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Magnesium Sulfate Heptahydrate

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At a glance

Magnesium Sulfate Heptahydrate is a magnesium salt used as an oral laxative for constipation and as an injection for eclampsia, pre-eclampsia, severe asthma, and magnesium deficiency.

Description

Magnesium Sulfate Heptahydrate is a magnesium salt that acts as an osmotic laxative for constipation and as an anticonvulsant and electrolyte replenisher when given as an injection. It draws water into the bowel to soften stool and reduces neuromuscular over-excitability to prevent seizures.

Indications
  • Constipation (oral laxative)
  • Seizure prevention in eclampsia/pre-eclampsia (injection)
  • Severe asthma (injection)
  • Magnesium deficiency (injection)
Therapeutic class

Specific Mineral Preparations

Pharmacological class

Electrolyte / Osmotic Laxative & Anticonvulsant

Pharmacology

Magnesium sulfate draws water into the bowel through osmotic effect to soften stool and reduces neuromuscular over-excitability to prevent seizures.

Mechanism of action

Draws water into the bowel to soften stool (laxative); reduces neuromuscular over-excitability to prevent seizures.

Dosage

Constipation (Oral): 5-15 g dissolved in water

Injection: Hospital use only at physician-determined doses

Administration
  • Oral: Take with plenty of water
  • Injection: Only under supervision with monitoring of reflexes and breathing
Missed dose

Use the laxative as needed; if on a regular dose, take when remembered.

Side effects

Oral: Diarrhea, abdominal cramps

Injection: Warmth, low blood pressure; excess causes breathing difficulty and loss of reflexes (magnesium toxicity)

Precautions & warnings
  • Caution in kidney disease
  • Calcium gluconate is kept ready as an antidote during injection
  • Used under supervision in eclampsia
Contraindications
  • Heart block
  • Severe renal failure
  • Myasthenia gravis
Drug interactions
  • Calcium-channel blockers
  • Muscle relaxants
  • Other CNS depressants
Food interactions

Works faster on an empty stomach; adequate water is essential.

Use in pregnancy

Use in Pregnancy: Used under supervision in eclampsia; otherwise use with caution. Category D - always consult a doctor before taking during pregnancy.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Use in lactation

Use in Lactation: Generally compatible; seek advice.

Pediatric use

Use in children as directed by physician.

Geriatric use

Caution needed in elderly.

Renal / hepatic impairment

Renal Impairment: Caution needed.

Overdose effects

Magnesium toxicity - breathing difficulty, loss of reflexes; treat with calcium gluconate and supportive care.

Storage conditions

Store below 30°C in a dry place.

Chemical structure

Magnesium Sulfate Heptahydrate

Common questions

Is this Epsom salt?
Yes, magnesium sulfate is Epsom salt.
Can I inject it myself?
No, hospital use only.
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.