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Common Side Effects of Dexamethasone, Lidocaine HCl, Thiamine HCl & Cyanocobalamin Injection Mild injection site reactions (redness, pain) Dizziness, drowsiness Rare: Allergic reaction to any of the components Long-term corticosteroid use may lead to adrenal suppression (monitor accordingly) Note: Should only be administered under healthcare supervision

Allow 1015 minutes for full dissolution of a multi-component cake

Label every vial with both the compound name and dose units to avoid 1,000x errors

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If B12 levels stay low, we might increase the dosage or how often shots are given