|
|
Folic Acid Iron* | |
|
Potassium | |
| Side effect reduction/prevention |
None known |
| Supportive interaction |
None known |
| Reduced drug absorption/bioavailability |
None known |
| Adverse interaction |
None known |
An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.
Folic acid
Folic acid is needed by the body to utilise vitamin B12.
Antacids, including magnesium hydroxide, inhibit folic acid absorption.1 People
taking antacids are advised to supplement with folic acid.
Iron
Antacids, including magnesium hydroxide, may reduce the
absorption of dietary iron. Iron supplements do not require stomach acid for absorption and
one human study found that a magnesium hydroxide/aluminium hydroxide antacid did not decrease supplemental
iron absorption.2
Potassium
Individuals taking potassium-depleting diuretics and those
who are otherwise at risk of developing potassium deficiency (such as people with chronic diarrhoea or vomiting) may experience a fall in serum
potassium levels if they take magnesium without taking additional potassium.3 This
could lead to muscle cramps or, in individuals taking
digoxin or digitalis, more serious problems such as cardiac arrhythmias. Individuals who have a history of
potassium deficiency and those who are at risk of developing potassium deficiency, as well as
people taking digoxin or digitalis, should consult a physician before taking
magnesium-containing products.
1. Russell RM, Golner BB, Krasinski SD, et al. Effect of antacid and H2 receptor antagonists on the intestinal absorption of folic acid. J Lab Clin Med 1988;112:458–63.
2. O’Neil-Cutting MA, Crosby WH. The effect of antacids on the absorption of simultaneously ingested iron. JAMA 1986;255:1468–70.
3. Dyckner T, Wester PO. Ventricular extrasystoles and intracellular electrolytes before and after potassium and magnesium infusions in patients on diuretic treatment. Am Heart J 1979;97:12–8.
| |||||||