Hypomagnesemia Induced by Long-Term Treatment with Proton-Pump Inhibitors.

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

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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

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