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vomiting The following Cyanocobalamin (Dodex) side effects have also been reported Side effects that you should report to your care team as soon as possible: Allergic reactionsskin rash, itching, hives, swelling of the face, lips, tongue, or throat Swelling of the ankles, hands, or feet Trouble breathing Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): Get your GoodRx coupon Pros and cons of Cyanocobalamin (Dodex) Pros Works well to raise vitamin B12 levels Typically given once daily to once monthly Can be used in children Cons Needs to be injected under the skin or into the muscle, which can be uncomfortable Typically lifelong treatment with injections for pernicious anemia Can cause aluminum toxicity since it contains aluminum Pharmacist tips for Cyanocobalamin (Dodex) If your provider says it's okay to give yourself cyanocobalamin (Dodex) at home, make sure you understand how to give yourself the injections properly