Drug Index

Magnesium Chloride

Mechanism :

Magnesium chloride acts as a cofactor in several enzymatic reactions involving protein synthesis and carbohydrate metabolism; depresses CNS, blocks peripheral neuromuscular transmission, and produces anticonvulsant effects.


Indication :

  • Hypomagnesemia

Contraindications :

• Contraindicated in patients with renal impairment

• Contraindicated in comatose patients

• Contraindicated in patients with significant myocardial disease

• Use cautiously in patients with flushing, sweating and signs of magnesium toxicity on administration

• Use cautiously in patients with history of seizures

• Use cautiously in patients with electrolyte abnormalities

• Use cautiously in patients with toxic megacolon, toxic colitis, ulcerative colitis, intestinal obstruction, GI perforation, gastric retention, ileus

• Use cautiously in patients with risk of arrythmias

• Use cautiously in patients with botulism


Dosing :

Available as an injectable solution of 200 mg/ml and an extended-release tablet of 535 mg (64mg elemental).
RDA:
<6 months: 30 mg/day
6-12 months: 75 mg/day
1-3 years: 80 mg/day
3-8 years: 130 mg/day
8-13 years: 240 mg/day
13-18 years:
410 mg/day (men)
360 mg/day (women)
400 mg/day (pregnant women)
360 mg/day (lactating women)

Adverse Effect :

Sweating, stupor, flushing, hypothermia, respiratory depression, decrease in blood pressure.

Lactation :

Use cautiously in the course of breastfeeding since it is excreted through breast milk.


Hepatic Dose :

No dose adjustment needed.


Pregnanacy :

Pregnancy category C

09/15/2024 15:03:13 Magnesium Chloride
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