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Methylcobalamin

VITAMIN B12

Methylcobalamin ballicule: receptor binding, kinetics and half-life diagram
Mechanism of action: Methylcobalamin ballicule

What it isThe methyl coenzyme form of vitamin B12, cofactor for methionine synthase.

Why it mattersIt is the form required to remethylate homocysteine, which is why B12 deficiency raises homocysteine.

What it changesNo proven advantage over cyanocobalamin for ordinary repletion, despite marketing to the contrary.

Methylcobalamin molecular structure (skeletal formula)
Molecular structure: Methylcobalamin

FDA-approved for

Off-label

Available strengths

NO BOXED WARNINGS

Principal riskNo proven advantage over cyanocobalamin for correcting deficiency; the difference is largely mar

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

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