Interaction databaseSupplement × PrescriptionReviewed May 2026

Ciprofloxacin and Magnesium L-Threonate, timing-sensitive.

All forms of supplemental magnesium, including magnesium L-threonate used for cognitive support, chelate ciprofloxacin in the gut and reduce its absorption. The bioavailability reduction can exceed 40 percent. The chelation is driven by free Mg2+, which dissociates from any magnesium salt in the acidic environment of the stomach.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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At a glance

Substances
Ciprofloxacin and Magnesium L-Threonate
Pair type
Timing Sensitive
Evidence (highest tier)
Strong
Source citations
2 sources
Stack Score effect
−5 to your Stack Score (per scored timing-sensitive row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Timing Sensitive · Strong evidence

Timing Sensitive

What is happening. All forms of supplemental magnesium, including magnesium L-threonate used for cognitive support, chelate ciprofloxacin in the gut and reduce its absorption. The bioavailability reduction can exceed 40 percent. The chelation is driven by free Mg2+, which dissociates from any magnesium salt in the acidic environment of the stomach.

Mechanism. Mg2+ released from magnesium L-threonate chelates the 3-carboxyl and 4-oxo groups on the fluoroquinolone core, forming insoluble complexes that block enterocyte absorption.

Recommendation. Take ciprofloxacin at least 2 hours before or 6 hours after magnesium L-threonate. Do not combine in the same dose.

Minimum separation. 360

Sources (2)
  1. Eljaaly K, Helal A, Almandeel T, Algarni R, Alshehri S. Multivalent cations interactions with fluoroquinolones or tetracyclines: A cross-sectional study. Saudi J Biol Sci. 2021;28(12):6929-6932. PMID 34866992
  2. Wiesner A, Zagrodzki P, Gawalska A, Paśko P. Together or Apart? Revealing the Impact of Dietary Interventions on Bioavailability of Quinolones: A Systematic Review with Meta-analyses. Clin Pharmacokinet. 2024;63(6):773-818. PMID 38807006

Stack Score

How this pair moves the number.

Effect on the composite score

If both Ciprofloxacin and Magnesium L-Threonate are in the same stack, this pair applies −5 to your Stack Score (per scored timing-sensitive row).

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

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