Magnesia from pressure - indications for intramuscular, intravenous or infusion administration. How magnesia is used at elevated pressure

The drug Magnesia has established itself as effective remedy disease control in many branches of medicine. In order to get the maximum effect, you need to know how to take magnesium. In most cases, the drug is administered intravenously or intramuscularly to achieve rapid action.

The main characteristic of the drug

The active substance of Magnesia (magnesium sulfate) is magnesium salt of sulfuric acid.

Magnesium is a mineral that is found in every cell of the human body and affects biochemical and physiological processes.

Therefore, any imbalance of this element leads to undesirable consequences. Magnesium can be obtained from food (green vegetables, wheat bread). If the body experiences an increased lack of magnesium, it becomes necessary to take medications, including Magnesia.

After administration, the drug has next action on the body:

Available in the form of a 25% solution in ampoules of 10 and 5 ml, and in the form of a powder for suspension. The price of the drug depends on the form of release, the pharmacy network and the company that produces it. The average cost of the drug in Moscow and St. Petersburg is:

• 5 ml ampoules, 10 pieces - about 30 rubles;
• ampoules of 10 ml, 10 pieces - about 45 rubles;
• powder - about 40 rubles.

The mechanism of influence on internal organs

After oral administration of the suspension, the drug begins to act after 2-3 hours. The effect of the drug on the body lasts for 6 hours.

Indications for enteral use of the drug:

Indications for the appointment of injections and droppers

If the drug is administered intravenously or intramuscularly, convulsions and arrhythmias are eliminated. Pressure decreases, blood vessels dilate.

The drug also has sedative effect. The drug is distributed evenly throughout the body, penetrates into the brain.

With intravenous administration, it begins to act in the first minutes. The action lasts about 30 minutes. When injected, the effect is felt after an hour, active substance continues to perform its function up to 4 hours.

There are indications for the use of electrophoresis with medicine, taking baths and compresses.

Features of the use of the drug

Indications for the use of the drug are as follows:

There are also contraindications to the use of the drug:

The following side effects may occur:

It is up to the doctor to count exact dosage medicines, considering individual characteristics every organism.

During treatment, the drug should take into account not only the benefits, but also the potential harm. For example, if there are indications for the treatment of constipation with Magnesia, then the harm that is caused to the intestinal microflora should be taken into account. Magnesium sulfate washes out all the beneficial flora, resulting in an increased risk of developing infectious diseases.

The drug should be taken with caution during pregnancy.

Indications for the use of the drug:

Many experts agree that the harm from magnesia during pregnancy outweighs the benefits.

Contraindications for use by pregnant women:

• low pressure;
• calcium intake;
• work disruption respiratory system(as a result, the likelihood of fetal hypoxia increases);
• the first trimester and the period before childbirth.

Rules for taking the drug

There are three main ways of introducing the drug into the body:

The drug can be taken throughout the year under the strict supervision of a physician.

Special cases of drug use

The most common cause of a stroke is high blood pressure and narrowing of the blood vessels in the brain. Distinguish between ischemic and hemorrhagic stroke. They have a different nature of occurrence, respectively medical measures will not be the same.

With ischemic stroke, there is a gradual cessation of blood supply to individual parts of the brain. At hemorrhagic stroke The main benefit from the use of magnesia is as follows: swelling of brain tissues is eliminated, pressure decreases, and the density of vessel walls increases.

Stroke causes high blood pressure. It is useful to inject 25% magnesium intravenously at the earliest stage of treatment. The drug is diluted with 5% glucose solution.

The daily dose should not exceed 150 ml. The maximum single amount of the drug is 40 ml. Exceeding the allowable amount of medication adversely affects the functioning of the heart. Other side effects also develop.

Magnesium sulfate is effective drug, which protects brain cells during a stroke. Relieves vasospasm, relaxes muscles, normalizes heart rate.

The patient should monitor his condition during the administration of the drug. If there were such side effects like nausea, dizziness, decreased heart rate, you should stop taking the medication. Will be effective long-term treatment, which should be combined with special diet and taking medications.

Simultaneous reception with other medicines

Simultaneous use with other drugs can lead to an increase or decrease in their action:

There are contraindications for joint application with substances such as:

• alkali metal derivatives;
• calcium;
• barium;
• strontium;
• ethanol.

Any treatment should take place under the supervision of doctors. Magnesia, apart from positive impact, has its own contraindications, which should be considered.

The effectiveness of this drug has long been proven, and the drug is successfully used in various branches of medicine (gynecology, neurology, gastroenterology and many others) due to the numerous effects that it has.

Local application of Magnesia for dressings and compresses helps to improve blood flow in the skin tissues, and achieve an analgesic and absorbable effect.

Sports magnesia is used to dry hands. This ensures a reduction in the slip of the athlete's hands when grasping one or another sports equipment or equipment.

Release form

Application instruction of Magnesia

Indications for use

• epilepsy;
• eclampsia;
• the threat premature birth;
• hypomagnesemia (magnesium deficiency in the blood);
• ventricular arrhythmias (including those with low concentrations of potassium and magnesium in the blood);
• excessive nervous excitability (with epilepsy, increased mental and motor activity, convulsions);
• increased sweating;
• hypotonic biliary dyskinesia;
• duodenal sounding;
• heavy metal poisoning;
• constipation;
• urinary retention;
• wart treatment;
• treatment of wounds and infiltrates.

Contraindications

• arterial hypotension;
• atrioventricular blockade (impaired conduction of impulses from the atria to the ventricles);
• severe bradycardia;
• depression of the respiratory center;
• prenatal period;
• severe renal failure;
• rectal bleeding;

Side effects

• Depression of the work of the heart;
• bradycardia;
• flushes of blood to the face;
• sweating;
• depression of the central nervous system;
• state of anxiety;
• confused mind;
• polyuria;
• thirst;
• spastic pains.

Interaction with other drugs

• when magnesium is combined with muscle relaxants of peripheral action, the effect of muscle relaxants is enhanced;
• with Nifedipine - severe muscle weakness can be provoked;
• with anticoagulants (oral), cardiac glycosides, phenothiazine - the effectiveness of drugs decreases;
• with Ciprofloxacin - the antibacterial effect increases;
• with Tobramycin and Streptomycin - the antibacterial effect is reduced;
• with tetracycline antibiotics - the effectiveness of antibiotics decreases and their absorption from the gastrointestinal tract decreases.

• calcium;
• barium;
• strontium;
• arsenic salts;
• alkali metal carbonates, phosphates and bicarbonates;
• procaine hydrochloride;
• tartrates;
• salicylates;

Magnesia treatment

In the event that Magnesia is applied as cholagogue , it is used like this:

• 20-25 g of powder is dissolved in 100 ml of warm boiled water;
• before taking the solution, stir and immediately drink 1 tablespoon of the drug;
• take the solution before meals 3 times a day.

As a laxative:

• for adults and children over 14 years old, a solution is prepared from 10-30 g of magnesium sulfate powder (the powder is diluted in 100 ml of warm boiled water);
• the resulting solution is taken at night or in the morning before meals;
• to accelerate the laxative effect can be taken additionally a large number of warm boiled water (in this case, the stool will loosen in 1-3 hours).

In some cases, to deal with chronic constipation medicinal enemas with a solution of magnesium sulfate (20-30 g per 100 ml of water) may be prescribed.

Intravenous and intramuscular administration of Magnesia
When using Magnesia as an anticonvulsant, antihypertensive, antiarrhythmic agent, the drug is administered intramuscularly or intravenously.

For intramuscular injection, a 25% solution is used, produced in ampoules, which does not require additional dilution. With intravenous administration of this drug, the ampoule solution can be administered undiluted, or diluted with a solution of sodium chloride or 5% glucose.

Usually for intravenous use Magnesia solution is diluted, since a quick single-stage administration in undiluted form can provoke a number of complications.

Intramuscular administration of Magnesia is accompanied by painful sensations.

Before an injection or drip nurse should warn the patient that in the event of a number of symptoms (dizziness, headache, flushing to the face, slowing of the heartbeat), you must immediately inform the doctor about them. The drip infusion itself may be accompanied by a slight burning sensation along the vein, which gradually stops. At the end of the drip infusion, a control measurement of pressure and pulse is carried out.

Dosage of Magnesia
When taken orally, the highest single dose of Magnesia is 30 g.

The maximum daily dose of Magnesia for intravenous or intramuscular administration is 200 ml of a 20% solution.

Magnesia for children

• 6-12 years - 6-10 g per day;
• 12-15 years - 10 g per day;
• over 15 years old - 10-30 g per day.

For constipation in children, magnesium sulfate can also be used in the form of medicinal enemas. For an enema, it is necessary to prepare a solution of 20-30 g of powder and 100 ml of warm boiled water. The amount of solution for injection into the rectum, depending on the age of the child, is 50-100 ml.

Intravenously or intramuscularly for children, Magnesia is prescribed only for the relief of emergency conditions (severe asphyxia or intracranial hypertension). In these cases, intravenous or intramuscular administration of Magnesia is used even for newborns.

Magnesia during pregnancy

In such cases, intravenous or intramuscular administration of Magnesia is used in a hospital, under constant supervision. medical staff. This is explained by the fact that when administered intravenously, this drug enters not only the mother's blood, but also, passing through the placental barrier, enters the blood of the fetus. Thus, Magnesia can cause respiratory depression in the fetus and a sharp decline blood pressure. In connection with possible development such complications, the solution of Magnesia is discontinued 2 hours before the expected birth.

Due to its diuretic effect, Magnesia can be used during pregnancy to reduce edema (for example, in pre-eclampsia and eclampsia). In this case, a solution of magnesium sulfate is introduced drip, slowly. To avoid complications, the doctor monitors the dynamics of pressure, respiratory rate, the concentration of magnesium ions in the blood and tendon reflexes.

Tubazhi with Magnesia

Indications for tubage:

• biliary dyskinesia;
• congestion of bile in the gallbladder.

• cholelithiasis;
• rectal bleeding;
• intestinal obstruction;
• dehydration of the body;
• tendency to hypotension;
• attack of appendicitis;
• high levels of magnesium in the blood;
• exacerbation of any chronic disease;

Before the procedure, it is advisable to follow a sparing diet, which should be followed on the day of the procedure. Spices, smoked, pickled and salty dishes should be abandoned. The diet can include various cereals (except millet, pearl barley and semolina) and dishes from boiled or baked vegetables.

The order of the procedure:
1. Mix 1 tablespoon of Magnesia powder in 250 ml of warm boiled water (you can use purified drinking water heated to 40 degrees or alkaline mineral water without gas).
2. Drink the prepared suspension.
3. Lie on your right side.
4. Apply a heating pad or a bottle of water to the liver area. warm water.
5. Lie down for about 1.5 hours.

The effectiveness of the performed tubage can be determined by the color stool. The procedure is considered successful if the first selected feces have a greenish tint. If there is no stool, the constipation should be eliminated and the Magnesia tubage procedure should be performed again.

After completing the tubage procedure, it is advisable to eat a salad of grated boiled beets, seasoned vegetable oil, or from grated raw carrots and apples.

Magnesia for colon cleansing

The procedure can be carried out both in stationary and at home in the absence of contraindications to it. For its implementation, a medicinal enema is performed from dry powder of Magnesia and warm boiled water. 20-30 g of dry powder is dissolved in 100 ml of warm boiled water. The resulting solution is injected into the intestinal lumen and causes swelling of the feces. After 1-1.5 hours, together with feces, toxins accumulated on the walls of the intestine are excreted from the body.

Such enemas are performed in one course, and their number is determined by the doctor. AT last years among physicians, there are many opponents of such bowel cleansing, which point to a number of possible complications. Other experts, on the contrary, advocate the expediency of such cleansing procedures, but recommend that they be carried out only after consulting a doctor.

Magnesia in physiotherapy

• compresses - a 25% solution is used, the compress is applied to the required area for 6-8 hours, then the skin is washed with warm water and the skin is lubricated with a fat cream (because magnesium sulfate has a drying property);
• electrophoresis - can be performed according to different methods, for its implementation, a 20-25% solution is used;
• therapeutic baths - dry powder of magnesium sulfate is used, which is dissolved in water; the water level in the bath should not reach the level of the heart.

The purpose of electrophoresis with Magnesia is more extensive. Under the influence of electrodes, a solution of magnesium sulfate penetrates into the deep layers of the skin and blood vessels, which contributes to the normalization of the psycho-emotional background, blood circulation and muscle condition. The duration of the performed procedure depends on the indications, the state of health and the age of the patient.

Therapeutic baths with Magnesia are used not only to relieve physical and psycho-emotional stress, but can also be used to provide the following therapeutic effects:

• decline blood pressure;
• increased blood microcirculation;
• elimination of spasms of small bronchi;
• prevention of seizures in pregnant women;
• increased blood circulation in the urinary organs;
• muscle relaxation;
• strengthening of metabolic processes;
• recovery after serious illnesses and injuries.

Magnesia for weight loss

According to the recommendations of this weight loss technique, Magnesia should be taken orally to activate digestive processes and regular loosening of the stool. The drug is prepared in the same way as for providing a laxative effect.

For the preparation of baths, a mixture of Magnesia with table salt and salt Dead Sea. Before preparing the solution, about 100 liters of water (about 40 o C) are taken into the bath, in which the mixture of salts is dissolved.

The composition of the bath salt mixture:

• 4 bags of 25 g of Magnesia;
• 500 g of table salt;
• 500 g of Dead Sea salt.

bath renders beneficial effect on the skin and the body as a whole: it helps to remove excess fluid from the subcutaneous fat, normalize metabolism and psycho-emotional state. In addition, toxins are removed from the upper layers of the skin along with sweat.

It is possible to lose weight with the help of such baths, but only if rational diet and sufficient physical activity.
"Magnesia" is natural, it has high level content of magnesium ions and bicarbonates. That is why it is recommended to use it for the treatment of diseases associated with magnesium deficiency in the body. Magnesium mineral water recommended for treatment:
These properties of magnesium sulfate are actively used by athletes, climbers and persons of some professions. In recent years, for ease of use, they began to produce products in the form of balls or briquettes, which are made from pressed Magnesia. When crushed, they turn into a powder state.

Magnesia to reduce pressure is used in cardiological practice quite long time. This drug provides a rapid expansion of blood vessels, due to which blood pressure decreases.

Arterial hypertension is a leading problem for cardiologists around the world. Increased pressure accompanies a course of more than 50 various diseases. In 1% of cases, arterial hypertension leads to the development of a hypertensive crisis, which also shows the introduction of magnesium sulfate.

Magnesia is used to reduce blood pressure, as the drug contributes to the development of the following effects:

Expands the lumen coronary arteries by relaxing their muscles.

Reduces vasospasm.

Normalizes the heart rhythm.

Reduces peripheral vascular resistance.

Reduces platelet aggregation.

Renders diuretic effect.

Has a sedative effect.

The most effective use of magnesium sulfate in bidirectional ventricular "pirouette" type.

Intramuscular administration of magnesium to reduce pressure

To lower blood pressure, 1 ampoule of a 25% concentration solution in a volume of 10 ml is used. Since intramuscular administration is quite painful, magnesia is combined with Novocaine or Lidocaine. You can pre-inject an anesthetic drug, then inject magnesia, or mix both drugs in one syringe. One ampoule of Novocaine is taken for one ampoule of magnesia.

The procedure for the introduction of magnesia to reduce blood pressure is carried out as follows:

The patient is placed on the stomach or side.

The needle is inserted into upper part buttocks, which is located away from the axis of the body. Previously, the skin area is carefully treated with an alcohol solution.

It is important to administer the drug slowly. The whole procedure should not take less than 2 minutes.

The needle should go deep into soft tissues. It is inserted at a right angle.

When using magnesia in the form of injections, it must be remembered that there is increased risk formation of infiltrates. For elderly patients, the drug should be used in a reduced dose, since they have reduced kidney function.

It should be understood that intramuscular administration of magnesium in high blood pressure has a very weak effect, especially when it comes to hypertensive crisis. Sometimes intramuscular administration of magnesia is practiced in a hospital with persistent, which is not stopped by other drugs. The effect will be visible, but most often it is insignificant. Therefore, most modern doctors refuse to use this drug to lower blood pressure, especially if we are talking on intramuscular injections. Nevertheless, this drug is always present in the arsenal of the ambulance brigade.

Intravenous magnesium to lower blood pressure

Systemic action after intravenous administration of magnesium is achieved almost instantly. Cardiologists prescribe the drug for hypertensive crisis, with myocardial infarction, in integrated scheme treatment of angina pectoris, with arrhythmias. Most often, all these conditions are accompanied by an increase in blood pressure.

The dose must be specified taking into account therapeutic effect and the concentration of magnesium ions in the blood serum. As a rule, to stop a hypertensive crisis, the drug is administered intravenously very slowly. The dosage is from 5 to 20 ml of a 25% magnesium solution. Magnesia is injected in a jet, for 5-7 minutes.

The introduction of the drug at a faster rate will lead to the fact that complications such as:

Increased sweating;

Respiratory center depression;

Feeling hot.

If the patient has such complaints, then the rate of administration of the drug should be reduced. The intravenous pressure will drop almost immediately. The effect will last for half an hour. During this time, the patient will be taken to the hospital. cardiology department where a decision on further treatment will be made.

Like any other medicine, magnesium can not always be used to reduce pressure.

Contraindications to the use of the drug are:

Atrioventricular blockade of 1-3 degrees.

The presence of hypersensitivity to magnesium in the patient.

Low blood pressure.

Any condition of the body associated with a lack of calcium.

Respiratory depression.

Period two hours before the start labor activity.

Any disease of the respiratory system.

Exacerbations of diseases of the digestive tract.

Magnesia is prescribed with extreme caution to the elderly, pregnant and lactating women, and children. It should be borne in mind that in a hypertensive crisis, the drug is an auxiliary, and not the main tool used to stop an attack.

Features of the use of magnesia to reduce pressure

Do not confuse the treatment of high blood pressure and the signs of a hypertensive crisis, which must be eliminated as soon as possible. Hypertension is a disease that needs permanent treatment. Temporary relief of symptoms of high blood pressure will not save a person from health problems. The disease after the use of magnesia does not disappear.

Of course, the pressure after the introduction of magnesia decreases, and sometimes very much. However, after a few hours it will rise again. Therefore, you should not use magnesium on your own for the treatment arterial hypertension. It is very dangerous to make such an injection at night, since the patient's pressure will rise in morning hours. This, in turn, leads to the development of heart failure. Therefore, the treatment of high blood pressure with magnesia is not carried out. With its help, emergency care is provided in case of a hypertensive crisis.

So, within an hour, the patient needs to reduce pressure with the following emergency conditions that occur during a hypertensive crisis:

Eclampsia;

Acute aortic dissection;

Hypertensive encephalopathy;

Acute left ventricular failure;

Hypertension with intracerebral hemorrhage, etc.

Moreover, magnesia in this case is used as an auxiliary, and not as the main drug (Nitroglycerin, Esmolol, Labetalol, etc.).

So, if a person has a sharp increase in pressure several times a year, then he without fail should visit a cardiologist and undergo comprehensive examination. Independent use of magnesia to reduce pressure is unacceptable, as you can cause serious harm to your health.

Magnesia is drug which can only be prescribed by a doctor.

Magnesium sulfate has an extensive list side effects, many of which are quite dangerous:

• respiratory depression;

  Weakening of reflexes;

  Circulatory failure;

  Increase in body temperature;

  Drop in blood pressure to low values;

  Atony of the uterus;

  polyuria;

  bradycardia;

  Speech disorders;

  cardiac arrest, etc.

No less dangerous is an overdose of the drug, which manifests itself in the absence of a knee jerk, in nausea, vomiting, respiratory depression, and a decrease in blood pressure. An overdose of magnesia is stopped by intravenous administration of a solution of calcium chloride or calcium gluconate in a volume of 5-10 ml. Therefore, the procedure for reducing pressure with magnesia can be excluded under medical supervision.

About the doctor: From 2010 to 2016 practicing physician of the therapeutic hospital of the central medical unit No. 21, the city of Elektrostal. Since 2016 he has been working in diagnostic center №3.

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Magnesia to reduce pressure - properties, instructions

The popularly known concept of "Magnesia" is a drug based on magnesium sulfate (MgSO4), which is used as a diuretic, sedative, analgesic, vasodilator and anticonvulsant. In addition, one of its properties is to reduce pressure, so it is also popular among hypertensive patients.

With this medicine, it helps to quickly lower it, significantly reducing the risk of developing dangerous states– AHF, heart attack or stroke.

Description of the drug

Magnesium sulfate (colloquially - Magnesia) - a substance of inorganic origin, which is a powder white color, which contains only the magnesium salt of sulfuric acid. This is a pure preparation with a single active ingredient, without impurities and additional diluting components.

Magnesia belongs to fast-acting remedies which are used as a means emergency assistance at . However, it should be borne in mind that this drug fights only with symptoms. It helps to quickly reduce pressure and alleviate the patient's condition during a GB crisis, but does not eliminate the cause of the pressure surge and does not cure hypertension. Therefore, magnesium sulfate is not indicated as a permanent medication for the treatment of HD.

Properties and release form

Magnesia is available in various forms:

• Powder for suspension preparation - in packs of 10, 20 and 25 g.
• In ampoules of 10 ml - 25% solution (10 pcs. per pack.).
• In ampoules of 5 ml - 25% solution (10 pcs. per pack.).
• Powder, briquettes, balls, tablets for athletes - have various forms of release and dosage.

Magnesium sulfate has a wide range of actions, providing the following effects on the body:

• laxative;
• sedative, helps relieve irritability;
• vasodilator, helps to relax the muscle layer of the walls of blood vessels and increase their lumen;
• anticonvulsant;
• antispasmodic;
• hypotensive;
• antiarrhythmic, able to reduce the excitability of myocytes, helping to ensure the balance of ions in the blood plasma;
• cardioprotective, prevents the formation of blood clots, protects the heart and blood vessels from possible damage;
• tocolytic contributes to the fact that the smooth muscles of the uterus relaxes, relieves tone;
• choleretic;
• can relieve intoxication in cases of poisoning with salts of heavy metals.

Certain properties of the drug are manifested depending on the route of its introduction into the body.

Indications for the use of magnesium sulfate under pressure

Magnesium compounds are very important for the body, they are needed for the implementation of many processes, ensuring vital activity, participating in the work of the digestive tract, regulating the tone of smooth muscles, etc.

Mg is especially important for providing normal operation of cardio-vascular system. With a lack of this element, spasms are observed. vascular walls and myocardium, which leads to growth. This in turn provokes general malaise, dizziness, headache, nausea squeezing sensations in chest vision problems, etc. All of the above symptoms are typical for GB crisis.

Very often the pressure jumps against the background stressful situations when a person is very nervous, pathologies endocrine system, kidney problems or alcohol poisoning.

When the pressure rises to critical levels - 160/100 mm Hg. Art. and above (for each hypertensive patient, the limit level may be different), it is necessary to use emergency therapy methods, in particular, drugs containing Mg are very effective. That is why emergency doctors often use Magnesia under pressure. Typically, they inject a 20-25% magnesium sulfate solution.

With a crisis in / m or / in the introduction of a solution of magnesium sulfate has the following positive effects:

• eliminates spasms of smooth muscles;
• promotes the expansion of coronary vessels;
• normalizes ;
• increases the excretion of urine and feces;
• removes nervous tension and/or overexcitation;
• promotes the elimination of toxic substances from the body.

To provide emergency medical care, the solution is injected into / in-stream, it is important to do this slowly, at a rate of no more than 1 ml per minute. As a rule, a pronounced effect is observed already after 15–20 minutes, and after i / m administration - after 55–60 minutes. In this case, the effect of the drug lasts up to 4 hours.

Just remember that you need to be careful when using this drug. Magnesia should be administered only as prescribed by a doctor and strictly in the recommended dosage. Exceeding the dose can cause serious Negative consequences up to cardiac arrest.

Unfortunately, many patients mistakenly consider Magnesia as a universal method. Meanwhile this disease it is necessary to treat it comprehensively, only in this case it is possible to achieve a stable therapeutic effect.

Instructions for use

Magnesia with high blood pressure in / in can only be administered by a physician. As a rule, 1-2 injections are prescribed at a dosage of up to 150 ml per day (the specific dose and duration of the course is calculated by the doctor, taking into account the state of the body from individual indicators particular patient).

The maximum single dose of drugs is 40 ml. With intravenous administration or drip infusion, the jet administration of Magnesia is practiced for 10 minutes (at a rate of approximately 1 ml / min.).

Maximum allowable dose magnesium sulfate per day for intravenous or intramuscular administration - 200 ml of a 20% solution.

In a hospital, a dropper is placed, in this case, 4 grams of Magnesia are first injected for 5-10 minutes, and then the drug is dripped at the usual rate of 1 g / hour.

When in / in the introduction do not use a pure solution. The powder should be diluted with Novocaine, saline (Sodium chloride) or 5% glucose solution.

When taken orally (through the mouth) in the form of a suspension of Magnesia powder, it has a choleretic and laxative effect. The effect is observed already after 1/2 - 3 hours and lasts up to 4-6 hours. When taken orally, the maximum single dose is 30 g.

Allowed topical application magnesium sulfate for dressings and compresses, in this form, the agent helps to improve blood flow in the skin tissues, and achieve a pronounced analgesic effect. In addition, it helps to relieve puffiness.

High doses of Magnesia can cause tocolytic, narcotic and hypnotic effects.

When administered intramuscularly, the following rules must be strictly observed:

• the patient should be asked to take a supine position, his muscles should be as relaxed as possible;
• the ampoule with the drug must be heated to room temperature, for this you need to hold it in your palms for several minutes so that it warms up;
• for elimination pain syndrome the drug must be mixed with painkillers in a ratio of 1: 1, for example, Novocain, Lidocaine can be used (sequential administration of an analgesic and then magnesium sulfate is also allowed);
• the injection area must be treated with an antiseptic;
• for injection, it is recommended to use sterile disposable syringes with a thin long needle (from 4 cm);
• the drug is injected slowly, gradually pressing on the syringe (on average, the procedure lasts about 2 minutes);
• it is necessary to perform an injection in the upper right part of the buttock, inserting the needle at a right angle until it stops.

"Hot Prick"

Hot shot is a concept that means intravenous administration medications containing organic and inorganic salts. The name is given for a reason, it is connected with the fact that after the administration of the medicine, patients often get feverish.

This effect can be explained quite simply. During the administration of the drug, including Magnesia, the blood vessels expand dramatically, and the person feels heat, which gradually spreads from top to bottom throughout the body. In this case, the temperature of the medication does not exceed body temperature.

Such injections are usually given intramuscularly, sometimes intravenously. For achievement maximum effect inject the drug solution slowly, usually into the buttocks. Rapid administration may provoke convulsions. If we talk about Magnesia, then a 25% solution is taken for an injection in ampoules of 10 or 5 ml. For ampoule solution of Magnesia should not be further diluted.

It is important to avoid stagnation of the drug in muscle tissues. Intramuscular administration of magnesium sulfate is sometimes difficult to tolerate by patients, as it is accompanied by severe pain.

Important! The injection must be performed by a qualified medical worker. Self-administration of Magnesia is unacceptable, since with incorrect actions, there may be serious problems with health.

Contraindications

Magnesia has a number of contraindications that must be considered before use:

• Allergy to a substance.
• Bradycardia is a weak pulse.
• Atrioventricular block - partial cessation or difficulty in the passage of an electrical impulse between the ventricles and atria.
• Elevated levels of magnesium in the blood.
• Renal failure.
• Dehydration of the body.
• Intestinal obstruction.
• Suspicion of appendicitis.
• Muscle weakness (myasthenia gravis).
• Bleeding from the rectum.

With caution, this drug should be used in women and lactation, as well as patients with respiratory system disorders and heart pathologies. It is also very important to remember that to prevent the termination of labor activity before childbirth, Magnesia is not used.

Interaction with other drugs

With the introduction of magnesium sulfate simultaneously with other medications, there may be a weakening or strengthening of their action. For example:

• when combined with peripherally acting muscle relaxants, the effect of muscle relaxants is enhanced;
• combined use with anticoagulants (oral), cardiac glycosides, phenothiazine - the effectiveness of drugs decreases;
• administration with can provoke severe weakness muscles;
• reception with Ciprofloxacin, on the contrary, increases the effectiveness of the antibiotic;
• administration while taking Tobramycin and Streptomycin - antibiotic therapy becomes less effective
• when used with antibiotics of the tetracycline group, their absorption decreases and the effectiveness decreases.

However, there are drugs with which it is absolutely impossible to combine Magnesia. In particular, it is incompatible with:

• barium salts;
• calcium preparations;
• tartrates;
• clindamycin phosphate;
• carbonates;
• procaine;
• salicylates;
• hydrocortisone succinate;
• alcohol and some other substances.

Side effects

It should be remembered that Magnesia is far from a harmless drug that can be used uncontrollably. This drug must be used as directed and under medical supervision.

Even with correct application Magnesium sulfate may cause the following undesirable effects:

• allergic reactions;
• slowing down speech;
• severe weakness;
• redness of the skin of the face;
• spastic pains in the abdomen;
• severe drowsiness, deep sleep;
• double vision;
• dizziness;
• diarrhea;
• nausea, vomiting;
• sensation of heat in the chest area;
• strong thirst;
• respiratory depression with the appearance of shortness of breath.

If the patient has a history of heart or respiratory disease, magnesium sulfate can provoke respiratory failure, cardiac arrest and even death.

In some people, instead of a calming effect, the drug causes hyperactivity, anxiety. And when the dose is exceeded, a strong sedative effect can provoke a condition very similar to anesthesia.

With the / m administration, one must be extremely careful if the solution accidentally gets into adipose tissue an abscess may form. That is why the physician must administer the drug, strictly into the muscle of the upper outer square of the buttock.

Often for patients with a hypertensive crisis, doctors use magnesia (magnesium sulfate). This drug is good because it quickly achieves a hypotonic effect: blood pressure decreases, blood vessels dilate. At the same time, if you make an injection intravenously, the pressure drops immediately, that is, magnesia gives an instant result, which is very important at the time of the attack.

Why magnesium is useful

Magnesia is a drug, the main thing active substance of which magnesium sulfate (magnesium salt). He has many useful properties- is used not only for hypertension, but also as a source of magnesium, as a diuretic, choleretic, laxative, and also as an antidote for metal poisoning (including barium salts, arsenic, lead).

As a remedy for high blood pressure, magnesium:

• Expands blood vessels (pressure decreases);
• Soothes, reduces the effects of stress;
• Relaxes smooth muscles (anti-spasm, anti-pain effect);
• Gives a diuretic effect, which is important for lowering pressure;
• It has an anticonvulsant effect;
• Eliminates arrhythmia, normalizes the heart rhythm.

Benefits of Magnesia

• Speed ​​of action (especially when used intravenously);
• Low drug price.

Instructions: indications for use

Magnesia is sold in pharmacies in ampoules (25% solution for intramuscular and intravenous injections), in dropper bottles, in powder form for subsequent dilution with water.

The dosage and method of application of magnesia may be different, but not more than 200 ml of a 20% solution per day. No need to self-medicate: let, based on specific case dose will be prescribed by your doctor. For example, a solution for intramuscular injections it is not necessary to dilute with water, but for intravenous - it can be diluted with saline. Magnesium sulfate powder must be diluted with water, but it is not used at elevated pressure.

Important! If an immediate blood pressure lowering effect is required, magnesium is administered intravenously. With intramuscular injection, the pressure does not decrease immediately, but only after an hour. Magnesia in injections has recently been practiced less and less, since its injections have multiple contraindications, and are also very painful (cause inflammation, hardening).

But there are times when an intravenous injection cannot be given at the right time, then an injection is given intramuscularly, but certain rules must be followed:

1. An intramuscular injection of magnesia is accompanied by pain, it must be done in a supine position, because of this, such an injection will not work for oneself. It is best to trust a specialist.
2. You need to take a long needle (4 cm).
3. The ampoule with the drug is heated to body temperature.
4. To minimise pain, a solution of magnesia is administered with an anesthetic drug (for example, with lidocaine). You can mix these drugs in a ratio of 1 to 1 ampoule, or you can first inject lidocaine, and later magnesia.
5. The injection site should be treated with an antiseptic.
6. You need to try not to get into the adipose tissue in order to avoid inflammation, because the injection should be done in right side buttocks on top.
7. The medicine is administered gradually, slowly pressing on the plunger of the syringe, the duration of the injection is 2 minutes.
8. After the injection, you need to lie down.

Undesirable symptoms when taking magnesium

Magnesia has an instant healing effect, the condition returns to normal immediately, however, due to specific adverse symptoms after its application, the reviews may be contradictory.

You can not prescribe magnesia to everyone, since it suits someone, but it is not recommended for someone.

Contraindications to taking magnesium sulfate:

1. Persistent bradycardia (slow heart rate);
2. Chronic kidney failure;
3. If the increase in pressure is insignificant, but basically you have low pressure;
4. prenatal condition;
5. Appendicitis;
6. Intestinal obstruction;
7. Difficulty breathing.