Registered Zambia · ZAMRA

Naso B12

Methylcobalamine 5.000 mg/ml

ZAMRA-HM-26-73 Nasal spray 5.000 mg/ml blood and blood forming organs

What it does

Methylcobalamine is a form of vitamin B12 that helps in maintaining healthy nerve cells and supporting the production of red blood cells.

Commonly used for: Vitamin B12 deficiency, Peripheral neuropathy, Anemia

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Plain-language summary for general understanding - not medical advice. Always follow your pharmacist/doctor.

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Sourcing - Kenya only

Registration & product details

Registration no.
ZAMRA-HM-26-73
Registration date
2026-03-19
Expiry date
2031-03-18
Status
Registered/Compliant
Active ingredient
Methylcobalamine 5.000 mg/ml
Dosage form
Nasal spray
Strength
5.000 mg/ml
Pack size
-
Therapeutic class
-
ATC class (WHO)
B03BA - Vitamin B12 (cyanocobalamin and analogues)
RxNorm RxCUI
29421
Manufacturer / MAH
Troikaa Pharmaceuticals
Applicant / LTR
Troikaa Pharmaceuticals Ltd
Country of origin
India
Manufacturer location
Troikaa House, Satya Marg, Bodakdev, Ahmedabad, Gujarat 380054, India

Source: Zambia Medicines Regulatory Authority · fetched 2026-04-14 13:59:51 · updated 2026-09-17 03:36:22

Disclaimer: This information is sourced from Zambia Medicines Regulatory Authority (Zambia). Always consult a qualified healthcare professional before using any medication.

About this medicine

Methylcobalamine is a form of vitamin B12 that helps in maintaining healthy nerve cells and supporting the production of red blood cells.

What it treats

  • Vitamin B12 deficiency
  • Peripheral neuropathy
  • Anemia

How it works

It works by providing essential nutrients that help in the proper functioning of nerves and the formation of blood cells.

Who it's for

It is suitable for people who have low levels of vitamin B12, which may occur due to certain health conditions or dietary deficiencies.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

Clinical monograph: methylcobalamine

Methylcobalamin is a bioactive form of vitamin B12 that plays a critical role in various biological processes, particularly in the functioning of the nervous system and the formation of red blood cells. It is involved in the synthesis of methionine from homocysteine, which is crucial for DNA synthesis and neuronal health. Methylcobalamin is often used as a dietary supplement and in the treatment of vitamin B12 deficiency-related conditions, including peripheral neuropathy and megaloblastic anemia.

Indications

  • Vitamin B12 deficiency
  • Peripheral neuropathy
  • Megaloblastic anemia
  • Homocystinuria

Dosage

Children: Refer to the BNF for Children for appropriate paediatric dosing information.

Adults: Refer to the BNF for specific dosing recommendations based on the indication.

Mechanism of action

Methylcobalamin functions as a coenzyme in the conversion of homocysteine to methionine, facilitating the synthesis of S-adenosylmethionine (SAMe). SAMe is a critical methyl donor in numerous biochemical reactions, including the methylation of DNA and proteins. Additionally, methylcobalamin is essential for the regeneration of folate, impacting DNA synthesis and repair. It also promotes nerve regeneration and repair, making it beneficial in conditions involving nerve damage.

Pharmacodynamics

Methylcobalamin exhibits neuroprotective properties by enhancing nerve growth factor (NGF) synthesis and supporting neuronal survival. It aids in the reduction of neuropathic pain and may improve neurological function in patients with vitamin B12 deficiency. The compound's role in methylation processes further influences cellular metabolism, contributing to overall health.

Pharmacokinetics

Methylcobalamin is absorbed in the intestines, and its bioavailability can be influenced by the presence of intrinsic factor, which is necessary for vitamin B12 absorption. Once absorbed, it is distributed throughout the body, particularly in the liver, kidneys, and nervous tissue. The elimination half-life of methylcobalamin is variable, and the compound is primarily excreted in the urine as metabolites. Storage and transport within the body are facilitated by transcobalamin II, a specific transport protein.

Adverse effects

  • Headache
  • Nausea
  • Diarrhea
  • Dizziness
  • Rash
  • Itching

Interactions

  • Alcohol may decrease the absorption of methylcobalamin
  • Certain medications that affect vitamin B12 levels

Precautions

  • Patients with Leber's disease should use with caution
  • Monitor for signs of hypersensitivity

Pregnancy

Methylcobalamin is generally considered safe during pregnancy as it is a form of vitamin B12, but consult a healthcare provider for personalized advice.

Breast-feeding

Methylcobalamin is excreted in breast milk, but is considered safe for use during breastfeeding; consult a healthcare provider for personalized advice.

Storage

Store in a tightly closed container at room temperature, away from moisture and heat.

Formulations

  • Oral tablets
  • Sublingual tablets
  • Injectable solution

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

This drug in other countries

The same active ingredient registered across other registries we cover - including different brands.