Why is this medication prescribed?

Milk of Magnesia is a brand name for a medication that contains magnesium hydroxide as its active ingredient. It is commonly prescribed and used for several purposes:

• Antacid: Milk of Magnesia is often used to relieve heartburn, indigestion, and upset stomach by neutralizing excess stomach acid.
• Laxative: It can be used as a mild laxative to relieve constipation by drawing water into the intestines and softening the stool, making it easier to pass.
• Treatment of Hyperphosphatemia: In some cases, it may be prescribed to lower phosphate levels in the blood, particularly in individuals with kidney problems.

How should this medicine be used?

Milk of Magnesia, also known as magnesium hydroxide, is an over-the-counter medication commonly used as an antacid or a laxative. Its usage can vary depending on the intended purpose. Here’s how you should use Milk of Magnesia:

• As an Antacid:
  • Shake the bottle well before using.
  • Take the recommended dose, usually 1-2 tablespoons (15-30 mL), unless otherwise directed by a healthcare professional.
  • It is typically taken between meals and at bedtime or as needed to relieve heartburn, indigestion, or sour stomach.
  • You can take it with a small amount of water, but do not take it with milk or other dairy products.
• As a Laxative:
  • Shake the bottle well before using.
  • The dosage for a laxative effect varies depending on age and specific instructions from a healthcare provider. Follow the directions on the product label or as directed by your healthcare professional.
  • It is usually taken at bedtime for overnight relief, as it may take several hours to work.
  • It can be taken with a glass of water or juice.
• General Guidelines:
  • Do not take more than the recommended dose, as excessive use can lead to side effects like diarrhea and dehydration.
  • Avoid taking Milk of Magnesia for an extended period without consulting a healthcare provider, as it can interfere with the absorption of certain nutrients.
  • Do not use it if you have kidney problems or if you are on a magnesium-restricted diet without consulting a healthcare professional.
• Special Considerations:
  • If you are pregnant, nursing, have kidney problems, or have any underlying medical conditions, consult your doctor or pharmacist before using Milk of Magnesia.
  • It’s important not to use Milk of Magnesia as a long-term solution for constipation without addressing the underlying cause. If you have chronic constipation, consult a healthcare provider for a proper evaluation and treatment plan.

Milk of Magnesia is generally considered safe when used as directed. However, if you experience severe or persistent symptoms, allergic reactions, or adverse effects, discontinue use and seek medical attention. Always read the product label and follow the instructions provided, and consult a healthcare professional if you have any questions or concerns about its use.

Other uses for this medicine

While its primary uses are as an antacid and a laxative, some people have explored alternative uses for Milk of Magnesia, including:

• Skin Care: Milk of Magnesia can be applied topically as a face mask to absorb excess oil and help control acne. Apply a thin layer to the skin, leave it on for about 15-20 minutes, and then rinse it off.
• Deodorant: Some individuals use Milk of Magnesia as a natural deodorant due to its ability to neutralize odor and absorb moisture. Apply a small amount to clean underarms and let it dry before dressing.

What special precautions should I follow?

As for special precautions when using Milk of Magnesia:

• Consult a Healthcare Professional: Before using Milk of Magnesia for any purpose other than its labeled indications (antacid or laxative), consult with a healthcare provider. They can provide guidance based on your specific needs and conditions.
• Dosage and Duration: Always follow the recommended dosage and duration of use provided by your doctor or the product label. Overuse or misuse of Milk of Magnesia can lead to electrolyte imbalances, diarrhea, and other side effects.
• Interactions: Be aware of potential drug interactions. Milk of Magnesia can interact with certain medications, such as antibiotics and heart medications. Inform your healthcare provider about all the medications and supplements you are taking to avoid any adverse interactions.
• Side Effects: Common side effects of Milk of Magnesia may include diarrhea and abdominal discomfort. If you experience severe or persistent side effects, contact your healthcare provider.
• Special Populations: If you are pregnant, breastfeeding, have kidney problems, or have any underlying medical conditions, discuss the use of Milk of Magnesia with your healthcare provider, as special precautions may be necessary.
• Allergies: If you are allergic to magnesium or any other ingredients in Milk of Magnesia, avoid using it and seek an alternative treatment.

Always prioritize safety and consult with a healthcare professional for guidance on the appropriate use of Milk of Magnesia or any other medication, especially when considering alternative uses beyond its established indications.

What special dietary instructions should I follow?

Special dietary instructions are generally not required when taking Milk of Magnesia for its typical uses as an antacid or a laxative. However, there are a few general guidelines to consider:

• For Antacid Use: You can take Milk of Magnesia with or without food, but it’s often taken after meals and at bedtime to help relieve heartburn or indigestion. If you have specific dietary restrictions or concerns, consult your healthcare provider for personalized advice.
• For Laxative Use: There are no specific dietary restrictions associated with taking Milk of Magnesia as a laxative. However, maintaining a well-balanced diet with adequate fiber and fluid intake can help support regular bowel movements and overall digestive health.

What should I do if I forget a dose?

If you forget a dose of Milk of Magnesia, here’s what you should do:

• For Antacid Use: If you forget a dose for heartburn or indigestion, you can take it when you remember, provided it’s not too close to your next scheduled dose. Do not double up on doses to make up for a missed one. Follow your regular dosing schedule.
• For Laxative Use: If you forget to take Milk of Magnesia as a laxative, it’s generally not recommended to double the dose to catch up. Simply continue with your next scheduled dose. Taking too much at once can lead to diarrhea and electrolyte imbalances.

What side effects can this medication cause?

Milk of Magnesia (magnesium hydroxide) is generally considered safe when used as directed, but like any medication, it can potentially cause side effects. Common side effects may include:

• Diarrhea: This is one of the most common side effects of Milk of Magnesia when used as a laxative. It works by drawing water into the intestines, which can lead to loose stools and diarrhea.
• Abdominal Discomfort: Some individuals may experience abdominal cramps, bloating, or discomfort when taking Milk of Magnesia, particularly if they use it as a laxative.
• Nausea: Nausea may occur, especially if the product is not well-tolerated by the individual.
• Electrolyte Imbalances: In rare cases, prolonged or excessive use of Milk of Magnesia can lead to imbalances in electrolytes such as potassium and calcium. This is more likely to occur when the product is used in larger doses or over an extended period.
• Dehydration: Diarrhea caused by Milk of Magnesia can lead to dehydration if not managed properly. It’s important to drink plenty of fluids when using it as a laxative to help prevent dehydration.
• Allergic Reactions: While rare, some individuals may be allergic to the active ingredient, magnesium hydroxide, and may experience allergic reactions such as itching, rash, or swelling. Seek medical attention if you suspect an allergic reaction.
• Kidney Problems: Excessive or prolonged use of magnesium-containing laxatives like Milk of Magnesia can potentially lead to kidney problems, particularly in individuals with impaired kidney function. It’s crucial to use it as directed and consult a healthcare provider if you have kidney issues.
• Other Gastrointestinal Issues: Some people may experience other gastrointestinal issues, such as gas or an upset stomach.

It’s important to use Milk of Magnesia only as directed by your healthcare provider or the product label to minimize the risk of these side effects. If you experience severe or persistent side effects or have any concerns, consult with a healthcare professional. Additionally, inform your healthcare provider of any other medications or supplements you are taking, as there can be potential interactions that may increase the risk of side effects.

What should I know about storage and disposal of this medication?

Storage:

• Store Milk of Magnesia at room temperature, away from excessive heat and moisture.
• Keep it out of reach of children and pets.
• Close the bottle tightly to prevent contamination and maintain its effectiveness.
• Check the product label for any specific storage instructions provided by the manufacturer.

Disposal:

• When disposing of Milk of Magnesia, follow any local guidelines or regulations for the disposal of over-the-counter medications.
• Do not flush it down the toilet unless instructed to do so by a healthcare provider or on the product label.
• You can typically dispose of unused or expired medications in a sealed plastic bag or container, mixed with an undesirable substance like coffee grounds or kitty litter to discourage accidental ingestion.
• If you have questions about proper disposal, consult your pharmacist or local waste disposal authority.

In case of emergency/overdose

If you suspect an overdose or experience severe symptoms, seek immediate medical attention or contact a poison control center. Symptoms of an overdose of Milk of Magnesia may include:

• Severe diarrhea
• Excessive thirst
• Confusion
• Muscle weakness
• Irregular heartbeat
• Dizziness
• Fainting

What other information should I know

• Inform your healthcare provider about all the medications and supplements you are taking, including Milk of Magnesia, as it can interact with certain drugs.
• Do not use Milk of Magnesia for longer than the recommended duration, as prolonged or excessive use can lead to electrolyte imbalances and other complications.
• If you experience persistent symptoms such as heartburn, indigestion, or constipation, consult your healthcare provider for a proper evaluation and diagnosis.
• Keep the product out of the reach of children, as they may mistake it for a beverage due to its milky appearance.
• Follow the dosing instructions provided by your healthcare provider or on the product label carefully to ensure safe and effective use.

It’s important to use Milk of Magnesia as directed and to seek medical attention if you have any concerns about its use, side effects, or potential interactions with other medications.