Inulin significantly improves serum magnesium levels in proton pump inhibitor-induced hypomagnesaemia.

BACKGROUND: Proton pump inhibitors (PPI) are among the most widely prescribed drugs to treat gastric acid-related disorders. PPI-induced hypomagnesaemia, a defect in intestinal absorption of Mg(2+) , can be a severe side effect of chronic PPI use. AIM: To restore serum Mg(2+) concentrations in PPI-i...

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Main Authors: Hess, M, de Baaij, J, Broekman, M, Bisseling, T, Haarhuis, B, Tan, A, Morsche, R, Hoenderop, J, Bindels, R, Drenth, J
Format: Journal article
Language:English
Published: 2016
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author Hess, M
de Baaij, J
Broekman, M
Bisseling, T
Haarhuis, B
Tan, A
Morsche, R
Hoenderop, J
Bindels, R
Drenth, J
author_facet Hess, M
de Baaij, J
Broekman, M
Bisseling, T
Haarhuis, B
Tan, A
Morsche, R
Hoenderop, J
Bindels, R
Drenth, J
author_sort Hess, M
collection OXFORD
description BACKGROUND: Proton pump inhibitors (PPI) are among the most widely prescribed drugs to treat gastric acid-related disorders. PPI-induced hypomagnesaemia, a defect in intestinal absorption of Mg(2+) , can be a severe side effect of chronic PPI use. AIM: To restore serum Mg(2+) concentrations in PPI-induced hypomagnesaemia patients by dietary supplementation with inulin fibres. METHODS: Eleven patients with PPI-induced hypomagnesaemia and 10 controls were treated with inulin (20 g/day). Each trial consisted of two cycles of 14-day inulin treatment followed by a washout period of 14 days. Patients continued to use their PPI. Serum Mg(2+) levels served as the primary endpoint. RESULTS: Inulin significantly enhanced serum Mg(2+) levels from 0.60 to 0.68 mmol/L in PPI-induced hypomagnesaemia patients, and from 0.84 to 0.93 mmol/L in controls. As a consequence 24 h urinary Mg(2+) excretion was significantly increased in patients with PPI-induced hypomagnesaemia (0.3-2.2 mmol/day). Symptoms related to hypomagnesaemia, including muscle cramps and paraesthesia, were reduced during intervention with inulin. CONCLUSION: Inulin increases serum Mg(2+) concentrations under PPI maintenance in patients with PPI-induced hypomagnesaemia.
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spelling oxford-uuid:eed5ec20-644a-4797-98d5-5ebcac86e5282022-03-27T11:35:49ZInulin significantly improves serum magnesium levels in proton pump inhibitor-induced hypomagnesaemia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:eed5ec20-644a-4797-98d5-5ebcac86e528EnglishSymplectic Elements at Oxford2016Hess, Mde Baaij, JBroekman, MBisseling, THaarhuis, BTan, AMorsche, RHoenderop, JBindels, RDrenth, JBACKGROUND: Proton pump inhibitors (PPI) are among the most widely prescribed drugs to treat gastric acid-related disorders. PPI-induced hypomagnesaemia, a defect in intestinal absorption of Mg(2+) , can be a severe side effect of chronic PPI use. AIM: To restore serum Mg(2+) concentrations in PPI-induced hypomagnesaemia patients by dietary supplementation with inulin fibres. METHODS: Eleven patients with PPI-induced hypomagnesaemia and 10 controls were treated with inulin (20 g/day). Each trial consisted of two cycles of 14-day inulin treatment followed by a washout period of 14 days. Patients continued to use their PPI. Serum Mg(2+) levels served as the primary endpoint. RESULTS: Inulin significantly enhanced serum Mg(2+) levels from 0.60 to 0.68 mmol/L in PPI-induced hypomagnesaemia patients, and from 0.84 to 0.93 mmol/L in controls. As a consequence 24 h urinary Mg(2+) excretion was significantly increased in patients with PPI-induced hypomagnesaemia (0.3-2.2 mmol/day). Symptoms related to hypomagnesaemia, including muscle cramps and paraesthesia, were reduced during intervention with inulin. CONCLUSION: Inulin increases serum Mg(2+) concentrations under PPI maintenance in patients with PPI-induced hypomagnesaemia.
spellingShingle Hess, M
de Baaij, J
Broekman, M
Bisseling, T
Haarhuis, B
Tan, A
Morsche, R
Hoenderop, J
Bindels, R
Drenth, J
Inulin significantly improves serum magnesium levels in proton pump inhibitor-induced hypomagnesaemia.
title Inulin significantly improves serum magnesium levels in proton pump inhibitor-induced hypomagnesaemia.
title_full Inulin significantly improves serum magnesium levels in proton pump inhibitor-induced hypomagnesaemia.
title_fullStr Inulin significantly improves serum magnesium levels in proton pump inhibitor-induced hypomagnesaemia.
title_full_unstemmed Inulin significantly improves serum magnesium levels in proton pump inhibitor-induced hypomagnesaemia.
title_short Inulin significantly improves serum magnesium levels in proton pump inhibitor-induced hypomagnesaemia.
title_sort inulin significantly improves serum magnesium levels in proton pump inhibitor induced hypomagnesaemia
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