Magnesium Chloride
Indications
South African indications:
- Magnesium insufficiency
Cautions
Contraindications
- Hypersensitivity to the active ingredient or any of its excipients
- Renal impairment
- Acute dehydration
- Gastric lesions and disorders
Cautions
- Pregnancy
- Neuromuscular disease
- Electrolyte abnormalities
Adult dosage
Forms avail. in SA and covered in this monograph: tab
Prophylaxis of imbalance and deficiency of magnesium
- Oral (tab): 1070-2140mg/day, in divided doses
Treatment of imbalance and deficiency of magnesium
- Oral (tab): 1070-3210mg/day, in divided doses
Paediatric dosage
No information available
Special populations
Pregnancy
- Caution
- Magnesium crosses the placenta. The safety of magnesium chloride during pregnancy is unknown as there is no data from animal reproduction studies. Use should be based on benefit/risk assessment
Breastfeeding
- Compatible
- Magnesium is present in breast milk, and administration of magnesium chloride to breastfeeding women is acceptable when used within recommended dose limits
Renal Impairment
Hepatic Impairment
Elderly
Porphyria Information
Drugs in Sport
- Permitted - No warnings
Adverse reactions
Gastrointestinal Disorders
- Diarrhoea
- Nausea
- Bowel discomfort
Interactions
- Alfacalcidol
- Alpha-lipoic acid
- Bisphosphonate derivatives
- Calcitriol
- Deferiprone
- Dolutegravir
- Doxercalciferol
- Eltrombopag
- Gabapentin
- Levothyroxine
- Multivitamins
- Mycophenolate
- Phosphate supplements
- Quinolones
- Raltegravir
- Tetracyclines
- Trientine
Monitoring
- Renal function
- Magnesium levels
- Bowel movement
Mechanism of action
Magnesium chloride is an important cofactor in at least 300 enzymatic reactions involving protein synthesis and carbohydrate metabolism. It is a supplement for the treatment of hypomagnesaemia and magnesium deficiencies.
Dosage forms
- Tablet
Formulation
Magnesium chloride is available in several formulations. Please note the list below gives examples of products which are available and is not necessarily comprehensive. The listing of a product does not constitute endorsement of the product by EMGuidance; likewise, failure to list a product does not imply that EMGuidance disapproves of the product. This information is put together on the basis of the National Government's Medicines Price Registry at the time of publication
Tablet 535mg
- Mag SR (Cipla)
- Slow-mag (Merck)
References
1. SAMF_12th Edition_page 96 2. https://drive.google.com/drive/u/0/folders/0B27NqM_vidrmNnRoZ3did1Z0UFU (12/11/1975_Merck_Slow-mag_tab) 3. https://drive.google.com/drive/folders/0B27NqM_vidrmNnRoZ3did1Z0UFU (09/11/1989_Mirren_Ultimag_tab_Intekom) 4. Hardcopy PI_Ultimag 5. U2D: Magnesium chloride: Drug information; Uptodate; Downloaded online; 26 Jul 2018 https://www.uptodate.com/contents/magnesium-chloride-drug-information?source=search_result&search=magnesium&selectedTitle=1~137 6. https://www.drugs.com/pregnancy/magnesium-chloride.html 7.NAPOS The Drug Database for Acute Porphyria: Magnesium Chloride; Accessed online 02 Nov 2018 http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?atc_code=A12CC01&l=gbr 8. South African Institute for Drug-Free Sport: Slow Mag; Accessed online 02 Nov 2018 [http://www.drugfreesport.org.za/online-medication-check/] 9. AfriTox: Magnesium chloride; Accessed online 14 July 2020 [https://www.afritox.co.za/hp/SingleToxin/SingleToxin.aspx?SingleToxinID=5183] **No SPC
Brands & products
14 products · stale NAPPI snapshot · refreshed 5/28/2026 · 159 days oldinfusionGeneric· 13 products
from R0.02/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Sabax plasma vet 3000ml | - g/1000ml | 3000 | S3 | R200.62 | R0.02 | R80.40 | 705037001 |
| Sustenance 1L fss001000ffx | - g | 1000 | S3 | R685.80 | R0.06 | R185.35 | 814687009 |
| Balsol 1000ml fsb001000 | - g/1000ml | 1000 | S3 | R767.95 | R0.06 | R197.44 | 802999019 |
| Maintelyte 5% 1000ml afb3731 | 100 ml/100ml | 1000 | S3 | R775.08 | R0.06 | R198.49 | 801895007 |
| Maintelyte 10% 1000m afb2774 | 51 mg/100ml | 1000 | S3 | R792.52 | R0.07 | R201.05 | 801917019 |
| Sustenance 1L fss001000ffx | - g | 1000 | S3 | R81.93 | R0.08 | R40.23 | 814687008 |
| Balsol 1000ml fsb001000 | - g/1000ml | 1000 | S3 | R90.86 | R0.09 | R43.32 | 802999018 |
| Maintelyte 5% 1000ml afb3731 | 100 ml/100ml | 1000 | S3 | R91.59 | R0.09 | R43.57 | 801895006 |
| Maintelyte 10% 1000m afb2774 | 10 g/1000ml | 1000 | S3 | R93.37 | R0.09 | R44.19 | 801917018 |
| Physioneal 40 glucose 2000ml | - g/ml | 2000 | S3 | R1186.08 | R0.15 | R258.95 | 706199001 |
| Volulyte | - g/1000ml | 500 | S3 | R9233.25 | R1.03 | R717.76 | 715726003 |
| Volulyte balanced solution for infusion | - g/1000ml | 500 | S3 | R11837.17 | R1.18 | R859.34 | 715726002 |
| Volulyte balanced solution for infusion | - g/1000ml | 500 | S3 | R742.60 | R1.49 | R193.71 | 715726001 |
TpnGeneric· 1 product
from R2.24/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| ITN paediatric tpn 107 | 1 zzz | 900 | S3 | R2019.89 | R2.24 | R325.54 | 710364001 |
- Mag SR
- Slow-mag
Medical aid coverage
data not yet integrated- Comprehensive Series—
- Executive Plan—
- KeyCare Series—
- Priority Series—
- Saver Series—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.