Cobaswift

Cobaswift NS Nasal Spray is used for the treatment and maintenance of vitamin B12 deficiency to help restore and maintain healthy B12 levels in the body.

No, folic acid is not a substitute for vitamin B12. Using folic acid alone can improve blood parameters but allow vitamin B12-related nerve damage to progress, so both folic acid and vitamin B12 status must be properly assessed and treated when indicated.

Before starting Cobaswift NS Nasal Spray, doctors typically check hematocrit, reticulocyte count, vitamin B12, folate, and iron levels. Vitamin B12 levels should be rechecked about one month after starting this medicine or after dose adjustments. Ongoing low levels may mean Cobaswift NS Nasal Spray dosing needs to increase or that this route is not suitable for the patient.

The effectiveness of Cobaswift NS Nasal Spray has not been determined in patients with nasal congestion, allergic rhinitis, or upper respiratory infections, so treatment should be postponed until nasal symptoms have resolved to ensure proper absorption.

If maintenance with Cobaswift NS Nasal Spray is inadequate, your doctor may advise intramuscular vitamin B12 for proper treatment, and individualized regimens should be guided by doctor follow-up and lab results. Additionally, Cobaswift NS Nasal Spray solution may be pink to red and may temporarily color nasal secretions, which is expected and should pass without harm.