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Although methylcobalamin and vitamin B12 are terms used interchangeably, vitamin B12 is also available as hydroxocobalamin, a less commonly prescribed drug product (see Hydroxocobalamin monograph), and methylcobalamin

If danger signs are observed, immediate evaluation may be needed

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Patients with smoke inhalation and combined carbon monoxide and cyanide poisoning with elevated carboxyhaemoglobin levels should not be given sodium nitrite unless treatment in a hyperbaric oxygen chamber is available and such treatment has been initiated

Nitriles are cyano-derivatives of organic compounds