Overview of Hydroxocobalamin Injection
Hydroxocobalamin is an injectable form of vitamin B12 used for medical treatment. It typically comes as a clear red solution in a vial, intended for intramuscular injection by healthcare professionals.

This form of vitamin B12 is therapeutic, safe, and essential for restoring adequate B12 levels in the body. Its use is important in treating deficiencies and supporting overall metabolic and neurological health.
Medical Uses and Indications
Treatment of Vitamin B12 Deficiency
Hydroxocobalamin injection is prescribed to treat and prevent vitamin B12 deficiency and pernicious anaemia. By replenishing B12 levels, it helps restore red blood cell production, supports energy metabolism, and maintains nerve health.
Doctors often recommend it as part of long-term therapy for patients who have absorption problems or cannot maintain sufficient B12 through diet alone.
Antidote for Cyanide Poisoning
In emergency situations, hydroxocobalamin acts as a vital antidote for cyanide poisoning. It binds to cyanide in the body to form cyanocobalamin, neutralising the toxin safely.
Administered by medical professionals, it provides rapid and powerful detoxifying action, making it an essential treatment in acute cyanide exposure cases.
How Hydroxocobalamin Works in the Body
Hydroxocobalamin functions as an active form of vitamin B12, which is essential for metabolism and energy production. Once absorbed, the body converts it into usable forms of B12 that support DNA synthesis, red blood cell production, and neurological function.
By replenishing B12 stores, it ensures that key bodily processes, including nerve function and cellular energy metabolism, operate effectively.
Dosage, Administration, and Duration
Recommended Medical Doses
Healthcare professionals determine therapeutic doses based on the severity of deficiency or the condition being treated. Injections are given intramuscularly and should only be administered by trained clinicians to ensure safety and effectiveness.
Long-Term Maintenance Therapy
Some patients require regular maintenance injections to prevent recurrence of deficiency. Hydroxocobalamin provides a longer-acting effect compared with oral B12 supplements, which reduces the frequency of dosing.
Ongoing therapy includes monitoring vitamin B12 levels to adjust dosage as needed and ensure optimal treatment results.
Safety Profile and Side Effects
Hydroxocobalamin injection is generally safe and well-tolerated under medical supervision. Common mild side effects include red urine, soreness at the injection site, or a mild rash.
Patients should consult their doctor if they experience allergic reactions or unusual symptoms. Serious side effects are rare when injections are administered correctly.
Comparison with Other Vitamin B12 Forms
Hydroxocobalamin versus Methylcobalamin
Hydroxocobalamin is preferred in clinical practice for injections because it lasts longer and has higher bioavailability. Methylcobalamin is often used in dietary supplements for maintenance purposes.
While both forms support B12 levels, hydroxocobalamin provides a more sustained effect, making it suitable for treating deficiencies and urgent medical conditions.
Who May Benefit from Hydroxocobalamin Injection
Patients with absorption issues, vegans, and those with pernicious anaemia are the primary groups who benefit from hydroxocobalamin injections.
Healthcare professionals, including toxicologists, dietitians, and medical practitioners, monitor and prescribe this treatment to ensure safety and effectiveness. Regular assessments help tailor therapy to each patient’s needs.