PROPRIETES PHARMACODYNAMIQUES La cyanocobalamine intervient dans la rgulation de lhmatopose, elle agirait dans la synthse de la protoporphyrine libre des hmaties
Do not reuse or share syringes, as this can introduce infection
Common side effects include: Injection site reactions mild pain, redness, swelling, or bruising at the injection site, typically resolving within a few days Headache usually transient and manageable with standard analgesia Nausea or dizziness particularly in the initial treatment phase Skin reactions including itching, mild rash, or acneiform eruptions Temporary urine discolouration red or orange urine is harmless and expected Diarrhoea or flushing usually mild and self-limiting In patients with severe megaloblastic anaemia, low potassium levels (hypokalaemia) may occur during initial intensive treatment, but this is uncommon in routine maintenance therapy
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Tirzepatide gastric emptying and the oral-drug interaction GLP-1R-mediated delay at 4.5-5 mg, tachyphylaxis by about 4 weeks, re-engagement on escalation
It may even affect insulin levels