Hydroxocobalamin: Difference between revisions
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==Administration== | ==Administration== | ||
*Type: | *Type: [[Antidote]] | ||
*Dosage Forms: IV | *Dosage Forms: IV | ||
*Routes of Administration: IV | *Routes of Administration: IV | ||
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==Mechanism of Action== | ==Mechanism of Action== | ||
* | *Metalloprotein that binds cyanide to form nontoxic cyanocobalamin then is excreted in urine | ||
==Comments== | ==Comments== | ||
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[[Category:Pharmacology]] | [[Category:Pharmacology]] | ||
[[Category:Toxicology]] | |||
Latest revision as of 21:32, 22 December 2020
Administration
- Type: Antidote
- Dosage Forms: IV
- Routes of Administration: IV
- Common Trade Names: Cyanokit
Adult Dosing
Cyanide toxicity
- 5g IV x1
- May repeat x1 if needed
- Total doses up to 20g have been used
Pediatric Dosing
Cyanide toxicity
- 70 mg/kg IV x1
- Max: 5g/single dose (adults)
- May repeat x1 if needed
- Total doses up to 20g have been used in adults
Special Populations
- Pregnancy Rating: C; Benefits outweigh risks during pregnancy
- Lactation risk: L3; Safety unknown
Renal Dosing
- Adult: Not defined
- Pediatric: Not defined
Hepatic Dosing
- Adult: Not defined
- Pediatric: Not defined
Contraindications
- Allergy to class/drug
- Caution if hypersensitive to cyanocobalamin
- Caution if hemodialysis
Adverse Reactions
Serious
- Hypersensitivity reaction
- HTN
- Hematochezia
Common
- Red urine
- Erythema
- Rash, acneiform
- Transient BP elevation
- Nausea
- Headache
- Leukopenia
- Infusion site reaction
- Ocular irritation
- Dysphagia
- Abdominal discomfort
- Vomiting
- Diarrhea
- Dyspepsia
- Peripheral edema
- Chest discomfort
- Impaired memory
- Dizziness
- Restlessness
- Dyspnea
- Pruritus/Urticaria
- Dry throat
- Photosensitivity
Pharmacology
- Half-life: 26-31h
- Metabolism: Unknown
- Excretion: Urine
Mechanism of Action
- Metalloprotein that binds cyanide to form nontoxic cyanocobalamin then is excreted in urine
Comments
- Restricted distribution in US directly for authorized EMS, emergency preparedness, or occupational medicine users