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Is Magnesium Safe with Diltiazem?

ℹ️ MODERATE SEVERITY
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Monitor blood pressure and heart rate when using magnesium supplements alongside diltiazem. Keep supplemental magnesium at or below the recommended daily allowance (310–420 mg/day from all sources) unless directed by your physician.

Why this interaction occurs

Magnesium's calcium antagonist properties can compound diltiazem's vasodilatory and negative chronotropic effects, particularly in patients with pre-existing conduction abnormalities or renal impairment where magnesium clearance may be reduced.

Evidence

Evidence level: moderate.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 73,173 reports mentioning Diltiazem. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Diltiazem + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Magnesium with Diltiazem?
Monitor blood pressure and heart rate when using magnesium supplements alongside diltiazem. Keep supplemental magnesium at or below the recommended daily allowance (310–420 mg/day from all sources) unless directed by your physician.

Related interactions

All Magnesium interactions →  ·  All Diltiazem interactions →

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Educational only — not medical advice.
Always confirm with your doctor or pharmacist.