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2008 May;23 Suppl 2:3-7

Univ California Press

1 The Components of Each CYANOKIT Each CYANOKIT consists of 1 : Dosing and Administration for CYANOKIT Recommended Dosing for CYANOKIT 1 The starting dose of CYANOKIT for adults is 5 g (contained in a single vial), administered by IV infusion over 15 minutes (approximately 15 mL/min)* Depending upon the severity of the poisoning and the clinical response, a second dose of 5 g may be administered by IV infusion up to a total dose of 10 g The rate of infusion for a potential second dose may range from 15 minutes (for patients in extremis) to 2 hours, as clinically indicated *No safety and efficacy studies have been performed in pediatric patients

DSIP is a nonapeptide with the formula CHNO and a molecular weight of 848.82 Da

Recently, a double blinded randomised controlled trial was published in which participants were administered either methyl-cobalamin or placebo for 6 weeks and then their treatment switched without washout for a further 6 weeks [64]