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Description
The neurotropic vitamins B1, B6 and B12 are the unsung heroes of nerve health
The dosing regimen varies depending on whether neurological symptoms are present: With neurological involvement: 1 mg intramuscularly on alternate days until no further improvement, then 1 mg every 2 months [3] [4] Without neurological involvement: 1 mg intramuscularly three times a week for 2 weeks, then 1 mg every 2-3 months for maintenance [3] [4] There is some evidence that high-dose oral B12 (1000-2000 micrograms daily) may be effective even in some malabsorption conditions, though UK practice still generally favours intramuscular treatment in these cases

Seek urgent medical attention if you develop sudden or severe neurological symptoms, such as significant weakness, loss of coordination, visual disturbances, or confusion, as these may indicate more serious neurological complications requiring immediate assessment

For example, when a 3-month-old infant weighing less than 5 kg is administered a 0.5 mL dose of nirsevimab during an RSV prophylaxis appointment, the healthcare provider would use code 90380 to bill for this specific dosage

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