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It is important to consult with a healthcare professional before beginning any new treatment

You may be able to bring the full syringe to your pharmacy so they can replace it

Allow to dry

Certain medications such as Metformin, H2-receptor antagonists including Zantac (Ranitidine), Tagamet(Cimetedine), Famotidine, Pepcid AC (Oral Pepcid), Axid AR (Nizatidine), Proton pump inhibitors (PPIs)including Prilosec (Omeprazole), Nexium (Esomeprazole), Prevacid (Lanzoprazole) and Antacids e.g:Gaviscon can also affect your ability to absorb vitamin B12

While this medicine doesnt affect birth control effectiveness, it may lead to higher levels of hormones when taken at the same time as the pill, which could lead to more birth control side effects [5]