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Drug interactions

Amikacin + Magnesium oxide

Severity: Minor

Amikacin and Magnesium oxide: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Amikacin can cause renal magnesium wasting and hypomagnesemia, so magnesium supplementation may be needed. The oral supplement does not itself raise aminoglycoside toxicity meaningfully.

What this interaction means in plain words

Amikacin and Magnesium oxide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Amikacin belongs to Anti Bacterial; Magnesium oxide belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Aminoglycoside-induced renal tubular magnesium loss.

What to do

Monitor serum magnesium during prolonged amikacin therapy and supplement if low.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amikacin with Magnesium oxide?

MediHelp rates the interaction as minor. Amikacin and Magnesium oxide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Amikacin can cause renal magnesium wasting and hypomagnesemia, so magnesium supplementation may be needed. The oral supplement does not itself raise aminoglycoside toxicity meaningfully.

How serious is the interaction between Amikacin and Magnesium oxide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum magnesium during prolonged amikacin therapy and supplement if low.

What other medicines interact with Amikacin?

MediHelp also lists interactions of Amikacin with, for example, Cidofovir, Adefovir, Amphotericin b. The full list is on the Amikacin page.

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