[NP-Clinical] B12 Patch, the injectable form dose

[Erich Widemark]

Thank you Peg,

We were all privileged to have you and Carolyn in the same place at the same
time discussing NP issues.  I hope you can return soon!!

Erich

-----Original Message-----
From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
On Behalf Of Margaret A. Fitzgerald, DNP, NP-C, APRN, BC, FAANP,CSP
Sent: Saturday, July 28, 2007 5:55 AM
To: np-clinical at nurse.net
Subject: Re: [NP-Clinical] B12 Patch, the injectable form dose

Here is a short section from my book, Nurse Practitioner Certification and 
Practice Preparation, 2d ed., on the B12 dose issue.

The usual initial B12 dose is 100 mcg/d intramuscularly for the first week, 
then weekly for the first month, and then monthly for the rest of the 
patient's life.  Traditionally, doses as high as 1000 ug per injection have 
been used. However, a cyanocobalamin dose of more than 100 ug in a single 
injection exceeds the TC II's binding capacity; excess is excreted via the 
kidney and wasted.

End of section.

Signing off from Phoenix where it is very warm but not so dry, Peg

PS- Carolyn Buppert and I helped open the AZ NP meeting wth a discussion on 
practice issues over dessert. What a treat to work with the AZ NPs and 
Carolyn!


Dr. Margaret A. Fitzgerald, DNP, APRN, BC, NP-C, FAANP, CSP
President, Fitzgerald Health Education Associates, Inc.
85 Flagship Drive
North Andover, MA 01845-6154
978.794.8366
FNP, Adjunct Faculty, Family Practice Residency
Greater Lawrence (MA) Family Health Center, Inc.
FHEA website www.fhea.com
FHEA on line store www.fhea.biz
Proud member of "Team Mimi", Leukemia and Lymphoma Team in Training  
http://www.active.com/donate/tntma/tntmaMFitzge





>From: Paula Sumner <nurse_healer at yahoo.com>
>Reply-To: NP Clinical <np-clinical at nurse.net>
>To: NP Clinical <np-clinical at nurse.net>
>Subject: Re: [NP-Clinical] B12 Patch
>Date: Thu, 26 Jul 2007 22:26:38 -0700 (PDT)
>
>B12 can cause some derm problems, I wonder what rhe patch will do?  Also, a

>monthly dose can be 100 mcg--here is a good overview of B12:
>http://www.mayoclinic.com/health/vitamin-B12/NS_patient-vitaminb12
>   paula
>
>David Mittman <dmittman at comcast.net> wrote:
>   Is this from an ethical pharma company or one of those fly by night mail

>order web sites. Do not think it will work but if it has gone through FDA 
>drug trials, double blind studies, I'll be convinced it can.
>Dave
>On 7/26/07 11:17 AM, "Linda Marie De Zago" <lindamarie76 at msn.com> wrote:
>
>   So I see there's a B12 patch out on the market. Has anyone tried it? I'm

>curious whether the transdermal absorption is comparable in the 
>intramuscular absorption.
>
>Linda
>
>Apply a new B12 Patch to a clean and dry area of the skin behind the ear 
>lobe on the neck. Firmly press adhesive side to skin and leave the patch in

>place for up to 24 hours. The dosage of one patch (1000 mcg) per week is 
>based upon the dosage of a weekly B12 shot. You may apply more than one 
>patch per week as there is no upper limit on B12. A month supply contains 4

>patches. One patch is approximately the size of a dime. 
>(http://www.b12patch.com/product.html)
>
>
>
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>Paula J. Sumner RN, MSN, HTP, CHt
>Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
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>
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>
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>
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