Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Self administered CLOUDY VITB12 shot. Anything to worry?

Resolved Question:

I was recently taking a self-administered B12 shot (methylcobalamin). The pharmacy gave me a vial filled with 10,000 mcg/vial in powder form, and a separate vial with 11 mL of bacteriostatic water (label says sterile water with 0.9% benzyl alcohol for preservative). Prescribed dosage is 1 mL (1,000 mcg) per shot, intramuscular into buttock with 1 inch needle.

The directions said to transfer 10 mL of the bacteriostatic water into the vial with B12 powder, and then shake well. I misread the label and only transferred 5 mL. I then gave myself a 1 mL shot in the upper left quadrant of the buttock, twice the recommended dosage. From reading several research articles online, I understand that the 2,000 mcg dose itself is harmless given B12 is water soluble.

However, I am worried that the liquid was cloudy, and may have contained precipitate (undissolved powder) in it. From reading about IM injections online, it appears that injecting a precipitate can cause pulmonary embolism. It seems that this occurs pretty rarely, do I have anything to worry about? I took this dose over 24 hours ago, has the window in which this could occur passed?

Category: Pulmonologist

Ask Your Own Question

Category: Allergy and Immunologist
 32 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
Yes an isolated shot of 2000 mcg of methylcobalamin won't cause any damage. Only when it is taken for a period of time, toxicity can occur.
Secondly, if the liquid was indeed cloudy, you would have manifested symptoms right away.
Since 24 hours has already passed, you really do not need to worry about any emboli.
Feel free to discuss further,
Regards.


Dr. Jacob George Pulinilkunnathil
Category: Allergy and Immunologist
Experience: 
Residency, Post Graduation: MD, Respiratory Medicine, J L N Medical College, Ajmer, Rajasthan (2012).
Medical School, Internship: MBBS, Government Medical College, Kottayam, 2001-07 
Indian Diploma in Critical Care Medicine (IDCCM) - Medical Trust Hospital, 2013-2014.
Dr. Jacob George Pulinilkunnathil and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news