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Magnesium

Mg2+

What it isEssential cation with physiologic NMDA-channel blockade; deficiency, torsades de pointes, and eclamptic seizures.

Why this oneIt suppresses torsades even when serum magnesium is normal and is the standard anticonvulsant for eclampsia.

What limits itRenal accumulation causes loss of reflexes, respiratory depression, and heart block; monitor clinically and by level during sustained IV therapy.

FDA label

FDA dosingPopulationStartTargetMax
Antacid — acid indigestion, upset stomachAdults400 mg (1 tab) QD1-2 tabs (400-800 mg) QD2 tabs (800 mg)/24 h unless physician-directed

Renal Ask a doctor before use in kidney disease (OTC label)

Hepatic Undefined

Instructions

Cautions

Adverse reactions

Pregnancy OTC label: ask a doctor before use if pregnant.

Lactation OTC label: ask a doctor before use if breast-feeding.

NO BOXED WARNINGS

Principal riskAccumulation in renal impairment; loss of reflexes

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Magnesium ballicule

Magnesium ballicule: receptor binding, kinetics and half-life diagram

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