Hi , I Accidentally Took A Optinueron Injection ,(Cyanocobalamin (1000mcg)

Posted on Fri, 24 May 2019

Question: Hi , I accidentally took a Optinueron injection ,(Cyanocobalamin (1000mcg) + D-Panthenol (50mg) + Niacinamide (100mg) + Vitamin B6 (Pyridoxine) (100mg) + Vitamin B2 (5mg)), due to delay of delivery of my report , the report says vitmain B12 levels are normal and 314, should i be concerned about adverse affect . i have decided to stop it . I took only one shot of it through IM . Should i be concerned . will it effect my nerves?.

Answered by Dr. Vasudha (3 hours later)

Brief Answer:
A single injection of Optinuron is not likely to cause harm.

Detailed Answer:
Hi,
Thanks for asking. I understand your concern.

Vitamin B12 is a water-soluble enzyme, normal range in blood ranges from200 to 900 Ng/ml. Your B12 level is not nearing higher reading of normal range, so supplementation of 1000 units via the Optinuron injection is not likely to be harmful (as our body absorbs the only needful amount of vitamin and rest of it is excreted out through urine)

* Please don't worry for the side effects of the overdose. (provided you don't have diabetes or urine problems following diabetes)

If you are a pure vegetarian you should take daily supplements of the vitamin (1 pill of Nurobion daily)to maintain normal B12 levels(very essential for blood, nerve &many other body functions)

I think that answers your query. Any follow up query is welcome.
Thanks.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Vasudha (7 hours later)

Hello Ma;am , thanks for your reply , May I know how long will the effects of this injection will stay in my body , i.e how long will it take my body to remove this injection content from my system . . Any suggestion how i can eliminate this as early as possible. Thanks in advance

Follow up: Dr. Vasudha (17 minutes later)

I have heard , that it will reduce Potassium levels , should i take anything for potassium?. I am wondering if a single shot can do adverse effects like these ?.

Answered by Dr. Vasudha (51 minutes later)

Brief Answer:
Read following explaination to clear your doubt.

Detailed Answer:
Hi Sumantha Pai,
Thanks for the follow up enquiry.
I don't see possibility of low potassium levels after single shot of Inj. Optinuron, unless you have kidney impairment or old diabetes...normally over intake of vitamin is adjusted by excreting excess amount.
Suplimenting potassium is only advised only if some symptoms of low potassium are evident( muscle weakness,fatigue, difficult breathing, palpitation,)As high levels of potassium hampers absorption of B12.
*So if you see some of above symptoms ,see your treating doctor for potassium level test &then start with supliments as per his advise.
I hope that solves your doubt.Any follow upquery is welcome.
thanks

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Vasudha (5 hours later)

Hello Ma'am for safer side i got my potassium checked in a nearby lab. I have 4.0 in 3.5 to 5.1 mmol/L, I gave sample after almost 12 hours of taking my injection . What is your take on this . Am i safe at this potassium level, or have the Injection done damage to the level. Should i follow up a test after few days/ weeks. I am open to your suggestions ma'am . Wanted to ascertain if the window period of side effects have passed?, Thanks for your patience . much appreciated for your help.

Answered by Dr. Vasudha (1 hour later)

Brief Answer:
Don't worry.

Detailed Answer:
Hi XXXXXXX 2016,
Thanks for the follow up query.
- The maximum effect of Injection optinuron is
expected within 12 hours .as here drug enters blood
stream directly.
-Your blood shows serrum potassium to be in normal
range after 12 hours of injection... so you are in a
safe zone ... normal B12 level is not likely to lower potassium level
*So no tension please... you can always be careful to observe any
undesired effect & consult your doctor of needful
I hope that helps.Any more infoation you need, please don't hesitate
to write.
Thanks

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Above answer was peer-reviewed by : Dr. Yogesh D