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藥物交互作用

Magnesium + Sodium polystyrene sulfonate

嚴重程度: 中度

Magnesium and Sodium polystyrene sulfonate: moderate interaction.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Sodium polystyrene sulfonate binds magnesium in the gut, so it may lower magnesium and cause hypomagnesemia with prolonged use. The legacy concern of raised magnesium levels is not well supported, and the mechanism is poorly characterized.

用白話說明這項交互作用的意義

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

證據等級: Moderate

為什麼會發生

The resin exchanges sodium for cations including magnesium in the intestinal lumen, increasing fecal magnesium loss and also binding oral magnesium.

處置方式

Monitor serum magnesium, potassium and calcium during repeated resin use. Separate oral magnesium from the resin by at least 3 hours and replace magnesium if low.

可向藥師詢問的問題

  • 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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常見問題

Can I take Magnesium with Sodium polystyrene sulfonate?

MediHelp rates the interaction as moderate. Magnesium 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 magnesium in the gut, so it may lower magnesium and cause hypomagnesemia with prolonged use. The legacy concern of raised magnesium levels is not well supported, and the mechanism is poorly characterized.

How serious is the interaction between Magnesium 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: Monitor serum magnesium, potassium and calcium during repeated resin use. Separate oral magnesium from the resin by at least 3 hours and replace magnesium if low.

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.

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