Product image of Hydroxocobalamin Rph Pharmaceuticals (Hydroxocobalamin Chloride) supplied by GNH India

Hydroxocobalamin Rph Pharmaceuticals

Active Ingredient:
Hydroxocobalamin Chloride
Origin:
EU

Hydroxocobalamin Rph Pharmaceuticals (Hydroxocobalamin Chloride)

Hydroxocobalamin, the active ingredient in Hydroxocobalamin Rph Pharmaceuticals, is a Vitamin B12 (cobalamin) presented as an intramuscular injection for intramuscular use. It treats vitamin B12 deficiency, including pernicious anemia, in patients who require supplementation.

GNH India supplies Hydroxocobalamin Rph Pharmaceuticals as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Rph Pharmaceuticals Ab

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Indications & Clinical Uses

Hydroxocobalamin is used to correct deficiencies in the vitamin B12 metabolic pathway and associated anemic conditions.

  • Vitamin B12 deficiency: restores normal B12 levels and improves related hematologic and neurologic signs.
  • Cobalamin deficiency anemia: supports red blood cell formation and reduces anemia symptoms.
  • Pernicious anemia: provides the necessary cobalamin when intrinsic factor deficiency prevents oral absorption.

How It Works

  • Hydroxocobalamin acts as a cofactor for methionine synthase and methylmalonyl‑CoA mutase, enzymes essential for DNA synthesis and myelin formation. By delivering bioavailable cobalamin to cells, it facilitates the conversion of homocysteine to methionine and the metabolism of odd‑chain fatty acids, thereby supporting erythropoiesis and neurological function.

Side Effects

Adverse reactions may occur following intramuscular administration of hydroxocobalamin.

Common Side Effects

  • Injection site pain or erythema.
  • Mild headache.
  • Transient nausea.
  • Low‑grade fever.
  • Dizziness.
  • Mild fatigue.

Serious or Rare Side Effects

  • Anaphylactic reaction.
  • Severe hypertension.
  • Thromboembolic events.
  • Acute hemolysis.
  • Severe skin rash or Stevens‑Johnson syndrome.
  • Cardiovascular collapse.

Precautions & Warnings

Hydroxocobalamin should be used with attention to patient‑specific factors and handling requirements.

  • Pregnancy: consult a healthcare professional; safety data are limited.
  • Breastfeeding: use with caution; monitor infant for adverse effects.
  • Renal impairment: assess renal function before administration.
  • Known hypersensitivity to cobalamin: avoid use.
  • Concomitant cyanide poisoning: monitor closely as hydroxocobalamin may be used as an antidote.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Hydroxocobalamin may interact with certain medications, requiring monitoring.

Major Interactions (Avoid)

  • Methotrexate: may reduce therapeutic efficacy of methotrexate.
  • Chloramphenicol: potential antagonism affecting hematologic response.
  • Anticonvulsants (e.g., phenytoin): may increase metabolism of cobalamin.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect oral B12 absorption, though injectable form less impacted.
  • Metformin: long‑term use can lower B12 levels; monitor patient status.
  • Trimethoprim‑sulfamethoxazole: may interfere with cobalamin metabolism.

Frequently Asked Questions

Hydroxocobalamin Rph Pharmaceuticals is an injectable form of vitamin B12 used to treat vitamin B12 deficiency, cobalamin deficiency anemia, and pernicious anemia. It provides the necessary cobalamin for normal red blood cell production and neurological function in patients who cannot absorb oral B12 effectively.

Hydroxocobalamin serves as a cofactor for enzymes such as methionine synthase and methylmalonyl‑CoA mutase. By participating in these biochemical pathways, it supports DNA synthesis, red blood cell formation, and myelin production, thereby correcting the metabolic disturbances caused by B12 deficiency.

The dosage of hydroxocobalamin is determined by the prescribing healthcare professional based on the patient’s clinical condition, severity of deficiency, and response to therapy. Only a qualified prescriber should set the appropriate dose and administration schedule.

Safety data for hydroxocobalamin in pregnancy and lactation are limited. It should be used only if clearly needed and after consultation with a healthcare provider, who will weigh the potential benefits against any possible risks to the mother and infant.

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, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required), and necessary import documentation.

Hydroxocobalamin is a long‑acting cobalamin form that remains in the body longer than cyanocobalamin, allowing less frequent dosing. It is also the preferred form for treating cyanide poisoning. Both forms correct B12 deficiency, but hydroxocobalamin may offer advantages in patients needing sustained B12 levels.

Hydroxocobalamin for injection should be stored at 2‑8 °C, protected from light, and kept in its original packaging. Do not freeze or shake the vial. If the product reaches room temperature, it should be used promptly and not re‑refrigerated.

Hydroxocobalamin is administered by intramuscular injection, typically into the deltoid or gluteal muscle. The injection should be performed by a qualified healthcare professional using aseptic technique, following the dosage and schedule prescribed for the individual patient.

Serious risks include anaphylactic reactions, severe hypertension, thromboembolic events, and acute hemolysis. Patients should be monitored for signs of allergic response, sudden blood pressure changes, or unexplained bleeding, and medical attention should be sought immediately if such symptoms occur.

Hydroxocobalamin should be avoided in individuals with a known hypersensitivity to cobalamin or any component of the formulation. Caution is also advised for patients with severe renal impairment or those receiving treatments that may interact significantly, unless supervised by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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