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  • Generic Name: (vitamin b12)
    Other Brands: N/A
  • Last Revised: 06/2014
    • What is this medication and its most common uses?

      Nascobal is a medicine used to maintain normal levels of vitamin B12 in people who have pernicious anemia (a type of anemia caused by a lack of vitamin B12 absorption). Nascobal is also used to treat vitamin B12 deficiency in people who have certain conditions or infections of the stomach or intestines or in people who do not consume enough vitamin B12 in their diet.

    • What should I know when beginning and continuing on this medication?

      How does this medication work?

      Nascobal is a form of vitamin B12 that supplements deficient vitamin B12 levels caused by certain conditions.

      What are the beneficial effects of this medication and when should I begin to have results?

      What: By increasing vitamin B12 levels in your blood, Nascobal may help prevent anemia.

      When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you use Nascobal exactly as your healthcare provider has prescribed.

      How do I know it is working?

      Your healthcare provider may order blood tests regularly to check how well this medication is working.

    • What are the possible side effects of this medication?

      The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

      More common side effects may include: headache, nausea, runny nose.

      Less common side effects may include:

      Serious allergic reactions with symptoms such as hives, trouble breathing, or swelling of your tongue, mouth, or throat.

    • Who should not take this medication?

      Do not use Nascobal if you are allergic to it or any of its ingredients.

    • What should I tell my healthcare provider before I take the first dose of this medication?

      Tell your healthcare provider about all prescription, over-the-counter and herbal medications you are taking before beginning treatment with Nascobal. Also, talk to your healthcare provider about your complete medical history, especially if you have Leber's disease (an inherited eye disease), or if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What is the usual dosage?

      The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

      Adults: The recommended starting dose is one spray (500 micrograms) in one nostril once a week.

    • How should I take this medication?

      Use Nascobal exactly as prescribed by your healthcare provider.

      Use Nascobal at least one hour before or one hour after ingestion of hot foods or liquids.

      Please review the instructions that came with your prescription on how to properly use Nascobal.

    • What should I avoid while taking this medication?

      Do not use extra doses or stop using Nascobal without first talking to your healthcare provider.

    • What are the possible food and drug interactions associated with this medication?

      If Nascobal is used with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your healthcare provider before combining Nascobal with the following: alcohol, antibiotics, colchicine, methotrexate, para-aminosalicylic acid, pyrimethamine.

    • May I receive this medication if I am pregnant or breastfeeding?

      The effects of Nascobal during pregnancy and breastfeeding are unknown. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What should I do if I miss a dose of this medication?

      If you miss a dose of Nascobal, use it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not use two doses at once.

    • How should I store this medication?

      Store at room temperature. Protect from light and freezing.

    • Who should I contact in case of emergency or overdose?
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      In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
      National Poison Control#: Call 1-800-222-1222

      This PDR+ drug information has been developed by the Physicians’ Desk Reference Network (PDRN), a source of medication information trusted by doctors for over 65 years.

      This monograph summarizes the most important information about your medication and does not cover all the information you may need. If you have any questions or concerns or want to learn more about your medication, ask your healthcare provider; he/she will be able to provide answers to your questions. This medication should only be used by the patient for whom it was prescribed and should not be shared with other people.
    • Additional patient resources.
      back to top Use your PDR® Pharmacy Discount Card when you or a family member fills a prescription and ask for your PDR® Discount every
      time!
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    This discount plan is NOT insurance or a Medicare prescription drug plan. The plan is not intended as a substitute for insurance and does not meet creditable coverage requirements under state or federal law. The plan provides discounts at participating pharmacies on certain pharmaceutical supplies, prescription drugs, or medical equipment and supplies. The range of discounts will vary depending on the products received. Members are obligated to pay the pharmacy the entire amount of the discounted rate for such products at the point of sale. The plan does not pay pharmacies for products provided to members. No enrollment or periodic fees apply. The pharmacy may pay the plan a fee from amounts the pharmacy collects from the member. The discount plan organization is ProCare Pharmacy Benefit Manager, Inc.,1267 Professional Parkway, ProCare Office Park, Gainesville, GA 30507, 1-888-299-5383. Customer service is provided by PDR, LLC., 5 Paragon Drive, Montvale, NJ, 07645, 1-800-232-7379, www.pdr.net/DiscountCard, customerservice@pdr.net.