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Drug interactions

Magnesium + Nitrofurantoin

Severity: Minor

Magnesium and Nitrofurantoin: 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

Magnesium trisilicate antacids have been shown to reduce nitrofurantoin absorption. Other magnesium salts are less well studied, so the effect is probably small.

What this interaction means in plain words

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

Magnesium belongs to Gastrointestinal Tract; Nitrofurantoin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Adsorption or binding of nitrofurantoin by magnesium-containing antacids reduces gastrointestinal absorption.

What to do

Separate nitrofurantoin from magnesium-containing antacids by about 2 hours.

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 Magnesium with Nitrofurantoin?

MediHelp rates the interaction as minor. Magnesium and Nitrofurantoin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Magnesium trisilicate antacids have been shown to reduce nitrofurantoin absorption. Other magnesium salts are less well studied, so the effect is probably small.

How serious is the interaction between Magnesium and Nitrofurantoin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate nitrofurantoin from magnesium-containing antacids by about 2 hours.

What other medicines interact with Magnesium?

MediHelp also lists interactions of Magnesium with, for example, Ciprofloxacin, Pancuronium, Rocuronium. The full list is on the Magnesium page.

Full monographs, dosing and an interaction checker in the MediHelp app

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