Epsom Salt Disease Interactions
There are 7 disease interactions with Epsom Salt (magnesium sulfate).
- Depression
- Inflammatory bowel disease
- Intestinal obstruction disorders
- Cardiac disease
- Renal dysfunction
- Myasthenia gravis
- Arrhythmias
Anticonvulsants (applies to Epsom Salt) depression
Major Potential Hazard, Moderate plausibility.
Antiepileptic drugs can increase depression and suicidal thoughts or behaviors in patients receiving these drugs for any indication. Patients should be monitored for the emergence or worsening of depression, suicidal thoughts and unusual changes in mood or behavior. Caregivers and family should be alert for the emergence or worsening of symptoms. Behaviors of concern should be reported immediately to the healthcare providers.
References
- "Product Information. Tegretol (carbamazepine)." Novartis Pharmaceuticals PROD (2002):
- "Product Information. Depakene (valproic acid)." Abbott Pharmaceutical PROD (2001):
- "Product Information. Depakote (divalproex sodium)." Abbott Pharmaceutical PROD (2001):
- "Product Information. Lamictal (lamotrigine)." Glaxo Wellcome PROD (2001):
- "Product Information. Magnesium Sulfate (magnesium sulfate)." Abbott Pharmaceutical PROD (2001):
- "Product Information. Trileptal (oxcarbazepine)." Novartis Pharmaceuticals PROD (2001):
- "Product Information. Vimpat (lacosamide)." UCB Pharma Inc (2008):
- "Product Information. Banzel (rufinamide)." Eisai Inc (2008):
- "Product Information. Aptiom (eslicarbazepine)." Sunovion Pharmaceuticals Inc (2013):
Laxatives (applies to Epsom Salt) inflammatory bowel disease
Major Potential Hazard, Moderate plausibility.
The use of laxatives is contraindicated in patients with inflammatory bowel disease. Patients with inflammatory bowel disease may experience colonic perforation with use of stimulant laxatives.
References
- "Product Information. Dulcolax (bisacodyl)." Ciba Self-Medication Inc PROD (2001):
- "Product Information. Fleet Bisacodyl (bisacodyl)." Fleet PROD
- "Product Information. Kondremul Plain (mineral oil)." Bristol-Myers Squibb PROD
- "Product Information. Neoloid (castor oil)." Paddock Laboratories Inc PROD (2001):
- "Product Information. SenoSol-X (senna)." Apothecon Inc (2022):
- "Product Information. Suprep Bowel Prep Kit (magnesium/potassium/sodium sulfates)." Braintree Laboratories (2010):
Laxatives (applies to Epsom Salt) intestinal obstruction disorders
Major Potential Hazard, Moderate plausibility. Applicable conditions: Gastrointestinal Obstruction
The use of laxatives is contraindicated in patients with intestinal obstruction disorders. Patients with intestinal obstruction disorders may need their underlying condition treated to correct the constipation. Some laxatives require reduction in the colon to their active form to be effective which may be a problem in patients with intestinal obstruction.
References
- "Product Information. Dulcolax (bisacodyl)." Ciba Self-Medication Inc PROD (2001):
- "Product Information. Fleet Bisacodyl (bisacodyl)." Fleet PROD
- "Product Information. Kondremul Plain (mineral oil)." Bristol-Myers Squibb PROD
- "Product Information. Fleet Mineral Oil Enema (mineral oil)." Fleet PROD (2001):
- "Product Information. Citrucel (methylcellulose)." SmithKline Beecham PROD (2001):
- "Product Information. Fleet Babylax (glycerin)." Alcon Laboratories Inc PROD (2001):
- "Product Information. SenoSol-X (senna)." Apothecon Inc (2022):
- "Product Information. Suprep Bowel Prep Kit (magnesium/potassium/sodium sulfates)." Braintree Laboratories (2010):
Magnesium IV (applies to Epsom Salt) cardiac disease
Major Potential Hazard, High plausibility. Applicable conditions: Myocardial Infarction, Heart Block
The parenteral administration of magnesium is contraindicated in patients with heart block or heart damage from myocardial infarction. These conditions may be exacerbated during magnesium infusion. High serum levels of magnesium (> 4.5 mEq/L) can cause sinus bradycardia, AV block, nodal rhythms, and bundle branch block, which can progress to asystole and cardiac arrest at magnesium levels of approximately 14 mEq/L to 15 mEq/L. If parenteral magnesium is used in patients with preexisting conduction disturbances, it should be infused at a slower rate, and cardiac function and serum magnesium level should be closely monitored. The usual precautionary measures should be observed to prevent hypermagnesemia, and IV calcium salts (e.g., calcium gluconate), pressors, cardiac pacemakers, and equipment for supportive care should be immediately available in case of acute magnesium intoxication.
References
- Sherer DM, Cialone PR, Abramowicz JS, Woods JR Jr "Transient symptomatic subendocardial ischemia during intravenous magnesium sulfate tocolytic therapy." Am J Obstet Gynecol 166 (1992): 33-5
- Viskin S, Belhassen B, Laniado S "Deterioration of ventricular tachycardia to ventricular fibrillation after rapid intravenous administration of magnesium sulfate." Chest 101 (1992): 1445-7
- "Product Information. Magnesium Sulfate (magnesium sulfate)." Abbott Pharmaceutical PROD (2001):
Magnesium salts (applies to Epsom Salt) renal dysfunction
Major Potential Hazard, High plausibility.
Magnesium is eliminated by the kidney. The serum concentration of magnesium is increased in patients with renal impairment. Magnesium toxicity includes CNS depression, muscular paralysis, respiratory depression, hypotension and prolonged cardiac conduction time. Disappearance of the patellar reflex is a useful clinical sign of magnesium intoxication. Therapy with magnesium should be administered cautiously and dosages should be modified in patients with compromised renal function. Clinical monitoring of serum magnesium levels is recommended.
References
- "Product Information. Mag-Ox 400 (magnesium oxide)." Blaine Company Inc. PROD (2001):
- "Product Information. Uro-Mag (magnesium oxide)." Blaine Company Inc. PROD (2001):
- "Product Information. Slow-Mag (magnesium chloride)." Searle PROD (2001):
- "Product Information. Magonate (magnesium gluconate)." Fleming and Company PROD (2001):
- "Product Information. Losospan (magaldrate)." Whitehall-Robbins PROD (2001):
Magnesium sulfate (applies to Epsom Salt) myasthenia gravis
Major Potential Hazard, Moderate plausibility.
The use of magnesium sulfate is contraindicated in patients with myasthenia gravis as it can precipitate a myasthenic crisis. Myasthenic crisis is a life-threatening condition characterized by neuromuscular respiratory failure. Symptoms of myasthenic crisis may include difficulty swallowing, ptosis, facial droop, weakness and/or difficulty breathing that may require intubation.
References
- "Product Information. Magnesium Sulfate (magnesium sulfate)." Abbott Pharmaceutical PROD (2001):
Osmotic laxatives preparations (applies to Epsom Salt) arrhythmias
Moderate Potential Hazard, Moderate plausibility. Applicable conditions: Electrolyte Abnormalities, Seizures
The use of osmotic laxatives preparations, containing sodium sulfate, potassium sulfate, and magnesium sulfate may cause cardiac arrhythmias. There have been rare reports of serious arrhythmias associated with the use of ionic osmotic laxative products for bowel preparation. Patients with electrolyte abnormalities should have them corrected before treatment is initiated. Use caution when prescribing preparations in patients at increased risk of arrhythmias or with a history of seizures. It is recommended to conduct a pre-dose and post-colonoscopy ECGs in patients at increased risk of serious cardiac arrhythmias.
References
- "Product Information. Suprep Bowel Prep Kit (magnesium/potassium/sodium sulfates)." Braintree Laboratories (2010):
Epsom Salt drug interactions
There are 105 drug interactions with Epsom Salt (magnesium sulfate).
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Drug Interaction Classification
Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
No interaction information available. |
Further information
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