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Лекарственные взаимодействия

Magnesium citrate + Sodium polystyrene sulfonate

Тяжесть: Умеренное

Magnesium citrate and Sodium polystyrene sulfonate: moderate interaction.

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Кратко

Sodium polystyrene sulfonate binds cations in the gut including magnesium, and can cause hypomagnesemia. Magnesium-containing laxatives may also bind to the resin and, with non-absorbable cation exchangers, have been associated with metabolic alkalosis because the resin's buffering of bicarbonate is reduced.

Что означает это взаимодействие простыми словами

Magnesium citrate and Sodium polystyrene sulfonate 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.

Magnesium citrate belongs to Gastrointestinal Tract; Sodium polystyrene sulfonate belongs to Miscellaneous.

Уровень доказательности: Moderate

Почему это происходит

Cation exchange resin binds magnesium in the gut, and binding of magnesium reduces neutralization of bicarbonate, which can lead to systemic alkalosis.

Что делать

Avoid giving magnesium-containing laxatives or antacids with the resin, and separate other oral drugs by at least 3 hours. Monitor serum electrolytes and acid-base status during therapy.

О чём спросить фармацевта

  • 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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Частые вопросы

Can I take Magnesium citrate with Sodium polystyrene sulfonate?

MediHelp rates the interaction as moderate. Magnesium citrate and Sodium polystyrene sulfonate 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. Sodium polystyrene sulfonate binds cations in the gut including magnesium, and can cause hypomagnesemia. Magnesium-containing laxatives may also bind to the resin and, with non-absorbable cation exchangers, have been associated with metabolic alkalosis because the resin's buffering of bicarbonate is reduced.

How serious is the interaction between Magnesium citrate and Sodium polystyrene sulfonate?

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 giving magnesium-containing laxatives or antacids with the resin, and separate other oral drugs by at least 3 hours. Monitor serum electrolytes and acid-base status during therapy.

What other medicines interact with Magnesium citrate?

MediHelp also lists interactions of Magnesium citrate with, for example, Ciprofloxacin, Baloxavir marboxil, Bictegravir. The full list is on the Magnesium citrate page.

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