Magnesium
Specifically for Epilepsy
0 up • 0 down
Why it works for Epilepsy:
Physiology/mechanism. Magnesium blocks the NMDA-type glutamate receptor channel and helps stabilize neuronal membranes; low magnesium (hypomagnesemia) increases neuronal excitability and can itself provoke seizures. MDPI
When it clearly helps.
- Eclampsia (pregnancy-related seizures): IV magnesium sulfate is superior to diazepam (and other agents) at preventing recurrent seizures and reducing maternal morbidity/mortality. This is standard of care for eclampsia—not for chronic epilepsy. Cochrane
- Seizures due to magnesium deficiency: Correcting documented hypomagnesemia reduces seizure risk and is part of routine care. gloshospitals.nhs.uk
For chronic epilepsy in general: High-quality evidence is limited. Reviews emphasize a lack of large randomized trials showing benefit of magnesium as a routine antiseizure therapy. MDPI
How to use for Epilepsy:
Eclampsia (pregnancy/post-partum): Hospital protocol (ACOG-style)
- Load: 4–6 g MgSO₄ IV over 20–30 min
- Maintenance: 1–2 g/h IV infusion for 24 h postpartum; give an extra 2–4 g IV over 5 min for recurrent seizures.
- Monitor reflexes, respiration, urine output; treat impending toxicity with IV calcium gluconate. The ObG Project
Documented hypomagnesemia (any patient with seizures and low Mg):
- Example adult hospital guideline: if symptomatic or Mg <0.5 mmol/L, 20 mmol Mg IV over 3–4 h (or added to IV fluids); if milder, consider oral magnesium (dose limited by diarrhea). Avoid/adjust in renal impairment; monitor for hypermagnesemia. (Exact choice/dose varies by product and setting.) gloshospitals.nhs.uk
Infantile epileptic spasms syndrome (IESS), adjunct to ACTH (specialist care):
- A Chinese randomized, open-label study and follow-ups used IV MgSO₄ combined with ACTH for ~3 weeks (hospital regimen), reporting better short-term seizure outcomes vs ACTH alone; subsequent “real-world” studies also report benefit. This approach is investigational, center-specific, and not a universal standard. ScienceDirect
Scientific Evidence for Epilepsy:
Strong, guideline-level evidence (specific condition):
- Eclampsia: Cochrane review of RCTs shows magnesium sulfate clearly reduces recurrent seizures and maternal deaths vs diazepam; similar superiority vs phenytoin and “lytic cocktail.” The landmark MAGPIE trial supports this practice. Cochrane
Moderate/limited evidence (selected epilepsy contexts):
- Infantile spasms (adjunct):
- Randomized, open-label trial (China): 3-week ACTH + MgSO₄ outperformed ACTH alone on seizure outcomes at 24-week follow-up. ScienceDirect
- Systematic/meta-analytic mentions and real-world data echo potential benefit but stress methodological limits; first-line standards remain ACTH, corticosteroids, or vigabatrin. Frontiers
- Refractory status epilepticus (non-eclamptic): Systematic reviews and practice summaries find only case reports/series for IV magnesium; evidence is insufficient to recommend routine use outside specific scenarios or trials. SAGE Journals
Supportive/background evidence:
- Mechanistic & observational data: Reviews highlight NMDA antagonism and associations between low Mg and greater seizure susceptibility, but also note inconsistent biomarker findings and need for better trials. MDPI
- Genetic/epidemiologic data: Mendelian-randomization work exploring serum magnesium and epilepsy risk does not establish a clear protective causal effect at the population level. Wiley Online Library
- Clinical guidance for everyday epilepsy care: Major guidelines (e.g., NICE) do not list magnesium as a standard antiseizure therapy for adults or children (outside eclampsia/deficiency correction). NICE
- Patient-facing epilepsy resources: Magnesium supplementation is seldom needed for seizure control unless a deficiency is confirmed. Epilepsy Foundation
Specific Warnings for Epilepsy:
Not a routine antiseizure medication. Do not substitute magnesium for guideline-recommended antiseizure medicines. (See NICE overview.) NICE
Toxicity risks (especially IV or renal impairment): Loss of reflexes, respiratory depression, hypotension, bradycardia; severe cases can lead to heart block/cardiac arrest. Avoid parenteral magnesium in myasthenia gravis; use caution/adjust dose in renal impairment; monitor vitals and reflexes during IV therapy. gloshospitals.nhs.uk
Drug interactions (oral magnesium, including antacids/laxatives)
- Reduced absorption of many oral drugs—take magnesium several hours apart. This is general BNF guidance for magnesium-containing products/antacids. BNF
- Examples include tetracycline/fluoroquinolone antibiotics, bisphosphonates, levothyroxine, and gabapentin; spacing doses is commonly advised. (Authoritative interaction overviews.) Office of Dietary Supplements
- With antiseizure meds: Interaction risk is formulation-specific and often relates to absorption (e.g., magnesium-containing antacids around phenytoin dosing). Follow pharmacy guidance and separate doses when advised. BNF
Upper limits for supplements: For otherwise healthy adults, the Tolerable Upper Intake Level (UL) for supplemental elemental magnesium is 350 mg/day (does not include food sources). Exceed only under medical supervision. GI side effects (diarrhea/cramps) are common at higher doses. Office of Dietary Supplements
General Information (All Ailments)
What It Is
Magnesium is a mineral that is essential for numerous physiological functions in the human body. It is the fourth most abundant mineral in the body and is required for the proper functioning of muscles, nerves, enzymes, and the cardiovascular system. Magnesium is found both inside cells and in bone tissue, where about 60% of the body’s total magnesium is stored. The remainder is distributed in muscles, soft tissues, and fluids such as blood.
Dietary sources of magnesium include leafy green vegetables (like spinach and kale), nuts and seeds (such as almonds, pumpkin seeds, and cashews), whole grains, legumes, and dark chocolate. Magnesium is also available as a dietary supplement, often in forms such as magnesium citrate, oxide, glycinate, or malate, each with different absorption rates and gastrointestinal effects.
How It Works
Magnesium acts as a cofactor in over 300 enzymatic reactions that regulate vital biochemical processes. These include:
- Energy production: It is necessary for the synthesis of ATP (adenosine triphosphate), the main energy currency of cells.
- Protein synthesis and DNA/RNA repair: Magnesium stabilizes nucleic acids and assists in genetic replication and protein construction.
- Muscle and nerve function: It helps regulate neuromuscular signaling by controlling calcium and potassium flow across cell membranes, thus influencing muscle contraction and nerve impulse transmission.
- Blood glucose and pressure regulation: Magnesium helps maintain insulin sensitivity and modulates vascular tone, supporting stable blood sugar and healthy blood pressure.
- Electrolyte balance: It contributes to maintaining equilibrium between other electrolytes, such as sodium, potassium, and calcium.
In simple terms, magnesium acts as a biological stabilizer, ensuring that chemical reactions in the body proceed smoothly and that cells maintain proper electrical and metabolic function.
Why It’s Important
Magnesium is vital for overall health and longevity. Its benefits span multiple systems:
- Cardiovascular health: Adequate magnesium helps prevent arrhythmias, hypertension, and atherosclerosis by promoting vascular relaxation and reducing inflammation.
- Bone strength: Magnesium supports bone mineralization and influences parathyroid hormone (PTH) and vitamin D metabolism, which are key in calcium regulation.
- Mental health and mood: It contributes to neurotransmitter balance, reducing symptoms of anxiety, depression, and stress by modulating the brain’s HPA (hypothalamic–pituitary–adrenal) axis.
- Metabolic function: Low magnesium levels are linked to insulin resistance, type 2 diabetes, and metabolic syndrome.
- Muscle recovery and performance: Magnesium aids in preventing cramps, spasms, and fatigue by supporting muscle relaxation and energy metabolism.
Chronic deficiency can lead to symptoms such as muscle weakness, fatigue, tremors, irregular heartbeat, mood changes, and sleep disturbances. Severe deficiency is rare but can occur due to malnutrition, alcoholism, certain medications (like diuretics or proton pump inhibitors), or health conditions affecting absorption (such as Crohn’s disease).
Considerations
While magnesium is generally safe, there are important factors to keep in mind:
- Dosage and supplementation: The Recommended Dietary Allowance (RDA) for adults typically ranges from 310–420 mg per day, depending on age and sex. Excessive supplementation can cause diarrhea, nausea, and abdominal cramping, especially from poorly absorbed forms like magnesium oxide.
- Kidney function: Individuals with impaired kidney function should be cautious, as they may not be able to excrete excess magnesium efficiently, leading to hypermagnesemia, which can cause low blood pressure, slow heart rate, and even cardiac arrest in extreme cases.
- Medication interactions: Magnesium supplements may interfere with the absorption of certain medications, including antibiotics (e.g., tetracyclines, fluoroquinolones) and bisphosphonates used for osteoporosis. Spacing doses by a few hours is recommended.
- Bioavailability: The form of magnesium affects how well it’s absorbed. Chelated forms like magnesium glycinate or citrate tend to be better tolerated and absorbed compared to oxide or sulfate.
- Lifestyle factors: Chronic stress, high alcohol intake, excessive caffeine, and diets low in whole foods can all deplete magnesium levels.
Helps with these conditions
Magnesium is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Constipation
Osmotic effect: Magnesium salts (e.g., magnesium citrate, magnesium hydroxide [“milk of magnesia”], magnesium oxide) are osmotic laxatives. They are p...
Anxiety
Neurotransmitter modulation (GABA & NMDA): Magnesium acts as a natural regulator of excitatory NMDA glutamate receptors and supports inhibitory GA...
Insomnia
Magnesium helps regulate neurotransmitters and hormones that control sleep (it modulates GABA and NMDA signaling, and appears to influence melatonin a...
Sleep Apnea
There is biological plausibility and observational evidence that low magnesium is associated with obstructive sleep apnea (OSA), and magnesium can imp...
Migraine
Magnesium is involved in many brain and vascular processes that are implicated in migraine: it modulates neuronal excitability (including NMDA/glutama...
High Blood Pressure
Magnesium helps blood vessels relax (vasodilation) by acting as a mild, natural calcium-channel antagonist, supporting nitric-oxide and prostacyclin p...
Asthma
Bronchodilation via calcium antagonism: Magnesium relaxes airway smooth muscle by opposing calcium entry and modulating intracellular calcium handling...
PMS
Neurotransmitters & neuromodulation. Magnesium is a cofactor in >300 enzyme systems and is important for nerve transmission and muscle function...
Osteoporosis
Bone matrix + mineralization: Magnesium is incorporated into bone mineral and affects crystal size and quality; deficiency impairs mineralization and...
Kidney Stones
Biochemical mechanisms (mainly for calcium-oxalate stones):Binds oxalate in the gut, lowering oxalate absorption.Competes with calcium for oxalate in...
Tinnitus
Neuroexcitation control (NMDA block). Magnesium (Mg²⁺) sits in and blocks NMDA-type glutamate receptors in a voltage-dependent way; this dampens excit...
Endometriosis
Smooth-muscle relaxation & prostaglandins: Magnesium can reduce uterine smooth-muscle excitability and may lower prostaglandin synthesis—both rele...
Restless Legs Syndrome
Cellular / physiological rationale: magnesium is a cofactor for hundreds of enzymes, is involved in nerve impulse conduction and muscle relaxation, an...
Epilepsy
Physiology/mechanism. Magnesium blocks the NMDA-type glutamate receptor channel and helps stabilize neuronal membranes; low magnesium (hypomagnesemia)...
Meniere’s Disease
Mechanistic plausibility (indirect): Magnesium modulates calcium channels and NMDA receptors, influences vascular tone, and has antioxidant/anti-excit...
Celiac Disease
Magnesium does not treat or cure celiac disease — the only disease-directed therapy is a strict gluten-free diet. However, magnesium supplementation i...
Temporomandibular Joint Disorder
Reduces central sensitisation / pain signalling. Magnesium blocks NMDA receptors, which are key in pain amplification. Multiple reviews in anaesthesia...
Arrhythmia
Electrophysiology 101. Magnesium modulates movement of calcium and potassium across cardiac cell membranes, stabilizing the action potential and AV-no...
Community Discussion
Share results, tips, and questions about Magnesium.
Loading discussion...
No comments yet. Be the first to start the conversation!
Discussion for Epilepsy
Talk specifically about using Magnesium for Epilepsy.
Loading discussion...
No comments yet. Be the first to start the conversation!
Remedy Statistics
Helps With These Conditions
Recommended Products
No recommended products added yet.