Query on changing brands and types - Pernicious Anaemi...

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Query on changing brands and types

Rosydawn profile image
8 Replies

Hello all,

I am desperately waiting for my usual Panpharma hydroxycobalamin acetate to come back onto the usual German shelves so I can get it ordered. I am on my last box now and bought some different to tide me over but it’s the 2ml product and I am not looking forward to having to use it.

2 questions

Does anyone know of any suitable hydroxycobalamin acetate that is still on the shelves from a reputable source and

I am now considering the alternatives and see that Panpharma do a cyanocobalamin version. I have never used cyano and wondering if I can swap between the 2 types of cobalamin without triggering anything unwanted/reactions etc . I self inject every other day. Does anyone have any advice?

Keeping my fingers crossed

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Rosydawn profile image
Rosydawn
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8 Replies
wedgewood profile image
wedgewood

There should be no problem in using Cynocobalamin . You might need to inject more often. It is the most often used cobalamin in the treatment of B12 deficiency in the USA . It used to be used in the NHS , until it was said that Hydroxocobalamin stayed longer in the system than cynocobalamin.

Pascoe b12 depot ( Hydroxocobalamin) is acetat . It is 50% stronger than Panpharma. 1.5mg x 1ml . More expensive . But cheaper per packet if you buy the 10 packet— 100 ampoule option .

Rosydawn profile image
Rosydawn in reply towedgewood

Bless you Wedgwood ..so good to have your input .. gives me confidence to swap things around a bit .

wedgewood profile image
wedgewood in reply toRosydawn

The following German online pharmacies will deliver B12 depot single use ampoules to U.K. .

apohealth.de. ( in Munich) Site is obtainable in English (Union flag, bottom left on my device ) also deliver World wide.

versandapo.de ( in Leipzig) Site is in German . Use Google chrome to obtain translation . This pharmacy is usually cheaper than apohealth

apotheke-marienbrunn.de ( in Leipzig)

In German . Use Google chrome if you need translation . Also deliver to Australia and New Zealand .

When filling out the address form , you will see that the country is already filled in with GERMANY / DEUTSCHLAND . You must first change your country to “ Vereinigtes Königreich Grossbrittanien und Nord Ireland “. UNITED KINGDOM , U.K. VEREINIGTES KÖNIGREICH however expressed .on the drop-down list . Do this so that your post code and then the rest of your address will be accepted , .

Other wise you will be unable to order,! and will start tearing your hair out !!!

Amazon.de also sell Pascoe and Hevert , but you can’t use the pharmaceutical references to order

The following brands are obtainable

Panpharma ( formerly Rotexmedica ) b12 depot 1mg x 1ml ampoule ( depot indicates Hydroxocobalamin) ref no 16199653. This is the most popular ampoule used by PAS members .

It is the best value , but sometimes /often is out of stock . You can then opt to be emailed to be told when it is back in stock .

If the Panpharma b12 depot ( Hydroxocobalamin ) is out of stock , you may like to consider the Panpharma Cynocobalamin . B12 The pharmaceutical reference number is 16199707 .

Cynocobalamin may need to be injected more often .

Pascoe B12 depot 1.5mg x 1ml ampoules- Packet of 10 ref no 07568672

Pascoe b12 depot 1.5 mg x 1ml ampoules-10 packets of 10 ampoules (100)

Ref no 07568695

The Pascoe are much cheaper per packet if you buy the offer of 10packets .If you inject weekly , or more

that would cover you .

But if you inject less frequently, the ampoules may become out of date .

Pascoe Cynocobalamin b12 Reference number is 03262634 for 1 packet (1mg x 1ml)

Pascoe Cynocobalamin B12 Reference number is 03262657 10 packets 100 ampoules ( 1mg x 1ml);

Hevert b12 depot 1mg x2ml ampoules packet of 10

Ref no 06078368

Hevert b12 depot 1mg x 2 ml 10 packets of 10 ampoules- ( 100)

Ref 06078380.

Use the pharmaceutical reference numbers to order , much simpler than using brand names , and then you know you are ordering Hydroxocobalamin, not Cynocobalamin , which the companies also sell . But some patients like Cynocobalamin B12 . It is the B12 of choice in the USA , and cheaper than Hydroxocobalamin It’s just called B12, NOT B12 Depot

When filling out your address form, do fill in your country first of all . “Germany”/ Deutschland : will be displayed , so you must change this with the drop-down list which will appear , — to U.K./ Gross Brittanien/ Vereinigtes Königreich Grossbrittaniens , — how ever it may be expressed. If you don’t do this , your U.K. address and post code will not be accepted , and you will end up in a tizzy . We don’t want that !

PLEASE BE AWARE OF THE FOLLOWING

Also do remember that now the U.K. has left the EU , there is a limit to the value of goods that we are allowed to import, before tax is due on items coming from the EU . Tax is applicable if the value exceeds about £132.00 , but I’m not sure of the figure , so please look it up . On top of that there is a charge of £8.00 made by Royal Mail for processing it. I’m also not sure of how much the tax is . But a member has been shocked by what she had to pay when she ordered over the limit . . So please be aware of this , and check . I believe that even the cost of delivery charge is included in the total . It was when I ordered something from USA .

Very best wishes .

Please also be aware that we need to be glad that the above pharmacies deliver B12 ampoules to U.K. .Because strictly speaking they are not allowed to send any item to a country where that item is prescription only . B12 ampoules are prescription only in U.K. ( but not in Germany ) But I suppose they do this because they know that B12 injections are totally harmless, indeed , life-saving to P.A.patients , unlike many other prescription medications .

OldmanD profile image
OldmanD in reply toRosydawn

I'll 2nd that. . . . . . I have both pascoe Hyroxo 1500ug in 1ml and hevert Cyno 1000ug in 2ml and am tempted by the price of Cyno. . . . . Cyno was actually my very first purchase and then I seen all this gumph about hydroxo being better. . . . . . I cannot really see any difference. . . . . I SI every 2nd or 3rd day but stopped using the full amount as 600ug seems to do the same. . . .. . . Cant settle on the 2 or 3 day thing so I dont think that it is long enough to make any difference. . . . . . What research there is would suggest that either will remain remain no longer than 72 hours. . . . . . 2ml syringes are often cheaper than 1ml but require quite a bit more pressure as the piston is larger but as long as ye are aware it makes no odds. . . . . . 5ml are often available cheaply as well and are usually just longer versions of the 2 ml. . . . . .

Rosydawn profile image
Rosydawn in reply toOldmanD

Thank you … just plucking up courage to try different brands without upsetting the status qup too much.

OldmanD profile image
OldmanD in reply toRosydawn

I know the feeling all too well. . . . .. . Just bear with it. . . . . . I have both types in pascoe and hevert and no side effects or anything. . . . . . Cobalamin is a pretty neutral kind of stuff. . . . . .

Lurcher-lady profile image
Lurcher-lady in reply toRosydawn

Yes, I’ve used different ones including the 2 ml version and no change whatsoever 😊

OldmanD profile image
OldmanD

The german sellers all appear on amazon.de. . . . . .

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