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Over-the-counter medication · Active Vitamin B12

methylcobalamin

Also sold as Methyl B12. This medicine may help with weight support.

Data updated 2026-05-15

1
InteractionFew interactions
5
Recall records

What the data shows

methylcobalamin (Methyl B12) is an over-the-counter Active Vitamin B12, with 1 documented drug interaction.

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

methylcobalamin (Methyl B12) is an over-the-counter Active Vitamin B12. This medicine may help with weight support.

Methyl B12 is a form of vitamin B12. It may help with weight support and increased appetite.

View Alternatives → Compare with Another Drug →

What it does

This medicine may help with weight support.

Common side effects

No common side effects listed.

Key warnings

No specific warnings noted. Always follow your prescriber's instructions.

The sections below are summarized in plain English from methylcobalamin's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How to Take It

Place 1 to 10 drops under your tongue. Do this 3 times a day. Or, take it as your doctor tells you to. If you are under 12, ask a doctor before using this medicine.

This is a plain-language summary of methylcobalamin's FDA labeling, not individualized dosing advice. Ask a pharmacist or prescriber before changing how you take this medication.

Known Drug Interactions

Drugs which may interact with vitamin B 12 (Methylcobalamin): • Antibiotics, cholestyramine, colchicines, colestipol, metformin, para-aminosalicylic, and potassium chloride may decrease the absorption of vitamin B 12 .

Mechanism: Both of these products contain vitamin B12, so taking them together increases the total amount of this vitamin in your body.

What to do: Check with your doctor or pharmacist to make sure your total vitamin B12 intake is safe and appropriate for you.

This is a plain-language summary of interactions documented in FDA labeling, not individualized advice. Ask a pharmacist or prescriber before combining medications.

Common Questions

What is this medicine used for?
It is used for temporary relief of symptoms like weight support and increased appetite.
How many times a day should I take this?
Take 1 to 10 drops under the tongue 3 times a day.
Can children take this medicine?
Ask a doctor before giving this to children under 12 years old.
Is this medicine approved by the FDA?
The statements about this medicine have not been reviewed by the Food and Drug Administration.
Should I talk to my doctor before taking this?
Yes, consult a health professional for directions.
Does methylcobalamin interact with other medications?
Yes, methylcobalamin has 1 known drug interactions. Notable interactions include prenatal multivitamin. Always inform your doctor about all medications you are taking.
What drug class is methylcobalamin?
methylcobalamin belongs to the Active Vitamin B12 drug class. It is available over the counter (OTC). This medicine may help with weight support.
Has methylcobalamin been recalled?
There are 5 recalls associated with methylcobalamin products. Lack of Assurance of Sterility. Check the recalls section below for full details and affected products.

Active Recalls

Class II May 21, 2025

Lack of Assurance of Sterility

Thrive Health and Wellness, LLC, dba Thrive Health Solutions (Colorado)

Class II October 7, 2022

Lack of Assurance of Sterility: FDA inspection found the recalled products were produced in a manner than cannot guarantee the sterility of the products purported to be sterile.

Pharmacy Plus, Inc. dba Vital Care Compounder

Class II March 7, 2022

Lack of Assurance of Sterility

TMC Acquisition LLC dba Tailor Made Compounding

Class II March 7, 2022

Lack of Assurance of Sterility

TMC Acquisition LLC dba Tailor Made Compounding

Class II May 29, 2013

Lack of Assurance of Sterility: FDA inspection findings resulted in concerns regarding quality control processes

Lowlite Investments, Inc. D/B/A Olympia Pharmacy

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Medication Guides

What the FDA Data Shows for methylcobalamin

The FDA label for methylcobalamin (sold under brand names such as Methyl B12) classifies it as an over-the-counter product in the Active Vitamin B12 class. This medicine may help with weight support. Labeling covers dosing, contraindications, and monitoring requirements derived from clinical trials.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. Voluntary reports accumulate over the lifetime of a drug and reflect wide-ranging clinical use. The database also lists 1 documented drug interaction derived from FDA labeling, with the top-flagged interaction rated minor severity. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 5 recall records on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice, always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: October 23, 2024

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled and last refreshed May 2026. See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a correction.

All federal data sources used on this page