hydroxycobalamin

Orphan DrugFDA Approved, EMA Approved

Description

Hydroxycobalamin is a precursor of vitamin B12 with higher tissue retention than cyanocobalamin. It is used in the treatment of methylmalonic acidemia and combined malonic and methylmalonic acidemia by serving as a cofactor for methylmalonyl-CoA mutase. The drug helps convert methylmalonyl-CoA to succinyl-CoA, reducing toxic metabolite accumulation.

Indications & Therapeutic Use

methylmalonic acidemia, combined malonic and methylmalonic acidemia, cyanide poisoning, vitamin B12 deficiency

Global Availability (8 countries)

CountryAccess RouteRegulatory PathwayLead TimeStatus

Available Through

This drug is available for procurement through the following fulfilment partner.

Fulfilment Partner
hydroxycobalamin
Generic Namehydroxycobalamin
Brands1 brand available
Active Ingredienthydroxocobalamin
Drug Classmethylmalonic acidemia
ManufacturerRecordati Rare Diseases
Dosage Formsintramuscular injection 1000 mcg/mL, intravenous infusion 2.5 g/vial
Medical CodeV03AB33
Orphan StatusYes — Orphan Drug
Cold ChainNot Required
Lead Time14 days
Reg. StatusFDA Approved, EMA Approved
Countries8 countries
Authority Signals
Last Verified3/21/2026
Data ConfidenceHigh (AI + Pharmacist)
Source Citations9 Validated Nodes