Nascobal (Nasal)

Generic name:cyanocobalamin (nasal route) [ sye-an-oh-koe-BAL-a-min ]
Drug class:Vitamins

Medically reviewed by Drugs.com. Last updated on Feb 16, 2022.

Commonly used brand name(s)

In the U.S.

• CaloMist
• Nascobal

Available Dosage Forms:

• Spray

Therapeutic Class: Nutritive Agent

Pharmacologic Class: Vitamin B (class)

Uses for Nascobal

Cyanocobalamin nasal spray is used to maintain normal vitamin B12 blood levels in patients with pernicious anemia who have achieved healthy vitamin B12 levels after receiving vitamin B12 shots and do not have nervous system problems.

Cyanocobalamin is also used to prevent vitamin B12 deficiency in adults who require higher amounts of vitamin B12. It is also used to treat vitamin B12 deficiency caused by certain food limitations (eg, strict vegetarians), medicines, or malabsorption-related problems. Cyanocobalamin is a man-made form of vitamin B12.

This medicine is available only with your doctor's prescription.

Before using Nascobal

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of cyanocobalamin nasal spray in the pediatric population. Safety and efficacy have not been established.

Geriatric

Although appropriate studies on the relationship of age to the effects of cyanocobalamin nasal spray have not been performed in the geriatric population, no geriatric-specific problems have been documented to date.

Breastfeeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Chloramphenicol

Interactions with food/tobacco/alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food...