Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 2 months ago
Available as: 1 mg/ml

More from Cynavit

Other strengths and forms by Square Pharmaceuticals PLC, Pabna

Indications & Uses

Vitamin B12 is used to treat pernicious anemia and Vitamin B12 deficiency caused by low dietary intake. It is also indicated for thyrotoxicosis, hemorrhage, malignancy, liver or kidney disease, gastric bypass surgery, total or partial gastrectomy, gluten enteropathy (sprue), folic acid deficiency, and macrocytic anaemia.

Pharmacology

Vitamin B12 (cyanocobalamin) is needed for the body to keep producing red blood cells normally and to support the synthesis of nucleoproteins and myelin, along with normal cell reproduction and growth. It acts as a coenzyme in metabolic processes, including protein synthesis and carbohydrate metabolism, and plays a role in cell replication and blood cell formation.

Dosage Reference

Reference Information Only

Dosages shown are general references from official sources. Always consult your doctor or pharmacist for personalized dosing.

Adults:

Usual Adult Dose for Pernicious Anemia: Initial dose, 1000 mcg by intramuscular or deep subcutaneous injection once daily for 6 to 7 days. If clinical improvement and reticulocyte response are seen from the above dosing, give 100 mcg every other day for 7 doses, then 100 mcg every 3 to 4 days for 2 to 3 weeks, then a maintenance dose of 100 to 1000 mcg monthly. Administer concomitant folic acid if needed. Chronic treatment should be done with an oral preparation in patients with normal intestinal absorption. Usual Adult Dose for B12 Nutritional Deficiency: 25 to 2000 mcg orally daily. Usual Adult Dose for Schilling Test: 1000 mcg intramuscularly is the flushing dose. Usual Pediatric Dose for B12 Nutritional Deficiency: 0.5 to 3 mcg daily.

Side Effects

Side effects reported with cyanocobalamin include arthralgia, dizziness, headache and nasopharyngitis, each in about 12% of people. Other reported effects are anaphylaxis, angioedema, congestive heart failure, peripheral vascular disease, pulmonary edema, diarrhea, dyspepsia, polycythemia vera, sore throat, nervousness, rhinitis, glossitis and hypoesthesia.

Cautions & Contraindications

Warnings & Precautions

Intensive treatment of vitamin B12-deficient megaloblastic anemia can lower potassium levels enough to cause sudden death. It should be used cautiously in patients with Leber's hereditary optic neuropathy. Thrombocytosis (a rise in platelet count) may also occur when severe vitamin B12 megaloblastic anemia is treated.

Contraindications

Leber's disease and tobacco amblyopia.

Pregnancy & Breastfeeding

Pregnancy Category A. Adequate and well-controlled studies in humans have failed to show any risk to the baby during the first trimester of pregnancy, and there is no evidence of risk in later trimesters either.

Lactation: This medicine passes into breast milk.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Drug Interactions

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Moderate Hydroxocobalamin
Moderate Methyldopa
Moderate Cimetidine
Moderate Colchicine
Moderate Cholestyramine

Common questions about Cynavit 1 mg/ml

What is Cynavit 1 mg/ml Injection?

Cynavit 1 mg/ml Injection is a medicine that contains Cyanocobalamin. It is made by Square Pharmaceuticals PLC, Pabna. It belongs to the Vitamin-B preparations group of medicines.

What is Cynavit used for?

Vitamin B12 is used to treat pernicious anemia and Vitamin B12 deficiency caused by low dietary intake. It is also indicated for thyrotoxicosis, hemorrhage, malignancy, liver or kidney disease, gastric bypass surgery, total or partial gastrectomy, gluten enteropathy (sprue), folic acid deficiency, and macrocytic anaemia.

What are the side effects of Cynavit?

Side effects reported with cyanocobalamin include arthralgia, dizziness, headache and nasopharyngitis, each in about 12% of people. Other reported effects are anaphylaxis, angioedema, congestive heart failure, peripheral vascular disease, pulmonary edema, diarrhea, dyspepsia, polycythemia vera, sore throat, nervousness, rhinitis, glossitis and hypoesthesia.

Can I take Cynavit during pregnancy or while breastfeeding?

Pregnancy Category A. Adequate and well-controlled studies in humans have failed to show any risk to the baby during the first trimester of pregnancy, and there is no evidence of risk in later trimesters either. Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Can I take other medicines with Cynavit?

Some medicines can interact with Cyanocobalamin, for example: Hydroxocobalamin, Methyldopa, Cimetidine, Colchicine, Cholestyramine. Tell your doctor or pharmacist about every medicine you take.

Do I need a prescription for Cynavit?

Cynavit is a prescription (Rx) medicine. Take it as your doctor advises.

Last updated: 15 Aug 2026