
Since then, suicides linked to sales of the preservative through Amazon have continued. “I’ve already notified Amazon and they said they would help with this but they have not.” “Please stop selling this product,” began one review, posted on Amazon in July 2019 by a person who wrote that a niece had used it to kill herself. A food preservative sold by the online retailer and other e-commerce sites was being used as a poison to die by suicide.

There are risks to the pregnant woman and fetus associated with untreated cyanide poisoning. Available data from cases reported in the published literature and postmarketing surveillance with CYANOKIT use in pregnant women are insufficient to identify a drug-associated risk for major birth defects, miscarriage, or adverse maternal and fetal outcomes.
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While it is not known if the skin redness predisposes to photosensitivity, patients should be advised to avoid direct sun while their skin remains discolored. It therefore has potential to cause photosensitivity. Hydroxocobalamin absorbs visible light in the UV spectrum.This should be considered before hemodialysis is initiated in patients treated with hydroxocobalamin. Because of its deep red color, hydroxocobalamin may cause hemodialysis machines to shut down due to an erroneous detection of a “blood leak”.While determination of blood cyanide concentration is not required for management of cyanide poisoning and should not delay treatment with CYANOKIT, collecting a pretreatment blood sample may be useful for documenting cyanide poisoning as sampling post-CYANOKIT use may be inaccurate.Be aware of this when reporting and interpreting laboratory results. Because of its deep red color, hydroxocobalamin has been found to interfere with colorimetric determination of certain laboratory parameters (e.g., clinical chemistry, hematology, coagulation, and urine parameters).

Substantial increases in blood pressure may occur following CYANOKIT therapy.Monitor renal function for 7 days following CYANOKIT therapy.

