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Description
When hydroxocobalamin is given in high doses (such as during cyanide poisoning treatment), unique effects can be observed: patients often experience a transient reddening of the skin or mucous membranes and a reddish discoloration of the urine due to drug excretion
Journal of Clinical Pharmacology

A dose of 100 mcg daily for 6 or 7 days should be administered by intramuscular or deep subcutaneous injection

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