Europe — EMA
Hydroxocobalamin G.L. Pharma (Hydroxocobalamin Acetate)
GNH USA supplies Hydroxocobalamin G.L. Pharma (Hydroxocobalamin), a vitamin B12 for vitamin B12 deficiency, cobalamin deficiency anemia, and megaloblastic
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What is Hydroxocobalamin Acetate?
Hydroxocobalamin, the active ingredient in Hydroxocobalamin G.L. Pharma, is a vitamin B12 presented as an injectable solution for intramuscular use. It treats vitamin B12 deficiency, cobalamin deficiency anemia, and megaloblastic anemia in patients who require parenteral supplementation.
GNH USA supplies Hydroxocobalamin G.L. Pharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Hydroxocobalamin Acetate used for?
Hydroxocobalamin is used to correct deficiencies in the vitamin B12 metabolic pathway and associated anemic conditions.
- Vitamin B12 deficiency: restores normal B12 levels and supports hematopoiesis. - Cobalamin deficiency anemia: corrects anemia by enabling red blood cell formation. - Megaloblastic anemia: promotes DNA synthesis to resolve macrocytic red cells.
What are the side effects of Hydroxocobalamin Acetate?
Hydroxocobalamin may cause a range of adverse reactions after intramuscular injection.
Common Side Effects: - Injection‑site pain or erythema. - Mild fever or chills. - Headache. - Nausea or vomiting. - Dizziness. - Transient hypertension.
Serious or Rare Side Effects: - Anaphylactic reaction. - Severe hypotension. - Stevens‑Johnson syndrome or toxic epidermal necrolysis. - Acute hemolysis. - Severe respiratory distress. - Persistent high blood pressure.
What precautions apply to Hydroxocobalamin Acetate?
When using Hydroxocobalamin, consider the following safety measures.
- Pregnancy: safety not established; use only if clearly needed. - Breastfeeding: unknown effects; weigh benefits against potential risks. - Renal impairment: monitor renal function and adjust therapy as needed. - Hypersensitivity: discontinue if allergic reactions occur. - Concomitant cyanide therapy: monitor for potential assay interference. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.
What does Hydroxocobalamin Acetate interact with?
Hydroxocobalamin may interact with other medicines, altering its efficacy or safety.
Major Interactions (Avoid): - High‑dose cyanide antidote regimens: may reduce hydroxocobalamin effectiveness. - Nitrite compounds: can precipitate methemoglobinemia.
Moderate Interactions (Monitor Closely): - Metformin or proton‑pump inhibitors: may affect B12 absorption and require monitoring. - Anticonvulsants such as phenytoin or phenobarbital: can lower B12 levels. - Trimethoprim‑sulfamethoxazole: may interfere with cobalamin metabolism. - Oral antibiotics (e.g., tetracyclines): may reduce gut flora‑mediated B12 synthesis.



