Janett, Simone; Camozzi, Pietro; Peeters, Gabriëlla G A M; Lava, Sebastiano; Simonetti, Giacomo; Goeggel Simonetti, Barbara; Bianchetti, Mario G; Milani, Gregorio P (2015). Hypomagnesemia Induced by Long-Term Treatment with Proton-Pump Inhibitors. Gastroenterology research and practice, 2015(951768), p. 951768. Hindawi Publishing Corporation 10.1155/2015/951768
|
Text
951768.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (1MB) | Preview |
In 2006, hypomagnesemia was first described as a complication of proton-pump inhibitors. To address this issue, we systematically reviewed the literature. Hypomagnesemia, mostly associated with hypocalcemic hypoparathyroidism and hypokalemia, was reported in 64 individuals on long-term proton-pump inhibitors. Hypomagnesemia recurred following replacement of one proton-pump inhibitor with another but not with a histamine type-2 receptor antagonist. The association between proton-pump inhibitors and magnesium metabolism was addressed in 14 case-control, cross-sectional studies. An association was found in 11 of them: 6 reports found that the use of proton-pump inhibitors is associated per se with a tendency towards hypomagnesemia, 2 found that this tendency is more pronounced in patients concurrently treated with diuretics, carboplatin, or cisplatin, and 2 found a relevant tendency to hypomagnesemia in patients with poor renal function. Finally, findings likely reflecting decreased intestinal magnesium uptake were observed on treatment with proton-pump inhibitors. Three studies did not disclose any relationship between magnesium metabolism and treatment with histamine type-2 receptor antagonists. In conclusion, proton-pump inhibitors may cause hypomagnesemia. In these cases, switching to a histamine type-2 receptor antagonist is advised.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine 04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Nephrology and Hypertension |
UniBE Contributor: |
Lava, Sebastiano, Simonetti, Giacomo |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1687-6121 |
Publisher: |
Hindawi Publishing Corporation |
Language: |
English |
Submitter: |
Anette van Dorland |
Date Deposited: |
07 Apr 2016 14:11 |
Last Modified: |
05 Dec 2022 14:53 |
Publisher DOI: |
10.1155/2015/951768 |
PubMed ID: |
26064102 |
BORIS DOI: |
10.7892/boris.79291 |
URI: |
https://boris.unibe.ch/id/eprint/79291 |
Actions (login required)
 |
Edit item |