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Pronunciation |
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(mag
NEE zhum GLOO koe
nate) |
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U.S. Brand
Names |
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Magonate®[OTC] |
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Generic
Available |
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Yes |
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|
Pharmacological Index |
|
Magnesium Salt |
|
|
Use |
|
Dietary supplement for treatment of magnesium
deficiencies |
|
|
Contraindications |
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Patients with heart block; severe renal disease |
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|
Adverse
Reactions |
|
1% to 10%: Gastrointestinal: Diarrhea (excessive dose) |
|
|
Drug
Interactions |
|
Increased effect of nondepolarizing neuromuscular blockers
Decreased absorption of aminoquinolones, digoxin, nitrofurantoin,
penicillamine, and tetracyclines may occur with magnesium salts
|
|
|
Mechanism of
Action |
|
Magnesium is important as a cofactor in many enzymatic reactions in the body
involving protein synthesis and carbohydrate metabolism, (at least 300 enzymatic
reactions require magnesium). Actions on lipoprotein lipase have been found to
be important in reducing serum cholesterol and on sodium/potassium ATPase in
promoting polarization (ie, neuromuscular functioning). |
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|
Pharmacodynamics/Kinetics |
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Absorption: Oral: 15% to 30% |
|
|
Usual Dosage |
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The recommended dietary allowance (RDA) of magnesium is 4.5 mg/kg which is a
total daily allowance of 350-400 mg for adult men and 280-300 mg for adult
women. During pregnancy the RDA is 300 mg and during lactation the RDA is 355
mg.
Children: 3-6 mg/kg/day in divided doses 3-4 times/day; maximum: 400 mg/day
Adults: 54-483 mg/day in divided doses; refer to product labeling
Dosing in renal impairment: Patients in severe renal failure should
not receive magnesium due to toxicity from accumulation. Patients with a
Clcr <25 mL/minute receiving magnesium should be monitored by
serum magnesium levels. |
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Mental Health: Effects
on Mental Status |
|
None reported |
|
|
Mental Health:
Effects on Psychiatric
Treatment |
|
None reported |
|
|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
|
Magnesium products may prevent gastrointestinal absorption of tetracyclines
by forming a large ionized chelated molecule with the tetracyclines in the
stomach. Tetracyclines should be given at least 1 hour before
magnesium. |
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Dosage Forms |
|
Tablet: 500 mg [elemental magnesium 27
mg] |
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