Magnesium hydroxide

Absorption

About 15%-50% of magnesium hydroxide is absorbed very slowly through the small intestine.

Toxicity

LD50=8500 mg/kg (rat, oral)
Common side effects include drowsiness or flushing (warmth, redness or tingly feeling).
Daily use of magnesium hydroxide can result in fluid and electrolyte disturbances.
Excessive use of the laxative effects of magnesium hydroxide may result in abdominal cramping, nausea and/or diarrhea.
In overdose, symptoms of gastrointestinal irritation and/or watery diarrhea may occur.
Magnesium hydroxide poisoning can result in hypermagnesemia which includes symptoms of: nausea, vomiting, flushing, thirst, hypotension, drowsiness, confusion, loss of tendon reflexes, muscle weakness, respiratory depression, cardiac arrhythmias, coma and cardiac arrest.
Not to be used in individuals with any form of kidney disease or renal failure, a magnesium restricted diet or with any sudden changes in bowel movement lasting over two weeks. Also not to be used in those individuals with abdominal pain, nausea, vomiting, symptoms of appendicitis or myocardial damage, heart block, fecal impaction, rectal fissures, intestinal obstruction or perforation or renal disease. Not to be used in women who are about to deliver as magnesium crosses the placenta and is excreted in small amounts in breast milk.
Using magnesium hydroxide with aluminum hydroxide can decrease the absorption rate of these drugs.
Magnesium hydroxide can react with digoxin, dicoumerol and cimetidine.
Use of ibuprofen with magnesium hydroxide can increase the absorption of the ibuprofen.
Use of magnesium hydroxide with penicallamine, bisphosphates, ketoconazole, quinolones or tetracycline can decrease the absorption of these drugs.
Enteric-coated tablets can be prematurely released when taken with magnesium hydroxide.
It is important to routinely monitor levels of serum magnesium and potassium in patients using magnesium hydroxide. Serum magnesium levels are necessary to determine how much magnesium is being absorbed and how much is being excreted by the kidneys. Excessive diarrhea can occur from use of magnesium hydroxide and thus it is important to also monitor serum potassium levels to ensure hypokalemia does not occur.

Description

A white, bulky powder. It dissolves in dilute acids, but is practically insoluble in water and in alcohol.

Chemical properties

Magnesium hydroxide, Mg(OHn, also known as magnesium hydrate and brucite, is a white powder that is very slightly soluble in water. It decomposes at 350°C (662 OF). It is used in the extraction of magnesium metal and as a reagent in the sulfite wood pulp process. Magnesium hydroxide is formed by the reaction of sodium hydroxide and a soluble magnesium salt solution. Brucite, a mineral composed of magnesium hydroxide with occasional traces of iron and manganese, is a white to grayish translucent secondary mineral found with serpentine and metamorphic dolomites.

Chemical properties

Magnesium hydroxide is another metal hydrate that decomposes endothermically, accompanied by the formation of water. It decomposes at 330 °C, which is 100 °C higher than alumina trihydrate, and can therefore be used in polymers that are processed at higher temperatures. Magnesium hydroxide is white, has an average particle size of 1–10 μm, density of 2.36 g/mL, refractive index of 1.58, and Mohs’ hardness of 2.00. Water loss on ignition is 31.8 wt %. Magnesium hydroxide contains 1.0 wt % Ca(OH)2 and is made by Solem Industries and Morton Thiokol.

Physical properties

Magnesium Hydroxide decomposes when heated to 360°C and forms the oxide, MgO. It is very slightly soluble in water at 0.00122 g/100 ml and has a solubility product of 5.61×10^-12. Crystals of Mg(OH)2 have a refractive index of 1.559. Its heat of formation is –925 kJ/mol with an entropy of 63 J/mol·K.
As a suspension in water, it is often called milk of magnesia because of its milk-like appearance. The solid mineral form of magnesium hydroxide is known as “brucite”.
It can be prepared by the metathesis reaction between any soluble magnesium salts and an alkali hydroxide such as sodium or even ammonium:
Mg²⁺(aq)＋2OH^-(aq)→Mg(OH)2(solid)
Magnesium hydroxide is a common component of antacids and laxatives. It interferes with the absorption of folic acid and iron. Its low solubility makes it a weak base. Another method of commercial manufacture of magnesium hydroxide involves the chloride obtained from seawater. After the chloride is recrystallized several times to obtain a level of purity, it is calcined at about 1000°C:
MgCl2·6H2O → MgCl2＋6H2O
→ Mg(OH)_-xCl2_-x＋xHCl
→ MgO＋(2－x)HCl

Occurrence

Magnesium Hydroxide occurs naturally as the mineral brucite. Brucite, usually found as a low temperature, hydrothermal vein mineral associated with calcite, aragonite, talc, or magnesite, appears as a decomposition product of magnesium silicates associated with serpentine, dolomite, magnesite, and chromite. Brucite also occurs as a hydrated form of periclase, and is found in serpentine, marble, chlorite schists, and in crystalline limestone.

The Uses of Magnesium hydroxide

Magnesium Hydroxide is an alkali that is a general purpose food additive. it exists as a white powder and has poor solubility in water and in alcohol. in frozen desserts it will increase the tendency for fat globules to clump, which results in an increase in dryness. it reacts with triglycerides in fatty acids to form soaps. it also functions as a drying agent in foods.

The Uses of Magnesium hydroxide

Suspensions of magnesium hydroxide in water (milk of magnesia) are used as an antacid to neutralize stomach acid, and a laxative. This may cause diarrhea and loss of potassium with concomitant muscle cramps. Magnesium hydroxide is also used as an antiperspirant armpit deodorant. Milk of magnesia is useful against “canker sores” (aphthous ulcer) when used topically. Milk of magnesia is sold for medical use to alleviate constipation, but also to relieve indigestion and heartburn.
Milk of magnesia is also used as a folk remedy, applied and massaged in (a few minutes before washing), to relieve symptoms of “seborrhea” and “dandruff”. It is also said to be used for seborrheic dermatitis, which is a drying and flaking of the skin similar to dandruff but often occurring on the face.
Magnesium hydroxide powder is used industrially as a nonhazardous alkali to neutralize acidic wastewaters. Solid magnesium hydroxide has also smoke suppressing and fire retarding properties. Common uses of magnesium hydroxide as a fire retardant include plastics, roofing, and coatings. Magnesium hydroxide is marketed as a slurry for use as a neutralizing agent in the treatment of acidic wastewaters.

The Uses of Magnesium hydroxide

Magnesium hydroxide has been used in the synthesis of brucite.

Background

Magnesium hydroxide is an inorganic compound. It is naturally found as the mineral brucite. Magnesium hydroxide can be used as an antacid or a laxative in either an oral liquid suspension or chewable tablet form. Additionally, magnesium hydroxide has smoke suppressing and flame retardant properties and is thus used commercially as a fire retardant. It can also be used topically as a deodorant or for the relief of canker sores (aphthous ulcers).

Indications

Magnesium hydroxide can be used as an antacid or a laxative depending on the administered dose.
As an antacid, it is used for the temporary relief of heartburn, upset stomach, sour stomach or acid indigestion.
As a laxative, it is used for the relief of occasional constipation by promoting bowel movements for 30 minutes and up to 6 hours.

Definition

ChEBI: A magnesium hydroxide in which the magnesium atom is bound to two hydroxide groups.

brand name

Oxaine M (Wyeth-Ayerst); Phillips Magnesia Tablets (Sterling Health U.S.A.); Phillips Milk of Magnesia Liquid (Sterling Health U.S.A.).

Flammability and Explosibility

Not classified

Pharmaceutical Applications

The synthesis of magnesium hydroxide [Mg(OH)₂] is based on a metathesis reaction in which magnesium salts are reacted with sodium or potassium hydroxide.
Magnesium hydroxide (Mg(OH)₂) has only limited solubility in water and the resulting suspension is called milk of magnesia, which is commonly used as an antacid and is known to be a mild base.
Magnesium hydroxide [Mg(OH)₂] is present in antacids because of its laxative properties and is also the main ingredient of the ‘milk of magnesia’. The ‘milk of magnesia’ is a suspension of Mg(OH)₂ in water, which has a milk-like appearance because of the low aqueous solubility of Mg(OH)₂. It is considered as a strong electrolyte and a weak base and is given to the patient for indigestion and heartburn. The alkaline suspension neutralises any excess stomach acid and therefore works as an antacid. It also stimulates intestinal movement, as the magnesium ions increases the water content in the intestines through its osmotic effect and as a result softens any faeces present.

Biochem/physiol Actions

Magnesium hydroxide is a flame retardant. Magnesium hydroxide is commonly used as an antacid which has a long-lasting effect. The liquid formulation of magnesium hydroxide is called milk of magnesia. It is used as a laxative. It is used in the treatment of diarrhea along with aluminium hydroxide. The naturally occurring form of magnesium hydroxide is brucite.

Pharmacokinetics

As an antacid, magnesium hydroxide suspension neutralizes gastric acid by reacting with hydrochloric acid in the stomach to form magnesium chloride and water. It is practically insoluble in water and does not have any effect until it reacts with the hydrochloric acid in the stomach. There, it decreases the direct acid irritant effect and increases the pH in the stomach leading to inactivation of pepsin. Magnesium hydroxide enhances the integrity of the mucosal barrier of the stomach as well as improving the tone of both the gastric and esophageal sphincters.
As a laxative, the magnesium hydroxide works by increasing the osmotic effect in the intestinal tract and drawing water in. This creates distension of the colon which results in an increase in peristaltic movement and bowel evacuation.

Safety Profile

Moderately toxic by intraperitoneal route. Human systemic effects: chlorine level changes, coma, somnolence. Incompatible with maleic anhydride, phosphorus. See also MAGNESIUM COMPOUNDS.

Veterinary Drugs and Treatments

Magnesium hydroxide in combination with aluminum salts have been used in veterinary medicine for the adjunctive treatment of esophagitis, gastric hyperacidity, peptic ulcer and gastritis. In foals and small animals, because of difficulty in administration, the frequent dosing that is often required, and availability of the histamine- 2 blocking agents (cimetidine, ranitidine, etc.), proton-pump inhibitors (e.g., omeprazole) and sucralfate, antacids have largely been relegated to adjunctive roles in therapy for these indications. Magnesium hydroxide alone (milk of magnesia) is sometimes used as an oral laxative in small animals.
In ruminants, magnesium hydroxide is used to increase rumen pH and as a laxative in the treatment of rumen overload syndrome (aka acute rumen engorgement, rumen acidosis, grain overload, engorgement toxemia, rumen impaction).

Metabolism

Unless a patient is deficient in magnesium, very little is absorbed by the intestine. Overall, about 15%-50% of the magnesium hydroxide suspension is absorbed systemically. However, it does not undergo any metabolism as it is rapidly excreted in the urine.