Magnesium sulfate (injection)
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Gerald Chi
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Overview
Magnesium sulfate (injection) is a sterile solution of magnesium sulfate in water for Injection that is FDA approved for the {{{indicationType}}} of magnesium deficiency, pre-eclampsia, eclampsia, barium poisoning, seizures associated with epilepsy, glomerulonephritis, or hypothyroidism, paroxysmal atrial tachycardia, and cerebral edema. Common adverse reactions include .
Adult Indications and Dosage
FDA-Labeled Indications and Dosage (Adult)
Magnesium Deficiency
- Dosing Information
- In the treatment of mild magnesium deficiency, the usual adult dose is 1 g, equivalent to 8.12 mEq of magnesium (2 mL of the 50% solution) injected intramuscularly every six hours for four doses (equivalent to a total of 32.5 mEq of magnesium per 24 hours).
- For severe hypomagnesemia, as much as 250 mg (approximately 2 mEq) per kg of body weight (0.5 mL of the 50% solution) may be given intramuscularly within a period of four hours if necessary. Alternatively, 5 g, (approximately 40 mEq) can be added to one liter of 5% Dextrose Injection, USP or 0.9% Sodium Chloride Injection, USP for slow intravenous infusion over a three-hour period. In the treatment of deficiency states, caution must be observed to prevent exceeding the renal excretory capacity.
Hyperalimentation
- Dosing Information
- In total parenteral nutrition, maintenance requirements for magnesium are not precisely known.
- The maintenance dose used in adults ranges from 8 to 24 mEq (1 to 3 g) daily.
Condition3
- Dosing Information
- Dosage
Condition4
- Dosing Information
- Dosage
Off-Label Use and Dosage (Adult)
Guideline-Supported Use
Condition1
- Developed by:
- Class of Recommendation:
- Strength of Evidence:
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Magnesium sulfate (injection) in adult patients.
Non–Guideline-Supported Use
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Magnesium sulfate (injection) in adult patients.
Pediatric Indications and Dosage
FDA-Labeled Indications and Dosage (Pediatric)
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding FDA-Labeled Use of Magnesium sulfate (injection) in pediatric patients.
Off-Label Use and Dosage (Pediatric)
Guideline-Supported Use
Condition1
- Developed by:
- Class of Recommendation:
- Strength of Evidence:
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Magnesium sulfate (injection) in pediatric patients.
Non–Guideline-Supported Use
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Magnesium sulfate (injection) in pediatric patients.
Contraindications
- Condition1
Warnings
- Description
Precautions
- Description
Adverse Reactions
Clinical Trials Experience
There is limited information regarding Clinical Trial Experience of Magnesium sulfate (injection) in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Postmarketing Experience
There is limited information regarding Postmarketing Experience of Magnesium sulfate (injection) in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Drug Interactions
- Drug
- Description
Use in Specific Populations
Pregnancy
- Pregnancy Category
- Australian Drug Evaluation Committee (ADEC) Pregnancy Category
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Magnesium sulfate (injection) in women who are pregnant.
Labor and Delivery
There is no FDA guidance on use of Magnesium sulfate (injection) during labor and delivery.
Nursing Mothers
There is no FDA guidance on the use of Magnesium sulfate (injection) with respect to nursing mothers.
Pediatric Use
There is no FDA guidance on the use of Magnesium sulfate (injection) with respect to pediatric patients.
Geriatic Use
There is no FDA guidance on the use of Magnesium sulfate (injection) with respect to geriatric patients.
Gender
There is no FDA guidance on the use of Magnesium sulfate (injection) with respect to specific gender populations.
Race
There is no FDA guidance on the use of Magnesium sulfate (injection) with respect to specific racial populations.
Renal Impairment
There is no FDA guidance on the use of Magnesium sulfate (injection) in patients with renal impairment.
Hepatic Impairment
There is no FDA guidance on the use of Magnesium sulfate (injection) in patients with hepatic impairment.
Females of Reproductive Potential and Males
There is no FDA guidance on the use of Magnesium sulfate (injection) in women of reproductive potentials and males.
Immunocompromised Patients
There is no FDA guidance one the use of Magnesium sulfate (injection) in patients who are immunocompromised.
Administration and Monitoring
Administration
- Oral
- Intravenous
Monitoring
There is limited information regarding Monitoring of Magnesium sulfate (injection) in the drug label.
Condition1
- Description
IV Compatibility
There is limited information regarding IV Compatibility of Magnesium sulfate (injection) in the drug label.
Overdosage
Acute Overdose
Signs and Symptoms
- Description
Management
- Description
Chronic Overdose
There is limited information regarding Chronic Overdose of Magnesium sulfate (injection) in the drug label.
Pharmacology
There is limited information regarding Magnesium sulfate (injection) Pharmacology in the drug label.
Mechanism of Action
Structure
Pharmacodynamics
There is limited information regarding Pharmacodynamics of Magnesium sulfate (injection) in the drug label.
Pharmacokinetics
There is limited information regarding Pharmacokinetics of Magnesium sulfate (injection) in the drug label.
Nonclinical Toxicology
There is limited information regarding Nonclinical Toxicology of Magnesium sulfate (injection) in the drug label.
Clinical Studies
There is limited information regarding Clinical Studies of Magnesium sulfate (injection) in the drug label.
Condition1
- Description
How Supplied
Storage
There is limited information regarding Magnesium sulfate (injection) Storage in the drug label.
Images
Drug Images
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Package and Label Display Panel
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Patient Counseling Information
There is limited information regarding Patient Counseling Information of Magnesium sulfate (injection) in the drug label.
Precautions with Alcohol
- Alcohol-Magnesium sulfate (injection) interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
Brand Names
- MAGNESIUM SULFATE®[1]
Look-Alike Drug Names
- A® — B®[2]
Drug Shortage Status
Price
References
The contents of this FDA label are provided by the National Library of Medicine.
- ↑ "MAGNESIUM SULFATE (magnesium sulfate heptahydrate) injection, solution".
- ↑ "http://www.ismp.org". External link in
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