Magnesium is often praised for its role in improving sleep, mood, and muscle health. But while it’s a valuable mineral, combining it with certain prescription drugs can lead to unwanted — and sometimes dangerous — interactions. Here’s what you should know before adding magnesium to your routine.
Blood pressure medication

Because magnesium helps relax blood vessels, it can intensify the effects of calcium channel blockers and cause blood pressure to drop too low. Dizziness, fatigue, or even fainting may signal that your levels need to be adjusted.
Diuretics

Some water pills, like spironolactone, can raise magnesium levels to a risky degree. Others do the opposite, flushing magnesium out of the body. Your doctor can help determine whether you should supplement or steer clear of magnesium entirely.
Antibiotics

Magnesium can interfere with the absorption of several antibiotics, including ciprofloxacin and doxycycline. When the mineral binds to these drugs in the stomach, it reduces how much of the medicine your body actually absorbs, making treatment less effective.
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Osteoporosis Medication

Drugs used to strengthen bones, such as alendronate, may lose potency if taken together with magnesium. To ensure proper absorption, take your osteoporosis medication on an empty stomach and wait at least an hour before consuming any supplements.
ADHD medication

Magnesium can alter stomach acidity, which in turn affects how stimulant medications such as Adderall are absorbed. This interaction may either weaken the drug’s effects or trigger unpredictable side effects, so professional guidance is key.
Watch for warning signs

If you experience nausea, fatigue, or an irregular heartbeat, it might indicate a reaction between magnesium and your medication. Reach out to your healthcare provider — especially if symptoms appear shortly after taking your supplement.
Time it right

For many medications, simply spacing out magnesium by two to six hours can prevent most interactions. This window allows your body to process each substance properly without interference.
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Consult Your Doctor

Even though magnesium is natural, it’s not harmless when mixed with prescription drugs. Always ask your doctor or pharmacist before combining supplements with your current treatment.
Monitor your intake

Too much magnesium can lead to diarrhea, abdominal cramps, or, in rare cases, heart rhythm problems. Stick to the recommended dosage and remember that magnesium is also found in food.
Listen to your body

If your medication suddenly seems less effective — for example, if your blood pressure changes or an infection doesn’t improve — magnesium could be the culprit. Pay attention to these signals and adjust accordingly with medical advice.
A safer alternative

If you want the benefits of magnesium without the risk of supplement interactions, choose magnesium-rich foods instead. Leafy greens, nuts, and whole grains provide a safe and balanced source of this essential mineral.
Also read: Avoid mixing these popular supplements with prescription medications
This article is based on information from EatingWell og Verywell Health
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