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Oxalate crystals have been observed in the urine of both healthy subjects given hydroxocobalamin and patients treated with hydroxocobalamin following suspected cyanide poisoning Product label: CYANOKIT (hydroxocobalamin) injection, powder, lyophilized, for solution [Meridian Medical Technologies, Inc.] Last revised: April 2011 [DailyMed] Hepatic Impairment (FDA) Cyanide poisoning: the safety and effectiveness of Cyanokit have not been studied in patients with hepatic impairment