Management of Hypomagnesemia in Clinical Practice

• Dr. Alberto Carlos Reino — Nephrologist, Nefron SAS, Medellín, Colombia; Honorary Professor, Universidad de Antioquia, Colombia

Nephrology · Oncology

Management of hypomagnesemia involves improving dietary intake, enhancing gastrointestinal absorption, reducing renal magnesium loss, and providing magnesium supplementation. Magnesium-rich foods and oral supplements may help in mild cases, while intravenous magnesium is often required for severe deficiency or symptomatic patients. Medications such as amiloride, spironolactone, and SGLT2 inhibitors may help reduce renal magnesium loss in selected patients, although evidence in cancer patients remains limited.