Milk of Magnesia (magnesium hydroxide) is an over-the-counter saline laxative that's most often used to treat occasional constipation in adults and children. It helps your body have a bowel movement by pulling water into your gut. This medication can also help relieve indigestion and heartburn by neutralizing your stomach acid. It's a liquid that's taken by mouth, and side effects aren't common at recommended dosages.
Occasional constipation
Heartburn
Sour stomach
Indigestion
Milk of Magnesia (magnesium hydroxide) is a saline laxative. It works by drawing water into your gut. This raises the number of bowel movements you have and softens your stools, making them easier to pass.
Milk of Magnesia (magnesium hydroxide) also acts as an antacid. It neutralizes, or balances, the acid in your stomach. This helps relieve heartburn, sour stomach, and indigestion.
Source: DailyMed
Side effects that you should report to your care team as soon as possible:
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
Can work as soon as 30 minutes to relieve constipation
Can be used in children (minimum age depends on the product)
Available over the counter (OTC) and as a lower-cost generic
Not meant for long-term use
Might not be safe in people with kidney problems
Need to take some other medications at a different time than Milk of Magnesia (magnesium hydroxide) to prevent drug interactions
Check with your provider whether Milk of Magnesia (magnesium hydroxide) is safe for you to take if you have kidney problems, stomach pain, nausea, vomiting, or are on a low-magnesium diet.
Drink a full glass of water (8 oz) with each dose of Milk of Magnesia (magnesium hydroxide) that you take. This helps prevent dehydration.
Shake the Milk of Magnesia (magnesium hydroxide) bottle well before you measure out your dose. This makes sure the medication is mixed evenly throughout the solution.
Only use the measuring spoon or dosing cup that comes with the packaging, and ask the pharmacy if you need extras. Don't use household measuring spoons or cups to measure your dose; you might take the wrong amount of medication if you use household spoons since they might not be accurate.
Tell your provider or pharmacist about all the medications you're taking since Milk of Magnesia (magnesium hydroxide) can change the way some medications work. You might need to separate when you take Milk of Magnesia (magnesium hydroxide) from some of your other medications to prevent drug interactions.
Stop taking Milk of Magnesia (magnesium hydroxide) and tell your provider if you don't have a bowel movement after 6 hours of taking the medication. Also contact a provider if you need to use the medication for more than 1 week. These can be signs of a more serious problem that your provider needs to check out.
Keep Milk of Magnesia (magnesium hydroxide) out of reach of children. The medication comes in flavored liquids that children can easily take by accident. Call the Poison Control Center (1-800-222-1222) right away if your child accidentally took too much Milk of Magnesia (magnesium hydroxide).
Milk of Magnesia (magnesium hydroxide) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Stop taking Milk of Magnesia (magnesium hydroxide) and call your provider if you have rectal bleeding (blood that comes from your anus), stomach pain, nausea, or vomiting. Also contact your provider if you can't have a bowel movement within 6 hours after you take Milk of Magnesia (magnesium hydroxide). Let your provider know if you notice a sudden change in bowel habits over the last 2 weeks or if you've already used a laxative for more than 1 week without improvement. These could all be signs of a more serious problem that needs to be checked out by a provider.
Risk factors: Kidney problems | Magnesium-restricted diet
Milk of Magnesia (magnesium hydroxide) might not be safe in people who have kidney problems since the medication can cause an electrolyte imbalance and lead to serious side effects. Talk to your provider before you use Milk of Magnesia (magnesium hydroxide) if you have kidney problems. Your provider can discuss whether you need to limit how much magnesium you get from your diet to avoid having electrolyte imbalances.
Dosage | Quantity | Price as low as | Price per unit |
---|---|---|---|
355ml of 1200mg/15ml | 1 bottle | $4.31 | $4.31 |
Some Milk of Magnesia (magnesium hydroxide) products can be used for constipation only, and others for indigestion and heartburn only. The products can also have different strengths of magnesium hydroxide, which means that they can have different directions.
Make sure to read the package label carefully for instructions on how to take each specific Milk of Magnesia (magnesium hydroxide) product. Dosages of some example products are listed below.
Each 15 mL of medication contains 1,200 mg of magnesium hydroxide.
Adults and children aged 12 years and older: The typical dose is 30 mL to 60 mL by mouth per day. The dose can be taken all at once at bedtime or split into smaller doses throughout the day.
Children aged 6 to 11 years: The typical dose is 15 mL to 30 mL by mouth per day. The dose can be taken all at once at bedtime or split into smaller doses throughout the day.
Children aged 5 years and younger: Ask your child's provider.
Heartburn, sour stomach, or indigestion
Each 5 mL of medication contains 400 mg of magnesium hydroxide.
Adults and children 12 years and older: The typical dose is 5 mL to 15 mL by mouth with a little water.
Children aged 11 years and younger: Ask your child's provider.
Occasional constipation
Heartburn
Sour stomach
Indigestion
Occasional constipation and irregular bowel movements
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Bashir, A., et al. (2024). Laxatives. StatPearls.
MedlinePlus. (2019). Magnesium Hydroxide.
PAI Holdings, LLC. (2022). Milk of magnesia- magnesium hydroxide suspension [package insert]. DailyMed.
Rugby Laboratories. (2023). Milk of magnesia- magnesium hydroxide liquid [package insert]. DailyMed.
Salisbury, B. H., et al. (2023). Antiacids. StatPearls.
Schiller, L. R., et al. (2002). The therapy of constipation. Alimentary Pharmacology and Therapeutics.
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