neobookRx
DrugsLevel 4 LocalisationUnscheduledTABEML

Magnesium Chloride

Magnesium compoundMineral supplement

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 old

infusionGeneric· 13 products

from R0.02/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Sabax plasma vet 3000ml- g/1000ml3000S3R200.62R0.02R80.40705037001
Sustenance 1L fss001000ffx- g1000S3R685.80R0.06R185.35814687009
Balsol 1000ml fsb001000- g/1000ml1000S3R767.95R0.06R197.44802999019
Maintelyte 5% 1000ml afb3731100 ml/100ml1000S3R775.08R0.06R198.49801895007
Maintelyte 10% 1000m afb277451 mg/100ml1000S3R792.52R0.07R201.05801917019
Sustenance 1L fss001000ffx- g1000S3R81.93R0.08R40.23814687008
Balsol 1000ml fsb001000- g/1000ml1000S3R90.86R0.09R43.32802999018
Maintelyte 5% 1000ml afb3731100 ml/100ml1000S3R91.59R0.09R43.57801895006
Maintelyte 10% 1000m afb277410 g/1000ml1000S3R93.37R0.09R44.19801917018
Physioneal 40 glucose 2000ml- g/ml2000S3R1186.08R0.15R258.95706199001
Volulyte- g/1000ml500S3R9233.25R1.03R717.76715726003
Volulyte balanced solution for infusion- g/1000ml500S3R11837.17R1.18R859.34715726002
Volulyte balanced solution for infusion- g/1000ml500S3R742.60R1.49R193.71715726001

TpnGeneric· 1 product

from R2.24/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
ITN paediatric tpn 1071 zzz900S3R2019.89R2.24R325.54710364001
Trade names (2)
  • Mag SR
  • Slow-mag

Medical aid coverage

data not yet integrated
Discovery Health
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.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Interacts with 5 known drugs

Check against other drugs →

Cited in 1 document

NeoHealth® ID 15445 · updated 10/2/2024