- when there is risk of torsades de pointes, for example in patients with prolonged QT, concomitant administration of other medications that produce torsades de pointes (amiodarone, quinidine, bepridil, IV erythromycin, halofrantine, pentamidine, sparfloxacin, sultopride, vincamine, betrilio, disopyramide, sotalol, etc)
In our experience, some people have successfully switched to a cobalamin preparation without benzylalcohol (a preservative in some parenteral B 12 preparations) and have seen their skin problems resolve
It also enhances ease of administration and maintains patient comfort
Megaloblastic anaemia support The condition of megaloblastic anaemia which causes red blood cells to grow in size and develop abnormal shapes responds to treatment with vitamin B12 injections
This conservative approach provides maximum receptor recovery and works well for long-term users planning multiple cycles over a year or more