Ingredients A-Z

Magnesium

Overview

 

Magnesium is known as a cofactor of more than 300 enzymatic reactions in the body which include protein synthesis, regulating muscle and nerve function, blood glucose, and blood pressure1-3. It was first used in the early 17th century after a farmer discovered magnesium sulphate in well water which gives soothing and healing properties on skin application4.


In a normal adult, total body magnesium content is approximately 25g, with 50% to 60% present in bones and most of the soft tissues5.

 

Other than those presents in dietary sources, multiple forms of magnesium supplements with different magnesium contents are available in the market, including magnesium oxide, glycinate, citrate, chloride, aspartate, malate, sulfate, taurate and lactate.

 

Key indications

Type-II diabetes mellitus

Magnesium plays an important role in glucose metabolism6-7. Diabetes increases magnesium loss from urine and thus leads to magnesium inadequacy which weaken insulin secretion and action and worsen diabetes control3.

Cardiovascular and hypertension

Studies shown magnesium has a great role in regulating blood pressure. Magnesium depletion may lead to cardiac complications, including electrocardiographic changes, arrhythmias and heightened sensitivity to cardiac glycosides8. Hypomagnesemia patients have been reported with symptoms of atrial and ventricular premature systoles, fibrillation and tachycardia9.

Analgesic effects

Insufficient intake of magnesium is associated with neurotransmitter release and vasoconstriction, the risk factor of headaches10. Those with migraines problem have lower levels of serum and tissue magnesium compared to those who do not. The depressant effects on nerves and muscle of magnesium are helpful in relieving symptoms associated with postoperative pain, neuropathic pain, erythromelalgia and Raynaud’s Phenomenon16-18.

Skeletal growth and osteoporosis

Magnesium is important in bone and mineral homeostasis which directly influences bone cell function, hydroxyapatite crystal formation and growth, concentrations of both parathyroid hormone and active form of vitamin D11-12.

Type-II diabetes mellitus

Magnesium plays an important role in glucose metabolism6-7. Diabetes increases magnesium loss from urine and thus leads to magnesium inadequacy which weaken insulin secretion and action and worsen diabetes control3.

Cardiovascular and hypertension

Studies shown magnesium has a great role in regulating blood pressure. Magnesium depletion may lead to cardiac complications, including electrocardiographic changes, arrhythmias and heightened sensitivity to cardiac glycosides8. Hypomagnesemia patients have been reported with symptoms of atrial and ventricular premature systoles, fibrillation and tachycardia9.

Analgesic effects

Insufficient intake of magnesium is associated with neurotransmitter release and vasoconstriction, the risk factor of headaches10. Those with migraines problem have lower levels of serum and tissue magnesium compared to those who do not. The depressant effects on nerves and muscle of magnesium are helpful in relieving symptoms associated with postoperative pain, neuropathic pain, erythromelalgia and Raynaud’s Phenomenon16-18.

Skeletal growth and osteoporosis

Magnesium is important in bone and mineral homeostasis which directly influences bone cell function, hydroxyapatite crystal formation and growth, concentrations of both parathyroid hormone and active form of vitamin D11-12.

Hormonal effects

Females with premenstrual syndrome (PMS) have been found to have lower intracellular magnesium levels as measured in erythrocytes and leukocytes. Supplementation of magnesium has shown positive effect on mood changes associated with PMS19-20.

Adverse effects

Magnesium is generally well tolerated when taken in doses below the tolerable upper intake level (UL) of 350mg daily. The most common adverse reactions for overdose include nausea, cramps, diarrhea, low blood pressure, muscle weakness and fatigue13.

Dosage range

Recommended dietary allowances (RDAs) for magnesium14.

Age Male Female Pregnant Lactation
0–6 months* 30mg* 30mg*
7–12 months* 75mg* 75mg*
1–3 years 80mg 80mg
4–8 years 130mg 130mg
9–13 years 240mg 240mg
14–18 years 410mg 360mg 400mg 360mg
19–30 years 400mg 310mg 350mg 310mg
31–50 years 420mg 320mg 360mg 320mg
51+ years 420mg 320mg

*Adequate Intake (AI)

Contraindications/cautions¹⁴⁻¹⁵

  • Bisphosphonates (alendronate)
    Magnesium may decrease absorption of the drug. Separate it at least 2 hours after taking magnesium.
  •  

  • Antibiotics (demeclocycline, doxycycline, ciprofloxacin, levofloxacin)
    Magnesium may form insoluble complexes with tetracyclines. Take at least 2 hours before or 4–6 hours after taking magnesium.
  •  

  • Diuretics (furosemide, bumetanide, hydrochlorothiazide, ethacrynic acid, amiloride, spironolactone)
    Magnesium levels in the body can be affected by diuretics.
  •  

  • Levodopa/carbidopa (Sinemet) (drugs for Parkinson’s disease)
    Magnesium may reduce the bioavailability of levodopa/carbidopa.

Adverse effects

Magnesium is generally well tolerated when taken in doses below the tolerable upper intake level (UL) of 350mg daily. The most common adverse reactions for overdose include nausea, cramps, diarrhea, low blood pressure, muscle weakness and fatigue13.

Dosage range

Recommended dietary allowances (RDAs) for magnesium14.

Age Male Female Pregnant Lactation
0–6 months* 30mg* 30mg*
7–12 months* 75mg* 75mg*
1–3 years 80mg 80mg
4–8 years 130mg 130mg
9–13 years 240mg 240mg
14–18 years 410mg 360mg 400mg 360mg
19–30 years 400mg 310mg 350mg 310mg
31–50 years 420mg 320mg 360mg 320mg
51+ years 420mg 320mg

*Adequate Intake (AI)

Contraindications/cautions¹⁴⁻¹⁵

  • Bisphosphonates (alendronate)
    Magnesium may decrease absorption of the drug. Separate it at least 2 hours after taking magnesium.
  •  

  • Antibiotics (demeclocycline, doxycycline, ciprofloxacin, levofloxacin)
    Magnesium may form insoluble complexes with tetracyclines. Take at least 2 hours before or 4–6 hours after taking magnesium.
  •  

  • Diuretics (furosemide, bumetanide, hydrochlorothiazide, ethacrynic acid, amiloride, spironolactone)
    Magnesium levels in the body can be affected by diuretics.
  •  

  • Levodopa/carbidopa (Sinemet) (drugs for Parkinson’s disease)
    Magnesium may reduce the bioavailability of levodopa/carbidopa.

References :

  1. Institute of Medicine (IOM). (1997). Food and Nutrition Board. Dietary Reference Intakes: Calcium, Phosphorus, Magnesium, Vitamin D and Fluoride. Washington, DC: National Academy Press.
  2. Rude, R. K. (2010). Magnesium. In: Coates PM, Betz JM, Blackman MR, Cragg GM, Levine M, Moss J, White JD, eds. Encyclopedia of Dietary Supplements. 2nd ed. New York, NY: Informa Healthcare, 527–37.
  3. Rude, R. K. (2012). Magnesium. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, eds. Modern Nutrition in Health and Disease. 11th ed. Baltimore, Mass: Lippincott Williams & Wilkins, 159–75.
  4. Magnesium Monograph. (2012). Retrieved from https://www.nutraceuticalsworld.com/issues/2012-03/view_monograph-center/magnesium-monograph/
  5. Volpe, S. L. (2012). Magnesium. In: Erdman JW, Macdonald IA, Zeisel SH, eds. Present Knowledge in Nutrition. 10th ed. Ames, Iowa: John Wiley & Sons, 459–74.
  6. Larsson, S. C. & Wolk, A. (2007). Magnesium intake and risk of type 2 diabetes: a meta-analysis. J Intern Med, 262:208–14.
  7. Rodriguez-Moran, M., Simental Mendia, L. E., Zambrano Galvan, G., Guerrero-Romero, F. (2011). The role of magnesium in type 2 diabetes: a brief based-clinical review. Magnes Res, 24:156–62.
  8. Rude, R. K. (1993). Magnesium metabolism and deficiency. Endocrinol Metab Clin North Am, 22:377–395.
  9. Hollifield, J. W. (1987). Magnesium depletion, diuretics, and arrhythmias. Am J Med, 82(Suppl 3A):30–37.
  10. Sun-Edelstein, C. & Mauskop, A. (2009). Role of magnesium in the pathogenesis and treatment of migraine. Expert Rev Neurother, 9:369–79.
  11. Cohen, L. (1988). Recent data on magnesium and osteoporosis. Magnes Res, 1:85–87.
  12. Tucker, K. L. (2009). Osteoporosis prevention and nutrition. Curr Osteoporos Rep, 7:111–7.
  13. WebMD. (2022). Magnesium. Retrieved from https://www.webmd.com/diet/supplement-guide-magnesium
  14. National Institute of Health, Office of Dietary Supplements. (2022). Magnesium. Retrieved from https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/#en1
  15. Therapeutic Research Centre. (2022). Magnesium. Retrieved from https://naturalmedicines.therapeuticresearch.com/
  16. Tramer, M. R., Schneider, J., Marti, R. A., Rifat, K. (1996). Role of magnesium sulfate in postoperative analgesia. Anesthesiology, 84:340–7.
  17. Crosby, V., Wilcock, A., Corcoran, R. (2000). The safety and efficacy of a single dose (500 mg or 1 g) of intravenous magnesium sulfate in neuropathic pain. J Pain Symptom Manage, 19:35–9.
  18. Cohen, J. S. (2002). High-dose oral magnesium treatment of chronic, intractable erythromelalgia. Ann Pharmacother, 36:255–60.
  19. Bendich, A. (2000). The potential for dietary supplements to reduce PMS symptoms. J Am Coll Nutrition, 19:3–12.
  20. Facchinetti, F., Borella, P., Sances, G., et al. (1991). Oral magnesium relieves premenstrual mood changes. Obstet Gynecol, 78:177–81.

References :

  1. Institute of Medicine (IOM). (1997). Food and Nutrition Board. Dietary Reference Intakes: Calcium, Phosphorus, Magnesium, Vitamin D and Fluoride. Washington, DC: National Academy Press.
  2. Rude, R. K. (2010). Magnesium. In: Coates PM, Betz JM, Blackman MR, Cragg GM, Levine M, Moss J, White JD, eds. Encyclopedia of Dietary Supplements. 2nd ed. New York, NY: Informa Healthcare, 527–37.
  3. Rude, R. K. (2012). Magnesium. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, eds. Modern Nutrition in Health and Disease. 11th ed. Baltimore, Mass: Lippincott Williams & Wilkins, 159–75.
  4. Magnesium Monograph. (2012). Retrieved from https://www.nutraceuticalsworld.com/issues/2012-03/view_monograph-center/magnesium-monograph/
  5. Volpe, S. L. (2012). Magnesium. In: Erdman JW, Macdonald IA, Zeisel SH, eds. Present Knowledge in Nutrition. 10th ed. Ames, Iowa: John Wiley & Sons, 459–74.
  6. Larsson, S. C. & Wolk, A. (2007). Magnesium intake and risk of type 2 diabetes: a meta-analysis. J Intern Med, 262:208–14.
  7. Rodriguez-Moran, M., Simental Mendia, L. E., Zambrano Galvan, G., Guerrero-Romero, F. (2011). The role of magnesium in type 2 diabetes: a brief based-clinical review. Magnes Res, 24:156–62.
  8. Rude, R. K. (1993). Magnesium metabolism and deficiency. Endocrinol Metab Clin North Am, 22:377–395.
  9. Hollifield, J. W. (1987). Magnesium depletion, diuretics, and arrhythmias. Am J Med, 82(Suppl 3A):30–37.
  10. Sun-Edelstein, C. & Mauskop, A. (2009). Role of magnesium in the pathogenesis and treatment of migraine. Expert Rev Neurother, 9:369–79.
  11. Cohen, L. (1988). Recent data on magnesium and osteoporosis. Magnes Res, 1:85–87.
  12. Tucker, K. L. (2009). Osteoporosis prevention and nutrition. Curr Osteoporos Rep, 7:111–7.
  13. WebMD. (2022). Magnesium. Retrieved from https://www.webmd.com/diet/supplement-guide-magnesium
  14. National Institute of Health, Office of Dietary Supplements. (2022). Magnesium. Retrieved from https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/#en1
  15. Therapeutic Research Centre. (2022). Magnesium. Retrieved from https://naturalmedicines.therapeuticresearch.com/
  16. Tramer, M. R., Schneider, J., Marti, R. A., Rifat, K. (1996). Role of magnesium sulfate in postoperative analgesia. Anesthesiology, 84:340–7.
  17. Crosby, V., Wilcock, A., Corcoran, R. (2000). The safety and efficacy of a single dose (500 mg or 1 g) of intravenous magnesium sulfate in neuropathic pain. J Pain Symptom Manage, 19:35–9.
  18. Cohen, J. S. (2002). High-dose oral magnesium treatment of chronic, intractable erythromelalgia. Ann Pharmacother, 36:255–60.
  19. Bendich, A. (2000). The potential for dietary supplements to reduce PMS symptoms. J Am Coll Nutrition, 19:3–12.
  20. Facchinetti, F., Borella, P., Sances, G., et al. (1991). Oral magnesium relieves premenstrual mood changes. Obstet Gynecol, 78:177–81.

The material is prepared for informational purposes only and should not be construed as a piece of personal medical advice. Owing to each person’s varying health needs, a physician should be consulted before acting on any information provided in this material. Although every effort is made to ensure that this material is accurate, it is compiled for internal use only and should not be considered definitive. Neither VitaHealth nor its employees, or information providers shall be responsible or liable for any errors, inaccuracies, or other defects in the information contained in this publication.

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