Important Safety Information: Myers’ Cocktail | IM Micronutrient Parenteral Therapy | Compounded Injectable
What is this?
This Important Safety Information summarizes key warnings and precautions for Myers’ Cocktail IM Micronutrient Parenteral Therapy, a compounded injectable blend of vitamins and minerals administered via intramuscular (IM) injection. Myers’ Cocktail is commonly used to support patients with poor oral nutrient absorption or those requiring more rapid therapeutic benefit than oral supplementation may provide.
This compounded formulation is not reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety or efficacy and should only be used exactly as directed by a licensed healthcare provider. This summary does not include all available information. Always read your medication label and follow your provider’s instructions.
Most Serious Warnings
Product can cause:
Severe allergic reactions, including anaphylaxis
Injection site reactions, including pain, swelling, redness, or infection
Cardiovascular effects such as low blood pressure, palpitations, or flushing
Neurological symptoms such as dizziness, headache, or lightheadedness
Magnesium-related effects, including muscle weakness or slowed reflexes when administered improperly
Lidocaine-related reactions, including numbness, tingling, or cardiac effects in sensitive individuals
Compounded injectable micronutrient therapies may carry sterility, stability, or formulation risks due to limited FDA oversight.
Who Should NOT Receive Myers’ Cocktail
Do not receive this therapy if you:
Have a known allergy to any ingredient in the formulation, including B vitamins, vitamin C, magnesium, calcium, lidocaine, or preservatives
Have a history of severe hypersensitivity reactions to injectable nutrients
Have uncontrolled kidney disease or significantly impaired renal function without provider clearance
Have known cardiac conduction disorders without medical approval
Have been advised by a healthcare provider to avoid injectable micronutrient therapies
Before Receiving Myers’ Cocktail, Tell Your Healthcare Provider if You:
Have kidney disease, liver disease, or electrolyte imbalances
Have heart disease, arrhythmias, or low blood pressure
Have asthma or a history of allergic reactions
Have a history of migraines, seizures, or neurological conditions
Are pregnant, breastfeeding, or planning pregnancy
Take prescription medications, over-the-counter products, or supplements
Have sensitivity to lidocaine or preservatives such as benzyl alcohol
Possible Side Effects
Common (mild to moderate):
Injection site soreness, redness, or bruising
Flushing or warmth
Headache
Nausea or upset stomach
Fatigue or lightheadedness
Serious (seek medical care immediately):
Rash, hives, swelling of the face, lips, or throat
Difficulty breathing or chest tightness
Severe dizziness or fainting
Irregular heartbeat or chest pain
Signs of infection at the injection site such as worsening redness, swelling, warmth, or drainage
While Receiving Myers’ Cocktail
Tell your healthcare provider immediately if you:
Experience shortness of breath, chest pain, or irregular heartbeat
Develop severe or worsening injection site reactions
Notice signs of an allergic reaction
Feel extreme weakness, confusion, or neurological changes
Experience persistent nausea, vomiting, or flushing
Pregnancy and Breastfeeding
The safety of injectable micronutrient therapy during pregnancy or breastfeeding has not been fully established. Use only if clearly indicated and approved by your healthcare provider. Inform your provider immediately if you are pregnant, planning pregnancy, or breastfeeding.
Overdose
Symptoms of overdose or excessive micronutrient exposure may include:
Severe flushing or low blood pressure
Muscle weakness or loss of reflexes
Irregular heartbeat
Nausea or vomiting
Neurological symptoms such as confusion or lethargy
If overdose is suspected, seek emergency medical attention or contact Poison Control immediately.
Missed Dosage
If you miss a scheduled dose:
Do not double the next dose
Follow your provider’s instructions for rescheduling
Contact your healthcare provider if you are unsure how to proceed
Storage
Store according to pharmacy labeling instructions
Protect from light
Do not freeze
Keep out of reach of children
Use only within the beyond-use date listed on the pharmacy label
Medication Disposal
Dispose of unused or expired medication according to local medication disposal guidelines. Do not flush injectable medication or dispose of it in household drains. Contact your pharmacy for proper disposal instructions.
Provider Oversight and Order Review
This compounded injectable therapy requires review and oversight by licensed Superior Health & Wellness providers. Dosing, frequency, and administration method must be individualized based on patient history, labs, and clinical goals. Orders may be adjusted to ensure safety and appropriateness.
Telemedicine Disclosure
This prescription may be issued via telemedicine. If you experience any concerning or severe symptoms, contact your prescribing clinician immediately or seek emergency medical care.
Disclaimer
This summary does not include all information about Myers’ Cocktail and should not replace medical guidance. Always consult your healthcare provider or pharmacist for complete safety information, potential interactions, and individualized treatment recommendations. This compounded medication has not been evaluated or approved by the FDA for safety or efficacy.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch or call 1-800-FDA-1088.