B12 Reduces Drug Side Effects - Pernicious Anaemi...

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B12 Reduces Drug Side Effects

MoKayD profile image
5 Replies

I saw this article about B12 helping to reduce nausea side effects and thought I'd share with everyone uspharmacist.com/article/a-...

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MoKayD
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VellBlue profile image
VellBlue

Great, but poor old shrews!

Davy28 profile image
Davy28

I wonder if it's related to or linked to hydroxocobalamin being used as an antidote for chemical weapons poisoning as this is something lots of people are not aware of ie cyanide poisoning, when made into cyanocobalamin

link chemm.hhs.gov/countermeasur...

WiscGuy profile image
WiscGuy in reply toDavy28

I might be misunderstanding, but my impression is that cobalamin (B12) is used in cyanide poisoning (up to 5 or even 10 grams of B12 by IV within 5 hours) because the B12 bonds with the cyanide, then the kidneys fairly quickly remove the excess B12 with the cyanide attached.

FlipperTD profile image
FlipperTD in reply toWiscGuy

You're right; it's an elegant solution to a horrible mess. There have been other cruder but scientifically valid chemical approaches to cyanide poisoning, but the crucial thing is that it needs to be done quickly because cyanide is so rapidly toxic, so it's important to do something quickly.

One method which I particularly liked was to adminster something [a nitrite] that causes MetHaemoglobinaemia, and then the MetHaemoglobin allegedly binds and detoxifies the cyanide to form CyanmetHaemoglobin, which is [I think] relatively non-toxic, although it doesn't transport oxygen any more.

When I was working with cyanide, I had an antidote kit that contained Cobalt EDTA [Kelocyanor] but thankfully never had to try it out. Any port in a storm, I suppose!

helvella profile image
helvella in reply toWiscGuy

This is a link to the company that makes extreme high dose hydroxocobalamin kits for cyanide poisoning:

cyanokit.com/

Note: This is USA information. Equivalent in other countries may be written differently.

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