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Drug interactions

Magnesium chloride + Nitrofurantoin

Severity: Minor

Magnesium chloride 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

Oral magnesium salts can reduce nitrofurantoin absorption, which could lower urinary drug concentrations. Magnesium trisilicate antacids are the best documented example; other magnesium salts are less well studied.

What this interaction means in plain words

Magnesium chloride 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.

Evidence level: Low

Why it happens

Adsorption or binding of nitrofurantoin by magnesium in the gut lumen reduces its absorption.

What to do

Separate oral magnesium products from nitrofurantoin by about 2 hours, taking nitrofurantoin first. Monitor for treatment response if separation is not possible.

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 chloride with Nitrofurantoin?

MediHelp rates the interaction as minor. Magnesium chloride 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. Oral magnesium salts can reduce nitrofurantoin absorption, which could lower urinary drug concentrations. Magnesium trisilicate antacids are the best documented example; other magnesium salts are less well studied.

How serious is the interaction between Magnesium chloride 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 oral magnesium products from nitrofurantoin by about 2 hours, taking nitrofurantoin first. Monitor for treatment response if separation is not possible.

What other medicines interact with Nitrofurantoin?

MediHelp also lists interactions of Nitrofurantoin with, for example, Pexidartinib, Pretomanid, Aluminum hydroxide. The full list is on the Nitrofurantoin page.

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