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ALIMENTARY TRACT AND METABOLISM › DRUGS FOR CONSTIPATION › DRUGS FOR CONSTIPATION › Osmotically acting laxatives
magnesium peroxide
A06AD03
Forms & Strengths
- Oral powder, varying strengths
- Oral tablets/capsules, varying strengths
Adult Dosing
- Constipation: 1 to 2 g daily as a single dose with water, or as directed by product labeling
- Short-term use only; do not exceed recommended duration
Pediatric Dosing
- Safety and efficacy not well established in children
- Use in pediatric patients generally not recommended without specific medical supervision
Indications
- Short-term relief of occasional constipation
- Bowel cleansing prior to procedures (historical or specific OTC uses)
Mechanism of Action
- Reacts with gastric acid and water in the gastrointestinal tract to release oxygen and form magnesium hydroxide
- Magnesium hydroxide acts as an osmotic laxative, drawing water into the intestinal lumen to increase motility and soften stool
Contraindications
- Hypersensitivity to magnesium peroxide or any component
- Symptoms of appendicitis, intestinal obstruction, or bowel perforation
- Severe renal impairment
- Undiagnosed abdominal pain
Adverse Reactions
- Abdominal cramps
- Gastrointestinal irritation
- Diarrhea
- Electrolytes imbalance with prolonged use (e.g., hypermagnesemia in renal impairment)
Drug Interactions
- May decrease the absorption of concurrently administered oral medications (e.g., tetracyclines, fluoroquinolones, iron) due to binding or altered GI pH/transit time
- Other CNS depressants or magnesium-containing products may increase risk of hypermagnesemia or additive side effects
Curated Content: Needs Vetting Before Put to Clinical Use