works or vice versa. Let your doctor know about any other medications you are taking including over-the-counter medications, vitamins, or herbal supplements.
What is Nascobal used for?
Nascobal (Cyanocobalamin, USP) is a manufactured form of vitamin B12 used to treat vitamin B12 deficiency. Vitamin B12 deficiency may hide the signs of a blood condition known as polycythemia vera. This medication comes in the form of a nasal spray and is absorbed directly into the bloodstream.
Can Prescription Hope Get My Nascobal If I Have Insurance Coverage?
Because Prescription Hope is not an insurance plan, our program works alongside any coverage you may currently have to obtain your Nascobal medication at an affordable cost. In addition, our national advocacy program does not have medication tiers, copays, or deductibles.
How much does nascobal cost?
Prescription Hope can obtain Nascobal for individuals at the set cost of $50.00 per month.
Is noscabol safe for children?
Wait until these symptoms subside before using the medication. It is not known if Noscabol is safe and effective for children. Talk to your doctor about your medical history to make sure this medication is safe for you to use. Certain medications may affect the way Noscabol works or vice versa.
Does Noscabol cause tingling?
It is not known if Noscabol will cause harm to an unborn baby.
Do I Qualify For Nascobal Patient Assistance With Prescription Hope?
Prescription Hope works with thousands of Americans every month , offering access to over 1,500 brand-name medications through patient assistance programs. All you pay is a set service fee of $50 for each medication per month. This includes 100% of the medication cost, no matter the retail price.
Program Details
PatientAssistance.com is glad to present this offer finding to you. You will find the program details located through the offer link below.
How To Use
Simply print this page and bring to your local pharmacy. If you have any issues please have the pharmacist call 1-800-577-6484.
Important Note
- The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. CYANOCOBALAMIN - NASA...
Uses
- This medication is used to treat vitamin B12 shortage. This product should not be used to test vitamin B12 absorption (Schilling test).
How to Use
- This medication is usually used once a week in the nose or as directed by your doctor. Use this medicine at least one hour before or after hot food or drink. Learn the proper way to use this from your pharmacist or doctor and follow all instructions carefully. Certain conditions may require lifelong use of this drug. Treatment is usually postponed when nasal congestion, common cold …
Side Effects
- Headache, nausea, dizziness or nasal congestion may occur. If these persist or worsen, notify your doctor. Though very unlikely to occur, notify your doctor if you develop any of the following: muscle cramps or weakness, leg or arm swelling or pain, tingling of the hands or feet. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Sy…
Precautions
- Before using this drug, tell your doctor your medical history, including: Leber's disease (an eye problem), allergies (especially drug or food allergies). Do not use folic acid in place of vitamin B12 treatments. Limit alcohol use as it may affect the level of vitamin B12 in your body. This medication should be used only when clearly needed during pregnancy. Discuss the risks and be…
Drug Interactions
- Tell your doctor of all nonprescription and prescription medication you may use, especially of: colchicine, para-aminosalicylic acid. Also report the use of drugs that can affect blood cell production such as: anti-cancer drugs, chloramphenicol, zidovudine, ganciclovir. Methotrexate, pyrimethamine and certain antibiotics may interfere with folic acid and vitamin B12 blood test re…
Notes
- Do not share this medication with others. Laboratory tests will be run to monitor the effects of the drug. Keep all laboratory and doctor appointments.
Missed Dose
- If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
Storage