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Is Magnesium Safe with Theophylline?

ℹ️ MODERATE SEVERITY
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Theophylline Magnesium
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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

Separate magnesium supplement intake from theophylline by at least 2 hours. Take theophylline first, then magnesium. Discuss supplementation with your pharmacist before starting.

Why this interaction occurs

Magnesium-containing supplements can reduce the gastrointestinal absorption of theophylline by forming complexes that slow or reduce uptake, potentially leading to subtherapeutic theophylline levels and loss of bronchodilator control. Additionally, magnesium and theophylline both influence smooth muscle relaxation, and concurrent use may unpredictably affect airway tone.

Evidence

Evidence level: moderate.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 13,216 reports mentioning Theophylline. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Theophylline + 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 Theophylline?
Separate magnesium supplement intake from theophylline by at least 2 hours. Take theophylline first, then magnesium. Discuss supplementation with your pharmacist before starting.
How long should I wait between Theophylline and Magnesium?
Separate magnesium supplement intake from theophylline by at least 2 hours. Take theophylline first, then magnesium. Discuss supplementation with your pharmacist before starting.
Does Magnesium affect how well Theophylline works?
Magnesium-containing supplements can reduce the gastrointestinal absorption of theophylline by forming complexes that slow or reduce uptake, potentially leading to subtherapeutic theophylline levels and loss of bronchodilator control. Additionally, magnesium and theophylline both influence smooth muscle relaxation, and concurrent use may unpredictably affect airway tone.

Related interactions

All Magnesium interactions →  ·  All Theophylline interactions →

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