علاج فقر الدم بنقص فيتامين B12 مع الأدوية الموصوفة المصاحبة أو استخدام أكسيد النيتروز

References

• CO-PRESCRIBED MEDICATIONS see list on page 4 OR RECREATIONAL USE OF NITROUS OXIDE (NO)
• Co-prescribed medications: colchicine, H2-receptor antagonists, metformin (see the MHRA safety advice), phenobarbital, pregabalin, primidone, proton pump inhibitors, topiramate.
• For patients who can self-administer: IM hydroxocobalamin
• If unable to self-administer: oral cyanocobalamin 50micrograms one tablet daily (taken between meals).
• Advise patients that symptoms may improve within 2 weeks up to 3 months and may initially get worse but should improve with time.
• If there is a failure to respond to therapy i.e. there is not a prompt rise in Hb level.