Qbal 500 mcg Injection (Vitamin B12) – 10 Ampoules

Description

Qbal Injection contains Vitamin B12 (commonly mecobalamin or cyanocobalamin), an essential water-soluble vitamin required for healthy red blood cell formation, neurological function, and DNA synthesis. It is primarily used to treat or prevent Vitamin B12 deficiency and related disorders such as anemia and neuropathies.

Ingredients

• Active ingredient: Vitamin B12 (Mecobalamin or Cyanocobalamin) 500 mcg per 1 ml ampoule

• Excipients: water for injection, stabilizers, and buffers (as per manufacturer’s formulation)

Drug Class

• Vitamin supplement – Vitamin B12 (hematopoietic and neurotropic agent)

Dosage Form

• Injection (solution)

• Pack: 10 ampoules of 500 mcg each

• Routes: intramuscular (IM), subcutaneous (SC), or intravenous (IV) administration

Uses / Indications

Qbal Injection is indicated for:

• Vitamin B12 deficiency

• Pernicious anemia (megaloblastic anemia due to B12 deficiency)

• Peripheral neuropathy

• Diabetic neuropathy

• Neuralgia, neuritis, or nerve pain syndromes

• Supportive therapy in neurological disorders related to B12 deficiency

• Nutritional supplementation in patients with malabsorption (e.g., after GI surgery, Crohn’s disease)

Dosage (general guidance, individualized by physician)

• Adults:

  • For B12 deficiency: 500 mcg IM/SC 3 times a week for 2 months, then maintenance once every 1–3 months

  • For neuropathy: 500 mcg IM/IV 2–3 times a week, depending on severity

• Children: dose adjusted according to age/weight and deficiency status

• Duration: depends on the condition (short-term in deficiency correction, long-term in chronic conditions like pernicious anemia)

In Case of Overdose

• Vitamin B12 has a wide safety margin; overdose is rare and usually not harmful.

• Extremely high doses may cause acne-like rash, diarrhea, or blood clotting disturbances.

• Management: supportive and symptomatic care.

Missed Dose

• If a dose is missed, take it as soon as remembered.

• If it is close to the next scheduled dose, skip the missed dose.

• Do not double inject.

How To Use

1. Wash hands and prepare injection equipment.

2. Draw the prescribed dose into a sterile syringe.

3. Administer by IM, SC, or slow IV injection (as per doctor’s advice).

4. Rotate injection sites to prevent local irritation.

5. Dispose of used ampoules and syringes safely.

When Not to Use (Contraindications)

• Known hypersensitivity to Vitamin B12 or cobalt

• Leber’s optic atrophy (may worsen condition)

• Caution in patients with polycythemia vera (B12 may stimulate red blood cell production further)

Side Effects

Common (mild):

• Pain, redness, or swelling at injection site

• Mild headache

• Itching or skin rash

Rare (serious):

• Allergic reaction (hives, swelling, difficulty breathing)

• Hypokalemia (low potassium) after rapid correction of anemia

• Dizziness or palpitations

Precautions & Warnings

• Use cautiously in patients with kidney disease or liver impairment

• Monitor potassium levels in severe megaloblastic anemia treatment

• Regular blood counts may be required during long-term therapy

• Safe in pregnancy and breastfeeding, but dosage should be confirmed by a doctor

Drug Interactions

• Chloramphenicol: may interfere with blood response to Vitamin B12

• Metformin, colchicine, proton pump inhibitors (PPIs): may reduce Vitamin B12 absorption (patients may need higher doses)

• Alcohol: long-term use reduces B12 absorption

Storage / Disposal

• Store below 25°C, protected from light and freezing

• Keep ampoules in original packaging until use

• Discard any unused solution once opened

• Dispose of needles and ampoules in sharps containers

Control Drug / Prescription Status

• Prescription-only medicine in most regions

• Administered under healthcare supervision

Quick Tips

• Qbal helps restore Vitamin B12 levels, improving energy, nerve function, and red blood cell health

• Best results are seen with regular monitoring and follow-up

• If on long-term therapy, dietary changes and monitoring of blood parameters are recommended

• Report any unusual fatigue, numbness, or tingling to your doctor

• Rotate injection sites to minimize pain or irritation