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Magnesium sulfate

MgSO₄

What it isMagnesium replacement with NMDA-antagonist and membrane-stabilizing effects; eclampsia and torsades.

Why this oneIt treats eclamptic seizures and torsades even when the measured magnesium level is normal.

What limits it⚑ Loss of deep tendon reflexes signals toxicity before respiratory depression; calcium gluconate reverses it. Renal clearance matters.

FDA-approved for

FDA label

FDA dosingPopulationStartTargetMax
Relief of occasional constipation (irregularity); generally produces bowel movement in 1/2 to 6 hoursAdults and children ≥12 yr10–30 g (2–6 level tsp) daily, as a single dose or in divided doses10–30 g daily30 g/day
Relief of occasional constipation (irregularity); generally produces bowel movement in 1/2 to 6 hoursChildren 6 to <12 yr5–10 g (1–2 level tsp) daily, as a single dose or in divided doses5–10 g daily10 g/day

Renal Undefined

Hepatic Undefined

Instructions

Cautions

Pregnancy If pregnant, ask a health professional before use (OTC Drug Facts).

Lactation If breast-feeding, ask a health professional before use (OTC Drug Facts).

NO BOXED WARNINGS

Principal riskLoss of deep tendon reflexes is the first sign of toxicity

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Magnesium sulfate ballicule

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

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