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Toxicity induced by multiple high doses of vitamin B12 during pernicious anemia treatment: a case report
Jessica Morales-Gutierrez1, Sebastián Díaz-Cortés1, María A Montoya-Giraldo1
1CIEMTO [Drug and Poison Research and Information Center], Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Abstract:
Context: The clinical consequences of excess vitamin B12 induced by multiple oral doses of cyanocobalamin are not well-known.Case details: A young woman was treated with multiple daily doses of 1 mg of cyanocobalamin for severe pernicious anemia. After a total dose of 12 mg, she developed acne, palpitations, anxiety, akathisia, facial ruddiness, headache, and insomnia. She improved two weeks after stopping the drug. There were no sequelae nor complications.Discussion: Although these symptoms of cobalamin toxicity were unexpected and unusual, the case reminds us that the administration of any drug is not entirely safe.
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