Patient Information Form

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MyBotoxLA
13261 Ventura blvd
Studio City, CA 91604
Dr. Rita Starritt
Yana Pechenik PA-C
Patient Information : B12 injections
What are the key warnings when taking B12 or B12 compounds?
 If you have kidney disease or other health issues, talk with healthcare provider. Do
not take if you have Polycythemia Vera or if you have Leder’s Disease.
Do not take B12 or B12 Compounds:
 If you have an allergy to cyanocobalamin or any part of this medicine including amino
acids, methionine, sulfa, inositol, choline or picconolate or chromium in the
compounded shots. We do have a SULFA free form of B12. DO NOT TAKE IF
PREGNANT OR BREASTFEEDING AND STOP IMMEDIATELY IF YOU BECOME PREGNANT.
What are B12 or B12 Compounds used for?
 B12 is used to treat anemia and is used to prevent and treat low vitamin B12 levels.
It is also used in the treatment of some neuropathies. Some people report that it
gives them increased energy, mental clarity, and an overall feeling of well being. .It is
commonly used in weight loss clinics
 B12 is a water soluble vitamin that helps the body make healthy red blood and nerve
cells.
 This medicine is given as a shot into a muscle weekly or every 5 days.
What are the precautions or possible side effects of B12 or B12 compounds?
 Feeling dizzy. After your injection, rise slowly from sitting or lying position. Be careful
climbing. You should remain in the clinic for 20 minutes after the first shot to make
sure you are not going to have an allergic reaction. For subsequent shots, you should
remain in the clinic for 10 minutes.
 Diarrhea., nausea or vomiting. small frequent meals, frequent mouth care, sucking
hard, sugar-free candy, or chewing sugar-free gum may help. These side effects are
unusual in the injection form and are more common when taking the oral (pill) form.
What are possible side effects of an injection?
 You may have a bruise, pain, a sore muscle or bleeding at the injection site. You may
have an infection at the shot site. These are possible side effects with any injection.
With any medication:
 Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the
allergy and how it affected you. This includes telling about rash; hives; itching;
shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any
other symptoms involved.
 If you have a life-threatening allergy to any medication, wear allergy identification at
all times.
 WARNING: These medications are prescription medications and may not be
sold or distributed to a person not named on the prescription. Doing so could
result in criminal charges against you. In addition, obtaining medications
based on false information can be a FELONY charge.
Reasons to call healthcare provider immediately
 If you have an overdose, call your local poison center immediately.
 If you have a severe allergic reaction, chest pain, fast heartbeat, severe dizziness,
passing out, chest tightness, unexplained fever, bad cough, blue skin color, fits or
seizures, swelling of the face, lips, throat, or tongue or other severe side effects,
please call 911 immediately.

Call your primary care doctor or health care provider if you have swelling or pain of leg
or arm, severe diarrhea, extreme tiredness or weakness, or rash.
General statements regarding any medications
 Do not share your medicine with others and do not take anyone else's medicine.
 Store at room temperature and protect from moisture with a tight fitting lid.
 Keep a list of all your medicines (prescription, natural products, supplements,
vitamins, over-the-counter) to share with your doctors and inform them if you start
any new medications. ..
You may report side effects to FDA at 1-800-FDA-1088
11/20/2013
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