dexamethasone b12 injection 1 mL (Decadron Shot) by Hikma — Mountainside Medical Size:1000 mcg/ml - 10 ml x 2 injectableb12 DEXAmethasone sodium phosphate Injection

dexamethasone b12 injection 1 mL (Decadron Shot) by Hikma — Mountainside Medical Size:1000 mcg/ml - 10 ml x 2 injectableb12 DEXAmethasone sodium phosphate Injection

DEXAmethasone sodium phosphate Injection Solution, PF, 10 mg/mL (20mg/2mL), in a 3 mL Vial

Patients with pernicious anemia should be informed that they will require monthly injections of vitamin B 12for the remainder of their lives

injectableb12

Size:1000 mcg/ml - 10 ml x 2

Advantages of oral form over IM injection: Less nursing time on injections Less complexity of care Less discomfort/pain Less bleeding in patients who take anticoagulants Less costly according to some analyses Disadvantages of oral form over IM injection:: Greater risk of non-compliance In 1991, a survey done on Minneapolis internists led one commentary to conclude that oral vitamin B 12 replacement for pernicious anemia was one of “medicine’s best kept secret.” 18 In 1996, when the survey was repeated again in the same area, awareness and use of oral vitamin B 12 for pernicious anemia had increased substantially (0–19%), but the majority of doctors still remain unaware of this treatment option (61%)