Rubramin Pc | Cyanocobalamin Injection Breastfeeding
It is recommended to breastfeed exclusively for six months and then while introducing to other food sources extend it to twelve months. In this duration most mothers will need help of some sort of medication, It could be for short term like could and flue or it could be something chronic like Arthritis or Diabetes and here comes the question of safety of medication in use. In this post we will figure out what is Rubramin Pc | Cyanocobalamin Injection and whether its safe to use Rubramin Pc | Cyanocobalamin Injection while nursing or not.

What is Rubramin Pc | Cyanocobalamin Injection used for?

Rubramin PC is indicated for use as the flushing dose in the Schilling (vitamin B12 absorption) Test for pernicious anemia.

What are the risk associated with Rubramin Pc | Cyanocobalamin Injection usage while breastfeeding? What precautions shall I take while using it in breastfeeding?

Rubramin Pc | Cyanocobalamin Injection safe for breastfeeding
Active ingredient in Rubramin Pc | Cyanocobalamin Injection is Cyanocobalamin and based on our analysis of Cyanocobalamin it appears that using Rubramin Pc | Cyanocobalamin Injection is safe in breastfeeding. Below is analysis of Cyanocobalamin while breastfeeding.

Statement of Manufacturer/Labeler about breastfeeding usage
Nursing Mothers Vitamin B12 is known to be excreted in human milk. Amounts of vitamin B12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for lactating women (4 mcg daily) should be consumed during lactation. Vitamin B12 appears in the milk of nursing mothers in concentrations that approximate the mother’s vitamin B12 blood level.

Rubramin Pc | Cyanocobalamin Injection Breastfeeding Analsys

Cyanocobalamin while Breastfeeding


CAS Number: 68-19-9

Vitamin B12 exists naturally in milk at a concentration of 1 nanogram / mL (range: 0.3 to 3 ng / mL). Maternal supplementation with cyanocobalamin barely increases milk levels in well-nourished women (Sandberg 1981), but it does improve the levels in women of low socioeconomic status (Sneed 1981). The concentration in colostrum is up to 28 times higher than that of mature milk.The daily requirements for Vitamin B12 are 2.4 micrograms and increase to 2.8 micrograms daily during breastfeeding. Foods rich in vitamin B12 are meat, offal, eggs, dairy products, salmon, sardines, clams and fortified cereals. With a varied and balanced diet no vitamin supplements are needed, but B12 deficiency has been observed in the plasma and milk of women with strict vegetarian diets (vegans), malabsorptive diseases (eg, Crohn's disease, celiac disease), bariatric surgery, poor nutritional status, pernicious anemia, low socio-economic status and in cases of natural disasters or wars. There are numerous publications showing that infants of these mothers are at high risk of disease due to vitamin B12 deficiency, which can lead to anemia, stunting and psychomotor retardation. "Flash pasteurization" applied to breast milk of mothers who are HIV+ does not decrease vitamin B12 concentration. American Academy of Pediatrics: medication usually compatible with breastfeeding (AAP 2001).

Rubramin Pc | Cyanocobalamin Injection Breastfeeding Analsys - 2

Cyanocobalamin while Breastfeeding

CAS Number: 68-19-9

Is Rubramin Pc | Cyanocobalamin Injection safe while breastfeeding

Vitamin B12 is a normal component of human milk.[1] The recommended daily intake in lactating women is 2.8 mcg and for infants aged 6 months or less is 0.4 mcg.[2] Lactating mothers may need to supplement their diet to achieve the recommended daily intake or to correct a known deficiency. Low doses of vitamin B12 found in B complex or prenatal vitamins increase milk levels only slightly. Higher daily doses of 50 to 100 mcg or more are needed in cases of maternal deficiency. The breastfed infant is not exposed to excessive vitamin B12 in such cases, and their vitamin B12 status should improve if it was previously inadequate. Poor health outcomes in infants with vitamin B12 deficiency include anemia, abnormal skin and hair development, convulsions, failure to thrive, and mental developmental delay. One well-recognized at risk group are exclusively breastfed infants of mothers with B12 deficiency due to minimal or no dietary intake of animal products.[3][4][5][6][7][8][9] Infant vitamin B12 status can be improved through maternal B12 supplementation during pregnancy and lactation.[10][11][12][13] Deficient mothers who miss the opportunity to supplement during pregnancy should still be encouraged to supplement during early lactation since infant vitamin B12 status correlates with milk vitamin B12 levels in breastfed infants up to 6 months of age.[14][15][16][17] Although there are cases reported of exclusively breastfed infants with vitamin B12 deficiency having biochemical and clinical improvement through adequate maternal supplementation alone,[3] direct supplementation of the infant is recommended when such treatments are available.[18][19][8] Flash heat pasteurization of breastmilk does not reduce milk vitamin B12 concentration.[20]

Rubramin Pc | Cyanocobalamin Injection safe for breastfeeding

What if I already have used Rubramin Pc | Cyanocobalamin Injection?

Rubramin Pc | Cyanocobalamin Injection is safe in breastfeeding and should not create any health problem for your baby but in case you feel any health issue associated with Rubramin Pc | Cyanocobalamin Injection you should contact your doctor or health care provider. Be it pregnancy or lactation you shall keep your doctor informed.

I am nursing mother and my doctor has suggested me to use Rubramin Pc | Cyanocobalamin Injection, is it safe?

Usage of Rubramin Pc | Cyanocobalamin Injection is safe for nursing mothers and baby, No worries.

If I am using Rubramin Pc | Cyanocobalamin Injection, will my baby need extra monitoring?


Who can I talk to if I have questions about usage of Rubramin Pc | Cyanocobalamin Injection in breastfeeding?

National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday

National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700

National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week

Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week