Supplement × Prescription·a caution·Emerging evidence

Cinacalcet + Magnesium Glycinate

Caution Emerging evidence

Low magnesium can worsen neuromuscular irritability and arrhythmia risk when hypocalcemia occurs, but supplementation in kidney disease requires caution.

From the database

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Pair type
Caution
Evidence
Emerging
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence

What is happening. Low magnesium can worsen neuromuscular irritability and arrhythmia risk when hypocalcemia occurs, but supplementation in kidney disease requires caution.

Mechanism. Magnesium influences PTH secretion, neuromuscular excitability, and cardiac repolarization.

Recommendation. Correct magnesium only with clinician guidance, especially in dialysis or low kidney function.

Stack Score

How it moves the number.

Effect on the composite score

If both Cinacalcet and Magnesium Glycinate are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1U.S. National Library of Medicine. Cinacalcet Tablets US Prescribing Information. 2026.Needs sourceNo link

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