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Optovite B12 1000 Micrograms Injectable Solution

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Prescription review online

A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use OPTOVITE B12 1000 micrograms Injectable Solution

Contents of the leaflet

  1. Introduction
  2. What Optovite B12 1,000 micrograms is and what it is used for
  3. What you need to know before taking Optovite B12 1,000 micrograms
  4. How to take Optovite B12 1,000 micrograms
  5. Possible side effects
  6. Storage of Optovite B12 1,000 micrograms
  7. Package contents and additional information

Introduction

Leaflet: information for the user

Optovite B121,000 micrograms injectable solution

Cyanocobalamin

Read the entire leaflet carefully before starting to use this medication, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again. If you have any questions, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the leaflet

  1. What Optovite B12 1,000 micrograms is and what it is used for
  2. What you need to know before taking Optovite B12 1,000 micrograms
  3. How to take Optovite B12 1,000 micrograms
  4. Possible side effects
  5. Storage of Optovite B12 1,000 micrograms
  6. Package contents and additional information

1. What Optovite B12 1,000 micrograms is and what it is used for

Optovite B12 is a vitamin, the active ingredient is cyanocobalamin. It is a clear red injectable solution.

This medication is indicated in states of vitamin B12 deficiency such as: pernicious anemia (reduction in the number of red blood cells due to vitamin B12 deficiency), pregnancy, malabsorption syndrome (difficulty in digesting nutrients from food that may be accompanied by diarrhea and colic), sprue (inflammation of the small intestine due to intolerance to gluten and other grains, causing diarrhea), regional enteritis (chronic inflammation of the digestive tract, small intestine, and colon), intestinal or pancreatic neoplasms (tumors), total or partial gastrectomy (removal of all or part of the stomach), and other conditions where there is a significant increase in the requirements of this vitamin. It is indicated in vegetarians. It is also indicated in diabetic and alcoholic polyneuritis (nerve damage due to diabetes mellitus) and trigeminal neuralgia (severe facial pain) or painful tics. Vitamin B12 is effective in allergic diseases (itching and skin peeling), and it has also been used in certain arthritic processes (joint degeneration) resistant to usual medications.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Optovite B12 1,000 micrograms

Do not use Optovite B12

If you are allergic (hypersensitive) to cobalt and/or vitamin B12.

Warnings and precautions

  • If you have a predisposition to gout (joint pain due to elevated uric acid), cyanocobalamin may precipitate a gout crisis.
  • If you have tabetic amblyopia (dim vision due to tobacco consumption) or hereditary optic nerve atrophy (Leber's disease), as they may worsen with cyanocobalamin administration.
  • If you have been treated for megaloblastic anemia (reduction in the number of red blood cells with an increase in their size) and it is reversing, a decrease in blood potassium levels may occur, which can be fatal. This can also occur during the initial treatment of pernicious anemia.
  • If you are sensitive to this vitamin, anaphylactic shock (acute allergic reaction) may occur after parenteral administration.
  • If you take folic acid instead of cyanocobalamin, folic acid will resolve the anemia but not the neurological disorders.

The vitamin B12 deficiency must be confirmed before starting treatment because it could mask symptoms of spinal cord degeneration.

Consult your doctor, even if any of the above circumstances have occurred to you at any time.

Using Optovite B12with other medications

Tell your doctor or pharmacist if you are using or have recently used other medications, including those purchased without a prescription. Some medications may influence the action of others.

It is not recommended to administer with the following medications:

  • Chloramphenicol and other bone marrow depressors: may decrease the effect of vitamin B12.
  • Oral neomycin, colchicine, aminosalicylic acid, H2 histamine receptor antagonists: may decrease the oral absorption of vitamin B12.
  • Oral contraceptives: may decrease serum vitamin B12 concentrations.
  • Most antibiotics, methotrexate, and primethamine may invalidate folic acid and cyanocobalamin values in blood tests.

Pregnancy, breastfeeding, and fertility

Pregnancy

Consult your doctor or pharmacist before using any medication. Vitamin B12 can be administered to pregnant women when necessary. A daily dose of 4 micrograms is recommended.

Breastfeeding

Consult your doctor or pharmacist before using any medication. Vitamin B12 is excreted in breast milk, but its use is compatible with breastfeeding, and even recommended when the amount that passes to the infant is insufficient. The recommended dose for infants is 0.5-3 micrograms/day.

Driving and using machines

There is no evidence of effects on the ability to drive vehicles or use machines.

Optovite B12 contains sodium chloride: This medication contains less than 23 mg (1 mmol) of sodium per dose; therefore, it is considered essentially "sodium-free".

3. How to take Optovite B12 1,000 micrograms

Follow exactly the administration instructions of this medication indicated by your doctor. In case of doubt, consult your doctor or pharmacist again. Your doctor will indicate the appropriate dose and duration of your treatment with Optovite B12. Do not stop treatment before.

If you think the action of this medication is too strong or too weak, tell your doctor or pharmacist.

Cyanocobalamin is administered by intramuscular routeand by deep subcutaneous routein case of gastrectomized patients. In both cases, the administration schedule is 1,000 micrograms/day for 1 week at the beginning of treatment, 1,000 micrograms/week for the next 4-8 weeks, and 1,000 micrograms/month as a maintenance dose.

In the case of patients who do not tolerate the intramuscular route (hemophiliacs), consult your doctor for oral administration. In these cases, the normal dose is 500 to 1,000 micrograms/day.

Intravenous administration is not recommended, although in exceptional cases (such as extreme thrombocytopenia) cyanocobalamin may be administered by this route.

If you take more Optovite B12than you should

Consult your doctor or pharmacist immediately.

In case of overdose or accidental ingestion, consult your doctor or pharmacist or call the Toxicology Information Service. Phone 915 620 420, indicating the medication and the amount used.

If you forget to take Optovite B12

You should not take a double dose to make up for forgotten doses.

If you have any other questions about the use of this product, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, Optovite B12 can cause side effects, although not everyone will experience them.

In exceptional cases, the following side effects have been observed:

  • Blood and lymphatic system disorders: polycythemia vera. At the start of treatment, cases of peripheral vascular thrombosis have been described.
  • Immune system disorders: anaphylactic shock and death.
  • Metabolism and nutrition disorders: hypokalemia.
  • Eye disorders: optic nerve atrophy.
  • Cardiac disorders: at the start of treatment, cases of congestive heart failure have occurred.

  • Respiratory, thoracic, and mediastinal disorders: at the start of treatment, cases of pulmonary edema have occurred.
  • Gastrointestinal disorders: mild transient diarrhea.
  • Skin and subcutaneous tissue disorders: pruritus, transient exanthema, urticaria.
  • General disorders and administration site conditions: pain at the injection site, feeling of inflammation throughout the body.

Reporting of side effects:

If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

If you observe any of these reactions or any other reaction not described in this leaflet, consult your doctor or pharmacist.

5. Storage of Optovite B12 1,000 micrograms

Keep out of sight and reach of children.

No special storage conditions are required.

Do not use Optovite B12 after the expiration date shown on the packaging after "Cad.:". The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need in the pharmacy's SIGRE Circular white symbol with a central black cross and curved arrow indicating recycling or reuse process point. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Optovite B121,000 micrograms

The active ingredient is cyanocobalamin. Each ampoule contains 1,000 micrograms of cyanocobalamin.

The other components are: sodium chloride and water for injectable preparations.

Appearance of the product and package contents

Clear red injectable solution, presented in a package containing 5 ampoules of 2 ml each.

Marketing authorization holder and manufacturer

LABORATORIOS NORMON, S.A.

Ronda de Valdecarrizo, 6 – 28760 Tres Cantos – Madrid (SPAIN)

Date of the last revision of this leaflet:December 2004

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es

Information for healthcare professionals

Intramuscular injection will be performed in a large muscle mass.

Intravenous administration is exceptional and will be performed by diluting small amounts of cyanocobalamin in a parenteral administration solution. Administration of large amounts of cyanocobalamin would result in almost total loss through urine.

Online doctors for OPTOVITE B12 1000 micrograms Injectable Solution

Discuss questions about OPTOVITE B12 1000 micrograms Injectable Solution, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(21)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70
Doctor
0.0(0)

Hocine Lokchiri

General medicine21 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
Book a video appointment
€64

Frequently Asked Questions

OPTOVITE B12 1000 micrograms Injectable Solution requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in OPTOVITE B12 1000 micrograms Injectable Solution is cyanocobalamin. This information helps identify medicines with the same composition but different brand names.

The average pharmacy price for OPTOVITE B12 1000 micrograms Injectable Solution is around 2.28 EUR. Prices may vary depending on the manufacturer and dosage form.

OPTOVITE B12 1000 micrograms Injectable Solution is manufactured by Laboratorios Normon S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether OPTOVITE B12 1000 micrograms Injectable Solution is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, OPTOVITE B12 1000 micrograms Injectable Solution is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request a review, you can use Oladoctor:

Other medicines with the same active substance (cyanocobalamin) include BECAREN 1000 micrograms TABLETS, VITAMIN B12 FARMASIERRA 1000 MICROGRAMS HARD CAPSULES, FOLI-DOCE 400/2 micrograms tablets. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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