do not use if:
* you are allergic to any ingredient in Ferrous Fumarate (Wanse)/Folic Acid (Wanse)/B Complex/Vitamin C/Minerals
* you have iron metabolism problems (eg, hemosiderosis, hemochromatosis), certain types of anemia (pernicious, hemolytic), or high levels of iron in your blood
* you have coppermetabolism problems (Wilson disease)
Constipation, diarrhea, or upset stomach may occur. These effects are usually temporary and may disappear as your body adjusts to this medication. If any of these effects persist or worsen, contact your doctor or pharmacist promptly.
Iron may cause your stools to turn black, which is not harmful.
If your doctor has prescribed this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Cyanocobalamin is indicated for Vitamin B12 (Wanse) deficiencies due to malabsorption which may be associated with the following conditions:
1. Addisonian (pernicious) anemia
2. Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy
3. Fish tapeworm infestation
4. Malignancy of pancreas or bowel
5. Folic Acid (Wanse) 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, use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue. Such measures remove the need for long-term administration of Cyanocobalamin.
Requirements of Vitamin B12 (Wanse) in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation.
Cyanocobalamin Injection, USP is also suitable for the Vitamin B12 (Wanse) absorption test
Adult 1-2 tab/day.
This product can decrease the absorption of other drugs such as bisphosphonates (for example, alendronate), levodopa, penicillamine, quinolone antibiotics (for example, ciprofloxacin, levofloxacin), thyroid medications (for example, levothyroxine), and tetracycline antibiotics (for example, doxycycline, minocycline). Therefore, separate your doses of these medications as far as possible from your doses of this product. Ask your doctor or pharmacist about how long you should wait between doses and for help finding a dosing schedule that will work with all your medications.
This medication may interfere with certain laboratory tests (e.g., tests for blood in the stools), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
