PPIs and hypomagnesemia are raising questions about when and how to use magnesium supplements

November 2011

Concerns about PPIs and hypomagnesemia are raising questions about when and how to use magnesium supplements.

PPIs may lower mag levels...possibly due to reduced absorption.

Suggest checking serum magnesium in patients on long-term PPIs...especially if they have muscle cramps, tremors, palpitations, etc.

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Table of Contents

Influenza changes in flu immunization this season
Bisphosphonates Actonel DR, a new delayed-release form of risedronate (Actonel), for postmenopausal osteoporosis
Bisphosphonates more controversy about how long patients should take bisphosphonates (alendronate, etc) for osteoporosis
Neurology & Pain new prescription analgesic cream for knee osteoarthritis called Zuacta (zucapsaicin 0.075%)
Gastroenterology when a patient on a chronic NSAID should also get a PPI, misoprostol, or an H2-blocker
Men's Health Saw palmetto will fall out of favour for treating benign prostatic hyperplasia (BPH)
Men's Health Staxyn (STAX-in), a new orally disintegrating tablet version of vardenafil (Levitra)
Men's Health daily Cialis (tadalafil) for benign prostatic hyperplasia (BPH)
Ophthalmology Glaucoma patients often ask which drugs to avoid
Diabetes You'll hear claims that gliptins (Januvia, etc) decrease cardiovascular risk in diabetes patients
Infectious Diseases treatment of community-acquired pneumonia in children
Edema how to handle drug-induced edema
Magnesium PPIs and hypomagnesemia are raising questions about when and how to use magnesium supplements