Product image of Hydroxocobalamin G.L. Pharma (Hydroxocobalamin Acetate) supplied by GNH India

Hydroxocobalamin G.L. Pharma

Active Ingredient:
Hydroxocobalamin Acetate
Origin:
EU

Hydroxocobalamin G.L. Pharma (Hydroxocobalamin Acetate)

Hydroxocobalamin, the active ingredient in Hydroxocobalamin G.L. Pharma, is a vitamin B12 (cobalamin) presented as an injectable solution for intramuscular or subcutaneous use. It treats vitamin B12 deficiency and related anemic conditions in patients requiring parenteral supplementation.
GNH India supplies Hydroxocobalamin G.L. Pharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

G.L. Pharma Gmbh

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Indications & Clinical Uses

Hydroxocobalamin is used to correct vitamin B12 deficiency and associated hematologic disorders.

  • Vitamin B12 deficiency: restores normal B12 levels and supports hematopoiesis.
  • Cobalamin deficiency anemia: improves red blood cell production and reduces anemia symptoms.
  • Megaloblastic anemia: promotes DNA synthesis and resolves macrocytosis.

How It Works

  • Hydroxocobalamin is converted intracellularly to the active coenzymes methylcobalamin and adenosylcobalamin. These serve as essential cofactors for methionine synthase and methylmalonyl‑CoA mutase, enabling DNA synthesis, myelin formation, and maturation of red blood cells, thereby correcting cobalamin‑dependent metabolic pathways.

Side Effects

Hydroxocobalamin may cause adverse reactions following injection.

Common Side Effects

  • Injection site pain or erythema.
  • Mild fever or chills.
  • Headache.
  • Nausea.

Serious or Rare Side Effects

  • Anaphylaxis or severe hypersensitivity.
  • Hypotension or cardiovascular collapse.
  • Thrombophlebitis at the injection site.
  • Hemolysis or severe hemolytic anemia.
  • Stevens‑Johnson syndrome or other severe skin reactions.

Precautions & Warnings

Before initiating therapy, consider the following precautions.

  • Baseline assessment: verify vitamin B12 deficiency with laboratory testing.
  • Allergy monitoring: observe for signs of hypersensitivity after each injection.
  • Renal impairment: use with caution in patients with severe kidney disease.
  • Injection technique: avoid intravascular administration to reduce risk of adverse events.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Hydroxocobalamin may interact with several medications.

Major Interactions (Avoid)

  • Metformin: may reduce B12 absorption, worsening deficiency.
  • Proton pump inhibitors: long‑term use can lower B12 levels.
  • H2‑blockers (cimetidine): may impair B12 uptake.
  • Anticonvulsants (phenytoin): can decrease B12 availability.

Moderate Interactions (Monitor Closely)

  • Trimethoprim: may affect B12 metabolism.
  • Nitrous oxide anesthesia: inactivates cobalamin, increasing deficiency risk.
  • Folate supplementation: can mask hematologic signs of B12 deficiency.
  • Tetracycline antibiotics: may reduce B12 absorption when taken concurrently.

Frequently Asked Questions

Hydroxocobalamin G.L. Pharma is an injectable form of vitamin B12 used to treat patients with vitamin B12 deficiency, cobalamin deficiency anemia, and megaloblastic anemia. It helps restore normal red blood cell production and supports neurological function in individuals who cannot absorb oral B12 effectively.

Hydroxocobalamin provides vitamin B12 activity by being converted inside cells to the active coenzymes methylcobalamin and adenosylcobalamin. These coenzymes act as essential cofactors for methionine synthase and methylmalonyl‑CoA mutase, enzymes required for DNA synthesis, myelin formation, and red blood cell maturation.

The specific dose and dosing schedule of Hydroxocobalamin are determined by the prescribing healthcare professional based on the patient’s clinical condition, severity of deficiency, and response to therapy. Dosage may vary widely, and the prescriber will tailor the regimen to each individual case.

Safety data for Hydroxocobalamin during pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers should evaluate each case individually and discuss potential risks with the patient.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request trade or institutional credentials. The sales team will then provide pricing, availability, shipping details (including cold‑chain if required), and necessary import documentation.

Hydroxocobalamin and cyanocobalamin are both vitamin B12 forms, but hydroxocobalamin has a longer plasma half‑life and higher tissue retention, making it preferable for long‑term maintenance therapy. Cyanocobalamin is often used for oral supplementation, whereas hydroxocobalamin is typically administered parenterally for rapid correction of deficiency.

Hydroxocobalamin should be stored refrigerated at 2‑8 °C, protected from light, and kept in its original container. It must not be frozen or shaken vigorously. If a temporary temperature excursion occurs, the product should be inspected for any visual changes before use.

Hydroxocobalamin is given by a healthcare professional via intramuscular or subcutaneous injection. The injection site is typically the deltoid, gluteal muscle, or thigh, depending on patient factors and clinical judgment. Proper aseptic technique and correct dosing are essential for safe administration.

The most serious risks include severe hypersensitivity reactions such as anaphylaxis, hypotension, and rare but severe skin reactions like Stevens‑Johnson syndrome. Patients should be monitored closely after injection for any signs of allergic response, and immediate medical attention should be sought if serious symptoms develop.

Hydroxocobalamin is contraindicated in individuals with a known hypersensitivity to hydroxocobalamin or any cobalamin preparations. Patients with severe renal impairment should use it only under strict medical supervision, and those with a history of severe allergic reactions to injectable vitamins should avoid it unless an alternative is unavailable.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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