Cyanocobalamin nasal gel is used to prevent a lack of vitamin B12 that may be caused by any of the following: pernicious anemia (lack of a natural substance needed to absorb vitamin B12 from the intestine); certain diseases, infections or medications that decrease the amount of vitamin B12 absorbed from food; or a vegan diet (strict vegetarian diet that does not allow any animal products including eggs and dairy products). Lack of vitamin B12 can cause anemia (condition in which the red blood cells do not bring enough oxygen to the organs) and permanent damage to the nerves. This anemia must be treated with vitamin B12 injections. After the red blood cells have returned to normal, cyanocobalamin nasal gel can be used to stop anemia and other symptoms of lack of vitamin B12 from coming back. Cyanocobalamin nasal gel is also used to supply extra vitamin B12 to people who need unusually large amounts of this vitamin because they are pregnant or have certain diseases. Cyanocobalamin nasal gel is in a class of medications called vitamins. It enters the bloodstream through the nose, so it can be used to supply vitamin B12 to people who cannot take in this vitamin through the intestine.
Cyanocobalamin comes as a gel to apply to the inside of the nose. It is usually used once a week. To help you remember to use cyanocobalamin nasal gel, use it on the same day of the week every week. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use cyanocobalamin nasal gel exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.
Cyanocobalamin nasal gel will supply you with enough vitamin B12 only as long as you use it regularly. You may need to use cyanocobalamin nasal gel every week for the rest of your life. Continue to use cyanocobalamin nasal gel even if you feel well. Do not stop using cyanocobalamin nasal gel without talking to your doctor. If you stop using cyanocobalamin nasal gel, your anemia may return and your nerves may be damaged.
Hot foods and drinks may cause your nose to produce mucus that can wash away cyanocobalamin nasal gel. Do not eat or drink hot foods or drinks for 1 hour before you plan to use cyanocobalamin nasal gel or for 1 hour after you use this medication.
Your doctor or pharmacist will show you how to use cyanocobalamin nasal gel. You will also be given the manufacturer's printed information on using this medication. Read the information carefully and ask your doctor or pharmacist if you have any questions.
Blow your nose gently to clear both nostrils.
Pull the clear cover off of the top of the pump.
If you are using the pump for the first time, press down on the finger grips of the pump firmly and quickly until you see a droplet of gel at the top of the pump. Then press down on the finger grips two more times.
Place the tip of the pump about halfway into one nostril. Be sure to point the tip toward the back of your nose.
Hold the pump in place with one hand. Press your other nostril closed with the forefinger of your other hand.
Press down firmly and quickly on the finger grips to release medication into your nostril.
Remove the pump from your nose.
Massage the nostril where you applied the medication for a few seconds.
Wipe the tip of the pump with a clean cloth or an alcohol swab and replace the clear cap on the tip of the pump.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Unless your doctor tells you otherwise, continue your normal diet.
Use the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.
stuffed or runny nose
unusual bruising or bleeding
muscle weakness, cramps, or pain
burning or tingling in the arms, legs, hands or feet
sore throat, fever, chills, or other signs of infection
difficulty breathing or swallowing
Cyanocobalamin nasal gel may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch] or by phone [1-800-332-1088].
Keep this medication upright in the carton it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Do not allow the medication to freeze. Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your body's response to cyanocobalamin nasal gel.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Last Reviewed - 09/01/2010
AHFS® Consumer Medication Information. © Copyright, 2013. The American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland. All Rights Reserved. Duplication for commercial use must be authorized by ASHP.