Methycobal Special Precautions

Discontinue medication with Methycobal if there is no response after several months.
Methycobal injection is susceptible to photolysis. It must be used promptly after the package is opened and care must be taken not to expose the ampoule to direct light.
In IM administration, care should be exercised, suggested as follows, to avoid adverse effects on tissues or nerves:
Repeated injection at the same site should be avoided. Particular care should be exercised when administering Methycobal to neonates, premature infants, infants and children.
The course of nerves should be avoided for the site of injection.
If the patient complains of pain or if blood reflux occurs when the syringe needle is stuck, withdraw it immediately and try at a different site.
Methycobal injection is a one-point-cut type ampoule. It is recommended that the cut point of the ampoule be wiped clean with an alcohol swab.