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2025 [cited 31 Dec 2025] Cyanocobalamin (intramuscular route)-Description and Brand Names - Mayo Clinic [Internet]

8.12 Summary of Evaluation 8.12.1 Indications 4-DMAP should only be given to patients poisoned with cyanide who are in a deep coma and who have dilated non-reactive pupils and deteriorating cardio-respiratory function

However recent studies recognized that the disorder is related to hormones and metabolism

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