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Cyanocobalamin - Medicinal forms | BNF - NICE
Main Therapeutic Indications: Neuritis and Neuralgia: Effectively relieves inflammation and stabbing pain in the nerves, being a key ally in the treatment of conditions such as: Cervical syndrome and shoulder-arm syndrome
Rare Side Effects: Very rarely, serious side effects may necessitate medical attention
Carbamazepine-10,11-epoxide has activity similar to the parent molecule and levels of 5-80% of the parent drug concentration
severe or persistent upper abdominal pain should prompt urgent medical assessment [10] [11] Dehydration and acute kidney injury (AKI): gastrointestinal fluid losses can lead to dehydration, which may precipitate AKI, particularly in those with pre-existing renal impairment or those taking nephrotoxic medicines Delayed gastric emptying: this may affect the absorption of orally administered medicines, including contraceptive pills and thyroid replacement therapy [11] Injection site reactions: redness, bruising, or discomfort at the subcutaneous injection site Heart rate changes: increases in resting heart rate have been noted with GLP-1 class agents [14] [15] Hypoglycaemia: particularly if used alongside insulin or sulphonylureas Potential pancreatitis risk: a class concern with GLP-1 receptor agonists
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