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Magnesium Sulfate Heptahydrate 5.07 g/10 mL Gastric Tube Liquid

Description: This Magnesium Sulfate Heptahydrate 5.07 g/10 mL Gastric Tube Liquid is a specially compounded medication intended for administration through a gastric tube. The formulation provides a precise 5.07 grams of Magnesium Sulfate Heptahydrate in each 10 mL of liquid, ensuring accurate dosing for patients who are unable to take oral medications. This medication is typically used in hospital settings or for home care patients with swallowing difficulties. It is indicated for the treatment of hypomagnesemia, prevention of seizures in severe pre-eclampsia or eclampsia, and as a bronchodilator in acute exacerbations of asthma. The liquid form facilitates ease of use and helps in maintaining proper drug levels in patients requiring magnesium sulfate therapy.

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G-Tube Liquid
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Formula Information

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The Magnesium Sulfate Heptahydrate 5.07 g/10 mL Gastric Tube Liquid is a specialized pharmaceutical preparation intended for administration through a gastric tube. This formulation is meticulously designed to provide a precise dosage of magnesium sulfate, which is essential for patients who are unable to take medications orally. The liquid form ensures that the medication can be easily and safely delivered directly into the stomach, making it particularly suitable for use in hospital settings or for individuals with swallowing difficulties.

Magnesium sulfate is a versatile medication with several clinical applications. It is commonly used in the treatment of hypomagnesemia, a condition characterized by low levels of magnesium in the blood. Magnesium is a critical electrolyte necessary for numerous physiological functions, including nerve transmission, muscle contraction, and the regulation of vascular tone. By replenishing magnesium levels, this formulation can help alleviate symptoms associated with magnesium deficiency such as muscle weakness, tremors, and cardiac arrhythmias.

In addition to treating hypomagnesemia, magnesium sulfate has a role in the management of eclampsia and pre-eclampsia in pregnant women, where it acts as a tocolytic agent to prevent seizures. It is also used off-label for the management of acute asthma exacerbations due to its bronchodilatory properties. The use of this medication should be guided by a thorough understanding of the patient's clinical status and electrolyte levels, as magnesium sulfate can interact with other drugs and has potential side effects, particularly when administered in high doses or to patients with renal impairment.

For prescribers considering this formulation, it is important to monitor serum magnesium levels and renal function throughout the course of treatment to ensure safety and efficacy. Patients or caregivers should be instructed on the proper administration technique through a gastric tube to prevent complications. As with all medications, potential side effects, drug interactions, and contraindications should be reviewed prior to administration.

If you have any questions or require further information about the Magnesium Sulfate Heptahydrate 5.07 g/10 mL Gastric Tube Liquid formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support and guidance to ensure optimal patient care.

Drug Interactions

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Magnesium sulfate heptahydrate is a medication that is commonly used to treat low magnesium levels in the blood (hypomagnesemia), as well as for the prevention and control of seizures in patients with eclampsia or severe pre-eclampsia. It can also be used as a laxative for bowel preparation prior to surgery or diagnostic procedures. When administered via a gastric tube as a 5.07 g/10 mL liquid formulation, it is important to consider potential drug interactions that may affect the efficacy of the treatment or the safety of the patient.

One significant interaction is with bisphosphonates, which are medications used to treat osteoporosis. Magnesium can bind to bisphosphonates and reduce their absorption and effectiveness. It is recommended to administer bisphosphonates at least two hours before or four to six hours after magnesium sulfate to avoid this interaction. Similarly, magnesium can decrease the absorption of certain antibiotics, such as tetracyclines and quinolones. To minimize this interaction, these antibiotics should be taken at least two hours before or four to six hours after magnesium sulfate administration.

Patients on digoxin should be closely monitored when receiving magnesium sulfate, as high levels of magnesium can decrease the sensitivity of the myocardium to digoxin, potentially leading to a need for dose adjustments. Conversely, low magnesium levels can increase the risk of digoxin toxicity, so maintaining appropriate magnesium levels is crucial for patients on digoxin therapy.

Diuretics, particularly loop and thiazide diuretics, can increase the excretion of magnesium, potentially leading to hypomagnesemia. In patients receiving these diuretics, magnesium levels should be monitored, and supplementation may be necessary to prevent deficiency. On the other hand, magnesium sulfate can enhance the neuromuscular blocking effects of drugs such as aminoglycoside antibiotics and neuromuscular blockers, which could lead to increased muscle weakness or respiratory depression. Caution is advised when co-administering these medications.

Patients on calcium channel blockers or other antihypertensive medications should be monitored for signs of hypotension when receiving magnesium sulfate, as magnesium can potentiate the effects of these drugs, leading to an increased risk of low blood pressure. Additionally, magnesium sulfate can interact with proton pump inhibitors (PPIs) and histamine H2-receptor antagonists, potentially leading to increased magnesium levels, especially with prolonged use of these gastric acid suppressants.

Lastly, magnesium sulfate can reduce the absorption of certain drugs due to its laxative effect, which can increase gastrointestinal transit time. Medications with a narrow therapeutic index or those that require precise dosing may be particularly affected. It is important to monitor therapeutic drug levels and clinical response when these medications are used concurrently with magnesium sulfate.

It is essential for prescribers and patients to be aware of these potential interactions when using magnesium sulfate heptahydrate 5.07 g/10 mL gastric tube liquid. Monitoring of drug levels, renal function, and electrolytes is recommended to ensure safe and effective use of this medication. If you have any questions or require further information regarding drug interactions with this formulation, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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The Magnesium Sulfate Heptahydrate 5.07 g/10 mL Gastric Tube Liquid is a specialized medication designed for administration through a gastric tube, which is a tube that delivers medication directly to a patient's stomach. This formulation is particularly beneficial for patients who are unable to take medications orally due to various reasons such as swallowing difficulties, unconsciousness, or when oral administration is not effective. The liquid form ensures that the medication can be easily and safely administered through the tube, providing a controlled and precise dosage.

Magnesium sulfate heptahydrate is a form of magnesium with a high solubility in water, which makes it suitable for liquid formulations. Magnesium is an essential mineral that plays a crucial role in numerous physiological functions. It is involved in over 300 enzymatic reactions, including protein synthesis, muscle and nerve function, blood glucose control, and blood pressure regulation. It also contributes to the structural development of bone and is required for the synthesis of DNA, RNA, and the antioxidant glutathione.

In a medical setting, magnesium sulfate is commonly used to treat and prevent low blood magnesium levels (hypomagnesemia). It is also used in the management of seizures associated with conditions such as eclampsia or severe pre-eclampsia in pregnant women. Additionally, magnesium sulfate can be used as a bronchodilator in patients with severe asthma exacerbations, where intravenous or nebulized forms are ineffective or not feasible. The medication works by replacing magnesium in patients who have low levels due to illness or treatment with certain drugs, or in situations where the body loses magnesium faster than it can be replenished.

When administered, magnesium sulfate works by increasing the amount of magnesium in the bloodstream. This can help to relax muscles and blood vessels, which can be beneficial in conditions such as eclampsia, where high blood pressure and seizures are a concern. The relaxation of bronchial muscles can also aid in easing breathing difficulties in severe asthma attacks. The exact mechanism by which magnesium sulfate treats these conditions is complex and involves various pathways, including the inhibition of acetylcholine release and the reduction of excitatory amino acid release, which can help to prevent seizures.

It is important for prescribers to consider the patient's renal function before administering magnesium sulfate, as it is primarily excreted by the kidneys. Monitoring of serum magnesium levels may be necessary to avoid potential complications such as hypermagnesemia, especially in patients with renal impairment. Additionally, the use of this medication should be carefully monitored in pregnant women and only used when clearly needed, as it can cross the placental barrier and affect the fetus.

For patients and prescribers interested in using this formulation, it is essential to understand the specific indications, dosing, and administration guidelines to ensure safe and effective treatment. If you have any questions or require further information about the Magnesium Sulfate Heptahydrate 5.07 g/10 mL Gastric Tube Liquid, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the necessary support and guidance.

Other Uses

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The magnesium sulfate heptahydrate 5.07 g/10 mL gastric tube liquid formulation, beyond its prescribed usage, may have potential for off-label applications as well, which should be pursued only under the guidance of a healthcare professional. Magnesium sulfate is known for its utility in correcting hypomagnesemia, preventing seizures in eclampsia, and as a bronchodilator in severe asthma exacerbations. Beyond these, magnesium sulfate, due to its osmotic properties, might be used off-label as a bowel evacuant before surgical procedures or diagnostic interventions, although other agents are typically prescribed for this purpose. Additionally, magnesium plays a crucial role in numerous enzymatic processes and has been studied for its effects in managing arrhythmias, acute myocardial infarction, and even as a neuroprotective agent in certain cases of acute injury.

When considering alternative uses, it is important to monitor serum magnesium levels to avoid potential complications such as hypermagnesemia, which can result in adverse effects like hypotension, flushing, and muscle paralysis, and can be serious at high levels. Care should be taken especially in patients with renal impairment, as their ability to excrete magnesium is compromised, increasing the risk of toxicity. Furthermore, the specific formulation designed for delivery via a gastric tube may have differences in bioavailability or absorption kinetics compared to other oral forms of magnesium sulfate, which should be considered in off-label use.

Patient education on the potential side effects and contraindications associated with magnesium sulfate is critical, ensuring they understand the importance of professional medical advice before starting treatment. Health practitioners should also stay informed about their patient's clinical status, concomitant medications, and overall renal function when considering alternative uses of magnesium sulfate in this formulation.

As a team of compounding pharmacists at Bayview Pharmacy, we are dedicated to providing high-quality, safe, and effective medications tailored to the individual needs of patients. We encourage both patients and prescribers with inquiries or interest in exploring other potential uses for the magnesium sulfate heptahydrate 5.07 g/10 mL gastric tube liquid to reach out to us. Our expertise allows us to guide and support healthcare professionals in making informed decisions that best serve their patients' health.

Frequently Asked Questions

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What is Magnesium Sulfate Heptahydrate 5.07 g/10 mL Gastric Tube Liquid?

Magnesium Sulfate Heptahydrate 5.07 g/10 mL Gastric Tube Liquid is a medication specially prepared for administration via a gastric tube. It provides an exact dose of magnesium sulfate in liquid form to patients who are unable to take medications orally, ensuring that they still receive essential treatment.

How is this medication administered?

This medication is administered directly into the stomach through a gastric tube, which bypasses the need for oral ingestion. This method is critical for patients who have difficulty swallowing or cannot take oral medications for other reasons.

What are the indications for using this form of magnesium sulfate?

It is typically prescribed to correct magnesium deficiencies, as a laxative for bowel preparation prior to procedures, or to manage acute conditions such as seizures in eclampsia or severe asthma exacerbations.

Who commonly uses this formulation?

This formulation is usually used in hospital settings or for home-based patients with chronic conditions that necessitate regular use of a gastric tube for medication administration.

Is the concentration of Magnesium Sulfate Heptahydrate always the same for every patient?

No, the concentration and dosing of Magnesium Sulfate Heptahydrate are tailored to the specific needs and medical conditions of each patient. Always refer to the physician’s prescription for the exact dosing instructions.

Are there any side effects associated with this medication?

Possible side effects can include diarrhea, abdominal cramping, and in cases of excessive doses, more severe reactions such as hypotension, confusion, and muscle weakness. It's important to monitor patients for any adverse reactions closely.

Can this medication be used alongside other medications?

Yes, but it must be given with caution. Magnesium sulfate can interact with other drugs, potentially altering their effects. Always consult a healthcare provider before combining different medications.

How should this medication be stored?

Store the medication at room temperature and away from direct sunlight. Keep the bottle tightly closed and out of reach of children. Consult the pharmacy or package insert for specific storage instructions.

What should be done in case of a missed dose?

If a dose is missed, administer it as soon as you remember. However, if it is nearly time for the next scheduled dose, skip the missed dose and resume the regular dosing schedule. Do not double doses to catch up.

What precautions should be taken when using this medication?

Prior to administering, ensure compatibility with the feeding solution and the integrity of the gastric tube. Monitor the patient for signs of magnesium toxicity, maintain proper electrolyte balance, and adjust doses for patients with renal impairment as necessary.

How long does the treatment with Magnesium Sulfate Heptahydrate typically last?

The duration of treatment with Magnesium Sulfate Heptahydrate depends on the patient's condition, response to the medication, and the treating physician’s recommendation. It’s important to follow the course of treatment as prescribed.

Can this formulation be used for pediatric patients?

Yes, but the dose for pediatric patients will be significantly lower than for adults and must be calculated carefully based on weight and clinical need. Always consult a pediatrician for appropriate dosing.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.