Table 1.
Medications contributing to hypomagnesemia.
Medications contributing to hypomagnesemia | Mechanism |
---|---|
Proton pump inhibitors (e.g. omeprazole) | Decreased intestinal Mg2+
reabsorption via TRPM6(18, 24, 25) Tubulo-interstitial nephritis(26) |
Diuretics (e.g. furosemide, thiazide) | ↓ lumen positive potential difference in TAL blocking Na+ reabsorption in DCT affects membrane potential(27, 28) |
Platinum derivatives (e.g. cisplatin, carboplatin) | Necrotic nephropathy(29) PT and DCT injury(30–33) |
Calcineurin inhibitors (e.g. cyclosporine A, tacrolimus) | Downregulation of Claudin-16 downregulation of TRPM6(34–37) |
Epidermal growth factor receptor inhibitor (e.g. cetuximab) | Blockade of EGF receptor and lack of TRPM6 stimulation(38, 39) |
Antimicrobials (e.g. aminoglycosides, amphotericin B, pentamidine,…) | PT damage, Fanconi syndrome(40, 41) |