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Is magnesium Safe with etidronate?

⚠️ HIGH 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

Take etidronate on an empty stomach with plain water and separate magnesium supplement intake by at least 2 hours to avoid chelation-related absorption loss.

Why this interaction occurs

Multivalent cations such as magnesium chelate with bisphosphonates in the gastrointestinal tract, forming insoluble complexes that significantly reduce etidronate absorption and bioavailability.

Evidence

Evidence level: strong.

Data source

PubMed - PMID 33805435

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 521 reports mentioning etidronate. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the etidronate + 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 etidronate?
Avoid unless your doctor or pharmacist directs otherwise. Take etidronate on an empty stomach with plain water and separate magnesium supplement intake by at least 2 hours to avoid chelation-related absorption loss.
How long should I wait between etidronate and magnesium?
Take etidronate on an empty stomach with plain water and separate magnesium supplement intake by at least 2 hours to avoid chelation-related absorption loss.
Does magnesium affect how well etidronate works?
Multivalent cations such as magnesium chelate with bisphosphonates in the gastrointestinal tract, forming insoluble complexes that significantly reduce etidronate absorption and bioavailability.

Related interactions

All magnesium interactions →  ·  All etidronate interactions →

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Educational only — not medical advice.
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