Magnesium
Specifically for Migraine
0 up • 0 down
Why it works for Migraine:
Magnesium is involved in many brain and vascular processes that are implicated in migraine: it modulates neuronal excitability (including NMDA/glutamate pathways), stabilizes voltage-gated ion channels, influences serotonin and nitric-oxide pathways, and helps regulate vascular tone and mitochondrial function. Low intracellular or serum magnesium has been observed in some people with migraine, and correcting deficiency may reduce cortical spreading depression and related migraine processes. SpringerLink
How to use for Migraine:
a. Prevention (oral magnesium)
- Typical doses used in prevention trials: ~400 mg elemental magnesium daily, with many sources recommending 400–600 mg/day (commonly magnesium oxide). Most trials gave oral magnesium for several weeks (often ≥8–12 weeks) before assessing benefit. Take with food if GI upset occurs. American Migraine Foundation
- Common supplement forms: magnesium oxide (widely studied for migraine prevention), magnesium citrate, magnesium glycinate (better tolerated by some). Absorption and GI side effects vary by salt (oxide less well absorbed but commonly used in trials; citrate/glycinate often gentler on bowels). The Migraine Trust+1
b. Acute treatment (intravenous magnesium for an attack)
- In emergency/acute settings studies commonly use magnesium sulfate IV 1–2 grams, typically administered over 10–20 minutes (protocols vary between 1 g and 2 g). IV magnesium has been trialed as an adjunct or alternative for acute migraine in emergency departments. Not every patient benefits, but some trials and meta-analyses show improved pain response in subsets (especially migraine with aura in some reports). Use only under medical supervision. ScienceDirect
Practical notes:
- Give oral magnesium for at least 8–12 weeks to judge preventive effect.
- If using supplements, check the product’s elemental magnesium content (labelled amount of “magnesium” vs magnesium salt).
- If IV magnesium is being considered for acute migraine, it should be administered in a monitored clinical setting (ED or clinic) with appropriate monitoring.
Scientific Evidence for Migraine:
Guidelines / evidence grading: The American Academy of Neurology / American Headache Society reviewed the evidence and rated magnesium (oral) as probably effective (Level B) for migraine prevention in earlier guideline updates. Many headache clinics list magnesium as a reasonable, low-risk preventive option. Headache Journal
Systematic reviews / meta-analyses: Meta-analyses and systematic reviews have examined both IV and oral magnesium. A meta-analysis of IV and oral magnesium trials found some benefit for acute attacks (IV) and mixed but suggestive evidence for oral prevention — evidence is variable in quality, but overall supports magnesium as a probably effective, low-risk option for prevention in many patients. Pain Physician
Randomized trials: Multiple randomized trials have assessed oral magnesium for prevention (often showing modest reduction in attack frequency) and IV magnesium sulfate for acute treatment (1–2 g IV) with mixed but positive results in some trials; a number of RCTs are pooled in the reviews above. Example trial PDFs and trial registrations (for IV magnesium vs conventional therapies) are available in the literature. Index Copernicus Journals
Recent comprehensive reviews: Recent narrative and systematic reviews summarize mechanisms and trial data and remain cautiously supportive — recommending magnesium as an option, especially given its safety compared with many pharmacologic preventives. MDPI
Specific Warnings for Migraine:
Main side effects:
- Gastrointestinal: oral magnesium commonly causes diarrhoea, abdominal cramping, nausea (dose-dependent). Some salts (oxide, hydroxide) are more likely to cause loose stools. Lower dose or switching forms (glycinate/citrate) can help. The Migraine Trust
Serious cautions / contraindications:
- Renal impairment: impaired kidney function reduces magnesium excretion and raises the risk of magnesium accumulation and toxicity (hypotension, bradycardia, respiratory depression, reduced deep tendon reflexes). Avoid high-dose magnesium in patients with significant renal failure unless under specialist supervision. Always check renal function before regular high-dose supplementation. BNF
- Drug interactions: magnesium salts can bind and reduce absorption of several oral medications (for example certain antibiotics — tetracyclines and fluoroquinolones, bisphosphonates, levothyroxine). For many interacting drugs it’s recommended to separate dosing by 2 hours (check specific drug guidance). Magnesium can also interact with drugs that affect cardiac conduction or neuromuscular blockade. Consult a pharmacist/clinician about specific interactions. BNF
- Pregnancy & breastfeeding: oral magnesium supplements at conventional preventive doses (typically ≤350–400 mg/day elemental in general pregnancy supplements) are often used in pregnancy, but IV magnesium sulfate is a separate clinical agent (used in obstetric care for pre-eclampsia) and IV use for migraine in pregnancy should be guided by obstetrics/neuro specialists. Speak with obstetrics if pregnant or breastfeeding. Healthline
- Overdose / toxicity: acute magnesium overdose (usually from high supplemental or IV doses, especially with renal impairment) can cause hypotension, bradycardia, respiratory depression, coma. Signs of toxicity include nausea, flushing, low blood pressure, slowed heartbeat, reduced reflexes. Seek urgent care if severe symptoms occur. Health
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 Migraine
Talk specifically about using Magnesium for Migraine.
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.