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NEVER Use Magnesium If You Are Taking Any of the Following Medications

If you mean “Which medications should not be taken with magnesium?”, the statement is a bit too broad. Magnesium supplements can interact with some medicines by reducing absorption or by affecting medication levels. People taking certain drugs should check with a pharmacist or clinician before using magnesium.

Common medication categories where caution is needed include:

  • Certain antibiotics
    • Tetracyclines (for example, doxycycline, tetracycline)
    • Fluoroquinolones (for example, ciprofloxacin, levofloxacin)
      Magnesium can bind these drugs in the gut and make them less effective.
  • Thyroid hormone replacement
    • Synthroid (levothyroxine) and similar medicines
      Magnesium may reduce absorption.
  • Osteoporosis medicines
    • Bisphosphonates such as alendronate
      Magnesium can interfere with absorption.
  • Some blood pressure or heart medicines
    • Certain calcium channel blockers and other cardiovascular drugs may require timing adjustments or monitoring.
  • Diuretics (“water pills”)
    • Some increase magnesium loss; others may raise magnesium levels.
  • Kidney disease medications or in people with reduced kidney function
    • The body may not clear extra magnesium well, increasing the risk of high magnesium levels.

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