Lansoprazole and Magnesium Glycinate, a caution.
Lansoprazole, like other PPIs, can cause hypomagnesemia after months to years of use. Case reports and meta-analyses confirm reduced intestinal magnesium uptake on long-term PPIs, with episodes of seizure, tetany, and arrhythmia documented even in patients on oral magnesium. Symptoms typically resolve only after the PPI is stopped.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
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At a glance
- Substances
- Lansoprazole and Magnesium Glycinate
- Pair type
- Caution
- Evidence (highest tier)
- Strong
- Source citations
- 2 sources
- Stack Score effect
- −5 to your Stack Score (per scored caution row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Caution · Strong evidence
Caution
What is happening. Lansoprazole, like other PPIs, can cause hypomagnesemia after months to years of use. Case reports and meta-analyses confirm reduced intestinal magnesium uptake on long-term PPIs, with episodes of seizure, tetany, and arrhythmia documented even in patients on oral magnesium. Symptoms typically resolve only after the PPI is stopped.
Mechanism. PPI-induced hypochlorhydria impairs active intestinal magnesium uptake by TRPM6/TRPM7 channels, which depend on luminal proton gradients. The defect is class-wide and reverses within days of discontinuation.
Recommendation. Check serum magnesium at baseline and at least annually on long-term lansoprazole. If low, start magnesium glycinate and discuss whether the PPI can be switched to an H2 blocker or stopped.
Sources (2)
- Cheungpasitporn W, Thongprayoon C, Kittanamongkolchai W, et al. Proton pump inhibitors linked to hypomagnesemia: a systematic review and meta-analysis of observational studies. Ren Fail. 2015;37(7):1237-41. PMID 26108134
- Hess MW, Hoenderop JG, Bindels RJ, Drenth JP. Systematic review: hypomagnesaemia induced by proton pump inhibition. Aliment Pharmacol Ther. 2012;36(5):405-13. PMID 22762246
Stack Score
How this pair moves the number.
Effect on the composite score
If both Lansoprazole 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 documented at /methodology/stack-score.
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