Nascobal and Weed

{Fulldrug} and Weed

Authored by Pin Ng PhD

Edited by Hugh Soames

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Nascobal and Weed


Most people who consume marijuana do so for its mood-altering and relaxing abilities. Weed gives people a high and allows them to relax. However, heavy consumption of weed can cause unwanted results. It can increase the anxiety and depression a person experiences, and it can interact with certain other drugs including Nascobal. It is important to remember that interactions do occur with all types of drugs, to a great or lesser extent and this article details the interactions of mixing Nascobal and Weed.


Mixing Nascobal and Weed


Cyanocobalamin is a form of vitamin B
used to treat vitamin B
deficiency except in the presence of cyanide toxicity. The deficiency may occur in pernicious anemia, following surgical removal of the stomach, with fish tapeworm, or due to bowel cancer. It is less preferred than hydroxocobalamin for treating vitamin B
deficiency. Some study have shown that it has an antihypotensive effect. It is used by mouth, by injection into a muscle, or as a nasal spray.

Cyanocobalamin is generally well tolerated. Minor side effects may include diarrhea and itchiness. Serious side effects may include anaphylaxis, low blood potassium, and heart failure. Use is not recommended in those who are allergic to cobalt or have Leber’s disease. Vitamin B
is an essential nutrient meaning that it cannot be made by the body but is required for life.

Cyanocobalamin was first manufactured in the 1940s. It is available as a generic medication and over the counter. In 2020, it was the 105th most commonly prescribed medication in the United States, with more than 6 million prescriptions.

Cyanocobalamin is usually prescribed after surgical removal of part or all of the stomach or intestine to ensure adequate serum levels of vitamin B
. It is also used to treat pernicious anemia, vitamin B
deficiency (due to low intake from food or inability to absorb due to genetic or other factors), thyrotoxicosis, hemorrhage, malignancy, liver disease and kidney disease. Cyanocobalamin injections are often prescribed to gastric bypass patients who have had part of their small intestine bypassed, making it difficult for B
to be acquired via food or vitamins. Cyanocobalamin is also used to perform the Schilling test to check ability to absorb vitamin B

Cyanocobalamin is also produced in the body (and then excreted via urine) after intravenous hydroxycobalamin is used to treat cyanide poisoning.

Possible side effects of cyanocobalamin injection include allergic reactions such as hives, difficult breathing; redness of the face; swelling of the arms, hands, feet, ankles or lower legs; extreme thirst; and diarrhea. Less-serious side effects may include headache, dizziness, leg pain, itching, or rash.

Treatment of megaloblastic anemia with concurrent vitamin B
deficiency using B
vitamers (including cyanocobalamin), creates the possibility of hypokalemia due to increased erythropoiesis (red blood cell production) and consequent cellular uptake of potassium upon anemia resolution. When treated with cyanocobalamin, patients with Leber’s disease may develop serious optic atrophy, possibly leading to blindness.

Vitamin B
is the “generic descriptor” name for any vitamers of vitamin B
. Animals, including humans, can convert cyanocobalamin to any one of the active vitamin B

Cyanocobalamin is one of the most widely manufactured vitamers in the vitamin B
family (the family of chemicals that function as B
when put into the body), because cyanocobalamin is the most air-stable of the B
forms. It is the easiest to crystallize and therefore easiest to purify after it is produced by bacterial fermentation. It can be obtained as dark red crystals or as an amorphous red powder. Cyanocobalamin is hygroscopic in the anhydrous form, and sparingly soluble in water (1:80). It is stable to autoclaving for short periods at 121 °C (250 °F). The vitamin B
coenzymes are unstable in light. After consumption the cyanide ligand is replaced by other groups (adenosyl, methyl) to produce the biologically active forms. The cyanide is converted to thiocyanate and excreted by the kidney.

In the cobalamins, cobalt normally exists in the trivalent state, Co(III). However, under reducing conditions, the cobalt center is reduced to Co(II) or even Co(I), which are usually denoted as B
and B
, for reduced and super reduced, respectively.

and B
can be prepared from cyanocobalamin by controlled potential reduction, or chemical reduction using sodium borohydride in alkaline solution, zinc in acetic acid, or by the action of thiols. Both B
and B
are stable indefinitely under oxygen-free conditions. B
appears orange-brown in solution, while B
appears bluish-green under natural daylight, and purple under artificial light.

is one of the most nucleophilic species known in aqueous solution. This property allows the convenient preparation of cobalamin analogs with different substituents, via nucleophilic attack on alkyl halides and vinyl halides.

For example, cyanocobalamin can be converted to its analog cobalamins via reduction to B
, followed by the addition of the corresponding alkyl halides, acyl halides, alkene or alkyne. Steric hindrance is the major limiting factor in the synthesis of the B
coenzyme analogs. For example, no reaction occurs between neopentyl chloride and B
, whereas the secondary alkyl halide analogs are too unstable to be isolated. This effect may be due to the strong coordination between benzimidazole and the central cobalt atom, pulling it down into the plane of the corrin ring. The trans effect determines the polarizability of the Co–C bond so formed. However, once the benzimidazole is detached from cobalt by quaternization with methyl iodide, it is replaced by H
or hydroxyl ions. Various secondary alkyl halides are then readily attacked by the modified B
to give the corresponding stable cobalamin analogs. The products are usually extracted and purified by phenol-methylene chloride extraction or by column chromatography.

Cobalamin analogs prepared by this method include the naturally occurring coenzymes methylcobalamin and cobamamide, and other cobalamins that do not occur naturally, such as vinylcobalamin, carboxymethylcobalamin and cyclohexylcobalamin. This reaction is under review for use as a catalyst for chemical dehalogenation, organic reagent and photosensitized catalyst systems.

Cyanocobalamin is commercially prepared by bacterial fermentation. Fermentation by a variety of microorganisms yields a mixture of methylcobalamin, hydroxocobalamin and adenosylcobalamin. These compounds are converted to cyanocobalamin by addition of potassium cyanide in the presence of sodium nitrite and heat. Since multiple species of Propionibacterium produce no exotoxins or endotoxins and have been granted GRAS status (generally regarded as safe) by the United States Food and Drug Administration, they are the preferred bacterial fermentation organisms for vitamin B

Historically, the physiological form was initially thought to be cyanocobalamin. This was because hydroxocobalamin produced by bacteria was changed to cyanocobalamin during purification in activated charcoal columns after separation from the bacterial cultures (because cyanide is naturally present in activated charcoal). Cyanocobalamin is the form in most pharmaceutical preparations because adding cyanide stabilizes the molecule.

The total world production of vitamin B12, by four companies (the French Sanofi-Aventis and three Chinese companies) in 2008 was 35 tonnes.

The two bioactive forms of vitamin B
are methylcobalamin in cytosol and adenosylcobalamin in mitochondria. Multivitamins often contain cyanocobalamin, which is presumably converted to bioactive forms in the body. Both methylcobalamin and adenosylcobalamin are commercially available as supplement pills. The MMACHC gene product catalyzes the decyanation of cyanocobalamin as well as the dealkylation of alkylcobalamins including methylcobalamin and adenosylcobalamin. This function has also been attributed to cobalamin reductases. The MMACHC gene product and cobalamin reductases enable the interconversion of cyano- and alkylcobalamins.

Cyanocobalamin is added to fortify nutrition, including baby milk powder, breakfast cereals and energy drinks for humans, also animal feed for poultry, swine and fish. Vitamin B
becomes inactive due to hydrogen cyanide and nitric oxide in cigarette smoke. Vitamin B
also becomes inactive due to nitrous oxide N
commonly known as laughing gas, used for anaesthesia and as a recreational drug. Vitamin B
becomes inactive due to microwaving or other forms of heating.

Methylcobalamin and 5-methyltetrahydrofolate are needed by methionine synthase in the methionine cycle to transfer a methyl group from 5-methyltetrahydrofolate to homocysteine, thereby generating tetrahydrofolate (THF) and methionine, which is used to make SAMe. SAMe is the universal methyl donor and is used for DNA methylation and to make phospholipid membranes, choline, sphingomyelin, acetylcholine, and other neurotransmitters.

The enzymes that use B
as a built-in cofactor are methylmalonyl-CoA mutase (PDB 4REQ) and methionine synthase (PDB 1Q8J).

The metabolism of propionyl-CoA occurs in the mitochondria and requires Vitamin B
(as adenosylcobalamin) to make succinyl-CoA. When the conversion of propionyl-CoA to succinyl-CoA in the mitochondria fails due to Vitamin B
deficiency, elevated blood levels of methylmalonic acid (MMA) occur. Thus, elevated blood levels of homocysteine and MMA may both be indicators of vitamin B

Adenosylcobalamin is needed as cofactor in methylmalonyl-CoA mutase—MUT enzyme. Processing of cholesterol and protein gives propionyl-CoA that is converted to methylmalonyl-CoA, which is used by MUT enzyme to make succinyl-CoA. Vitamin B
is needed to prevent anemia, since making porphyrin and heme in mitochondria for producing hemoglobin in red blood cells depends on succinyl-CoA made by vitamin B

Inadequate absorption of vitamin B
may be related to coeliac disease. Intestinal absorption of vitamin B
requires successively three different protein molecules: haptocorrin, intrinsic factor and transcobalamin II.


Research has found that anxiety is one of the leading symptoms created by marijuana in users, and that there is a correlation between Nascobal and Weed and an increase in anxiety.


Anyone mixing Nascobal and weed is likely to experience side effects. This happens with all medications whether weed or Nascobal is mixed with them. Side effects can be harmful when mixing Nascobal and weed. Doctors are likely to refuse a patient a Nascobal prescription if the individual is a weed smoker or user. Of course, this could be due to the lack of studies and research completed on the mixing of Nascobal and Weed.


Heavy, long-term weed use is harmful for people. It alters the brain’s functions and structure, and all pharmaceuticals and drugs including Nascobal are designed to have an impact on the brain. There is a misplaced belief that pharmaceuticals and medication work by treating only the parts of the body affected yet this is obviously not the case in terms of Nascobal. For example, simple painkiller medication does not heal the injury, it simply interrupts the brains functions to receive the pain cause by the injury. To say then that two drugs, Nascobal and Weed, dol not interact is wrong. There will always be an interaction between Nascobal and Weed in the brain11.J. D. Brown and A. G. Winterstein, Potential Adverse Drug Events and Drug–Drug Interactions with Medical and Consumer Cannabidiol (CBD) Use – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from


One of the milder side effects of mixing Nascobal and Weed is Scromiting. This condition, reportedly caused by mixing Nascobal and Weed, describes a marijuana-induced condition where the user experiences episodes of violent vomiting, which are often so severe and painful that they cause the person to scream. The medical term for Scromiting by mixing Nascobal and Weed is cannabinoid hyperemesis syndrome, or CHS.  For these reasons, some people choose to quit smoking weed.


It was first included in scientific reports in 2004. Since then, researchers have determined that Scromiting is the result of ongoing, long-term use of marijuana—particularly when the drug contains high levels of THC, marijuana’s main psychoactive ingredient. Some experts believe that the receptors in the gut become overstimulated by THC, thus causing the repeated cycles of vomiting.


In the long run, a person can become even more depressed. There is a belief that marijuana is all-natural and not harmful to a person’s health. This is not true and Nascobal and weed can cause health issues the more a person consumes it.


How does Weed effect the potency of Nascobal?


The way in which the body absorbs and process Nascobal may be affected by weed. Therefore, the potency of the Nascobal may be less effective. Marijuana inhibits the metabolization of Nascobal. Not having the right potency of Nascobal means a person may either have a delay in the relief of their underlying symptoms.


A person seeking Nascobal medication that uses weed should speak to their doctor. It is important the doctor knows about a patient’s weed use, so they can prescribe the right Nascobal medication and strength. Or depending on level of interactions they may opt to prescribe a totally different medication. It is important for the doctor to know about their patient’s marijuana use. Weed is being legalized around the US, so doctors should be open to speaking about a patient’s use of it.


Sideffects of Nascobal and Weed


Many individuals may not realize that there are side effects and consequences to mixing Nascobal and Weed such as:


  • Dizziness
  • Sluggishness
  • Drowsiness
  • Shortness of breath
  • Itching
  • Hives
  • Palpitations
  • Respiratory Depression
  • Cardiac Arrest
  • Coma
  • Seizures
  • Death


Interestingly, it is impossible to tell what effect mixing this substance with Weed will have on an individual due to their own unique genetic make up and tolerance. It is never advisable to mix Nascobal and Weed due to the chances of mild, moderate and severe side effects. If you are having an adverse reaction from mixing Nascobal and Weed it’s imperative that you head to your local emergency room. Even mixing a small amount of Nascobal and Weed is not recommended.


Taking Nascobal and Weed together


People who take Nascobal and Weed together will experience the effects of both substances. Technically, the specific effects and reactions that occur due to frequent use of Nascobal and weed depend on whether you consume more weed in relation to Nascobal or more Nascobal in relation to weed.


The use of significantly more weed and Nascobal will lead to sedation and lethargy, as well as the synergistic effects resulting from a mixture of the two medications.


People who take both weed and Nascobal may experience effects such as:


  • reduced motor reflexes from Nascobal and Weed
  • dizziness from Weed and Nascobal
  • nausea and vomiting due to Nascobal and Weed


Some people may also experience more euphoria, depression, irritability or all three. A combination of weed and Nascobal leads to significantly more lethargy which can easily tip over into coma, respiratory depression seizures and death.

Mixing weed and Nascobal


The primary effect of weed is influenced by an increase in the concentration of the inhibitory neurotransmitter GABA, which is found in the spinal cord and brain stem, and by a reduction in its effect on neuronal transmitters. When weed is combined with Nascobal this primary effect is exaggerated, increasing the strain on the body with unpredictable results.


Weed and Nascobal affects dopamine levels in the brain, causing the body both mental and physical distress. Larger amounts of Nascobal and weed have a greater adverse effect yet leading medical recommendation is that smaller does of Nascobal can be just as harmful and there is no way of knowing exactly how Nascobal and weed is going to affect an individual before they take it.


Taking Nascobal and weed together


People who take Nascobal and weed together will experience the effects of both substances. The use of significantly more Nascobal with weed will lead to sedation and lethargy, as well as the synergistic effects resulting from a mixture of the two medications.


People who take both weed and Nascobal may experience effects such as:


  • reduced motor reflexes from Nascobal and weed
  • dizziness from weed and Nascobal
  • nausea and vomiting of the Nascobal


Some people may also experience more euphoria, depression, irritability or all three. A combination of weed and Nascobal leads to significantly more lethargy which can easily tip over into coma, respiratory depression seizures and death.

Weed Vs Nascobal


Taking Nascobal in sufficient quantities increases the risk of a heart failure. Additionally, people under the influence of Nascobal and weed may have difficulty forming new memories. With weed vs Nascobal in an individual’s system they become confused and do not understand their environment. Due to the synergistic properties of Nascobal when mixed with weed it can lead to confusion, anxiety, depression and other mental disorders. Chronic use of Nascobal and weed can lead to permanent changes in the brain22.G. Lafaye, L. Karila, L. Blecha and A. Benyamina, Cannabis, cannabinoids, and health – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from


Nascobal Vs Weed


Studies investigating the effects of drugs such as Nascobal and weed have shown that the potential for parasomnia (performing tasks in sleep) is dramatically increased when Nascobal and weed are combined. Severe and dangerous side effects can occur when medications are mixed in the system, and sleep disorders are a common side effect of taking weed and Nascobal together.


When a small to medium amount of weed is combined with Nascobal, sleep disorders such as sleep apnea can occur. According to the latest data from the US Centers for Disease Control and Prevention (CDC) most ER visits and hospitalizations caused by too much weed were associated with other substances such as Nascobal.


How long after taking Nascobal can I smoke weed or take edibles?


To avoid any residual toxicity it is advisable to wait until the Nascobal has totally cleared your system before taking weed, even in small quantities.


Overdose on Nascobal and weed


In the case of Overdose on Nascobal or if you are worried after mixing Nascobal and weed, call a first responder or proceed to the nearest Emergency Room immediately.


If you are worried about someone who has taken too much Nascobal or mixed weed with Nascobal then call a first responder or take them to get immediate medical help. The best place for you or someone you care about in the case of a medical emergency is under medical supervision. Be sure to tell the medical team that there is a mix of Nascobal and weed in their system.


Excessive Weed intake and result in scromiting, chs, and anxiety disorder.  It is advisable to quit vaping weed if you are feeling these symptoms.

Mixing Nascobal and weed and antidepressants


Weed users feeling depressed and anxious may be prescribed antidepressant medication. There are some antidepressant users who also use Nascobal and weed. These individuals may not realize that there are side effects and consequences to consuming both Nascobal, marijuana and a range of antidepressants.


Studies on weed, Nascobal and antidepressants is almost nil. The reason for so little information on the side effects of the two is mostly down to marijuana being illegal in most places – although a number of states in the United States have legalized the drug.


Self-medicating with Weed and Nascobal


A lot of people suffer from depression caused by weed and Nascobal. How many? According to Anxiety and Depression Association of America (ADAA), in any given year, it is estimated that nearly 16 million adults experience depression. Unfortunately, that number is likely to be wrong due to under reporting. Many people do not report suffering from depression because they do not want to be looked at as suffering from a mental illness. The stigmas around mental health continue and people do not want to be labeled as depressed.


Potential side effects from mixing Nascobal and weed


Quitting weed to take Nascobal


Medical professionals say an individual prescribed or taking Nascobal should not stop using weed cold turkey.  Withdrawal symptoms can be significant. Heavy pot users should especially avoid going cold turkey. The side effects of withdrawal from weed include anxiety, irritability, loss of sleep, change of appetite, and depression by quitting weed cold turkey and starting to take Nascobal.


A person beginning to use Nascobal should cut back on weed slowly. While reducing the amount of weed use, combine it with mindfulness techniques and/or yoga. Experts stress that non-medication can greatly improve a person’s mood.


Weed and Nascobal can affect a person in various ways. Different types of marijuana produce different side effects. Side effects of weed and Nascobal may include:


  • loss of motor skills
  • poor or lack of coordination
  • lowered blood pressure
  • short-term memory loss
  • increased heart rate
  • increased blood pressure
  • anxiety
  • paranoia
  • increased energy
  • increased motivation


Mixing Nascobal and weed can also produce hallucinations in users. This makes marijuana a hallucinogenic for some users. Weed creates different side effects in different people, making it a very potent drug. Now, mixing Nascobal or other mental health drugs with weed can cause even more unwanted side effects.


Mixing drugs and weed conclusion


Long-term weed use can make depression and anxiety worse. In addition, using marijuana can prevent Nascobal from working to their full potential33.J. D. Brown and A. G. Winterstein, Potential Adverse Drug Events and Drug–Drug Interactions with Medical and Consumer Cannabidiol (CBD) Use – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from Weed consumption should be reduced gradually to get the most out of prescription medication. Marijuana is a drug and it is harmful to individual’s long-term health. Weed has many side effects and the consequences are different to each person who uses it, especially when mixed with Nascobal.


If you take Nascobal, and also drink Alcohol or MDMA, you can research the effects of Nascobal and Alcohol , Nascobal and Cocaine as well as Nascobal and MDMA here.


To find the effects of other drugs and weed refer to our Weed and Other Drugs Index A to L or our Weed and Other Drugs Index M-Z.

Or you could find what you are looking for in our Alcohol and Interactions with Other Drugs index A to L or Alcohol and Interactions with Other Drugs index M to Z , Cocaine and Interactions with Other Drugs index A to L or Cocaine and Interactions with Other Drugs index M to Z or our MDMA and Interactions with Other Drugs Index A to L or MDMA and Interactions with Other Drugs Index M to Z.


Nascobal and Weed

Nascobal and Weed

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  • 1
    1.J. D. Brown and A. G. Winterstein, Potential Adverse Drug Events and Drug–Drug Interactions with Medical and Consumer Cannabidiol (CBD) Use – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from
  • 2
    2.G. Lafaye, L. Karila, L. Blecha and A. Benyamina, Cannabis, cannabinoids, and health – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from
  • 3
    3.J. D. Brown and A. G. Winterstein, Potential Adverse Drug Events and Drug–Drug Interactions with Medical and Consumer Cannabidiol (CBD) Use – PMC, PubMed Central (PMC).; Retrieved September 27, 2022, from