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Drug interactions

Ergocalciferol + Magnesium hydroxide

Severity: Moderate

Ergocalciferol and Magnesium hydroxide: moderate 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

Vitamin D increases magnesium absorption, and with magnesium-containing antacids or laxatives this may cause hypermagnesemia in renal impairment. Healthy kidneys usually clear the excess.

What this interaction means in plain words

Ergocalciferol and Magnesium hydroxide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Ergocalciferol belongs to Musculoskeletal; Magnesium hydroxide belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Vitamin D enhances intestinal magnesium uptake while reduced renal clearance causes accumulation.

What to do

Avoid chronic magnesium hydroxide use in patients with chronic renal failure on vitamin D. Monitor serum magnesium if the combination is required.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Ergocalciferol with Magnesium hydroxide?

MediHelp rates the interaction as moderate. Ergocalciferol and Magnesium hydroxide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Vitamin D increases magnesium absorption, and with magnesium-containing antacids or laxatives this may cause hypermagnesemia in renal impairment. Healthy kidneys usually clear the excess.

How serious is the interaction between Ergocalciferol and Magnesium hydroxide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid chronic magnesium hydroxide use in patients with chronic renal failure on vitamin D. Monitor serum magnesium if the combination is required.

What other medicines interact with Ergocalciferol?

MediHelp also lists interactions of Ergocalciferol with, for example, Aluminum hydroxide, Calcium acetate, Calcium carbonate. The full list is on the Ergocalciferol page.

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