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5 medications you should avoid taking with magnesium supplements

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Magnesium is a popular supplement for everything from sleep to muscle function – but combining it with the wrong medication can be harmful. Here's a clear overview of the drugs you should never take alongside magnesium.

Antibiotics may lose effectiveness

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Certain antibiotics – particularly fluoroquinolones and tetracyclines – can bind to magnesium in the digestive system. This prevents your body from properly absorbing the medication, reducing its effectiveness. To avoid this, take magnesium at least 2 to 6 hours before or after your antibiotics.

Osteoporosis medications may be less effective

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Bisphosphonates, commonly used to treat osteoporosis, can be blocked by magnesium when taken at the same time. This limits their absorption and reduces the intended effect. It’s best to space out the timing between the two.

Blood pressure medicine can become too strong

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Calcium channel blockers like amlodipine lower your blood pressure – and so does magnesium. Taking them together can lead to an excessive drop in blood pressure, causing dizziness, fatigue, or even fainting in some cases.

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Diuretics may cause imbalances

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Diuretic medications, often used to treat high blood pressure or fluid retention, can disrupt magnesium levels. Some increase magnesium excretion, while others raise it. Supplementing with magnesium without medical supervision can lead to dangerous electrolyte imbalances.

Levothyroxine (thyroid medication) may not work properly

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Levothyroxine, used for hypothyroidism, is absorbed less effectively if taken with magnesium. Poor absorption can result in symptoms of low thyroid function. Experts recommend spacing magnesium and levothyroxine at least 4 hours apart.

Too much magnesium can cause side effects

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High magnesium intake can lead to nausea, low blood pressure, sluggishness, or irregular heartbeat – especially in people with kidney issues. Always follow dosage guidelines and monitor for unusual symptoms.

Not all forms of magnesium are the same

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Magnesium comes in many forms – such as citrate, oxide, and glycinate. They vary in absorption rates and effects. For example, magnesium oxide has a lower absorption rate but may have a laxative effect, while glycinate is gentler on the stomach.

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It’s best to take magnesium in the evening

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Magnesium is known for its calming properties and may help improve sleep quality. That’s why many experts recommend taking it before bed – as long as it doesn't interfere with other evening medications.

Always talk to your doctor before starting magnesium

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Even though magnesium is available over the counter, it can still interact with prescription drugs. A quick conversation with your doctor can help you avoid serious side effects and ensure your treatment stays effective.

This article is based on information from Nyheder24

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