Hydroxycobalamin is a physiologic analog of Vitamin B12 (B12a) where the CN group is replaced by OH. The molecule will subsequently bind cyanide and cyanide containing compounds to form cyanocobalamin and eliminate excess bound product through the urine. It is used to treat cyanide poisoning as well as poisonings resulting from Acrylonitrile, Nitroprusside, Latrile, Acacia (Acacia), Giant Elephant’s Ear (Alocasia), Elderberry (Sambucus), Goosefoot and Wormseed (Chenopodium), Suckleya (Suckleya), Sundew (Drosera), Eucalyptus (Eucalyptus), Cassava
(Manihot), Stillingia (Stillingia), Wonder Bean (Canavalia), Bird’s-foot Trefoil and Nevada Deer Vetch (Lotus), Clovers (Trifolium), Hydrangea
(Hydrangea), Rushes (Juncus), Bamboo (Nandina),
Stargrass/Bermudagrass (Cynodon), Mannagrass (Glyceria), Switchgrass, Kleingrass, and Millet
(Panicum), Canarygrass (Phalaris), Indiangrass
(Sorghastrum), Sorghum and
Sudangrass(Sorghum), Buttercup (Ranunculus), Serviceberry, Shadebush, and Juneberry
(Amelanchier), Mountain Mahogany (Cercocarpus), Cotoneaster (Contoneaster), Christmas Berry (California Holly)(Heteromeles), Apricot, Cherry and Chokecherry, Almond, Peach, and Mock Orange (Prunus), Firethorn (Pyracantha), Jetbead (Rhodotypos), Spirea (Bridal Wreath) (Spirea), Yew (Taxus), and Arrowgrass (Triglochin).
Cyanide Poisoning