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magnesium sulfate

magnesium sulfate

Restricted Medications IV

Drug Name	Form	Strength
Epsom Salt	POWDER, TOPICAL	454 g
Magnesium Sulfate	SOLUTION, INJECTABLE	1 g/2 mL
Magnesium Sulfate	SOLUTION, INTRAVENOUS	1 g/100 mL; 2 g/50 mL; 4 gm/50 mL; 40 g/1,000 mL

Display Anticonvulsants, Miscellaneous Class : 281292

High Alert Drug : Policy

Medication comments:

High Alert Drug: magnesium sulfate 50%
• Located in separate lidded container in dispensing cabinet. • Labeled MAGNESIUM SULFATE 50% (CONCENTRATED) in large red lettering.
High Alert Drug: magnesium sulfate IV
• Pre-mixed IV solution • Pre-mixed 4 gm and 40 gm bags restricted to OB (pre & post-partum) patients only • Policy for monitoring requirements in relation to dosing

Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes	CCU, OR, PACU, CCL, ED	PCU	2N (Tele)	1N (Tele), 3N (Tele)	Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N)	BirthPlace	SNF	ICS	OPS
magnesium sulfate IVPB, IV infusion	Y (≤ 4 gm)	Y (≤ 4 gm, ≤ 2 gm/hr)	Y (≤ 4 gm, ≤ 2 gm/hr)	Y (≤ 4 gm, ≤ 2 gm/hr)	Y (≤ 4 gm, ≤ 2 gm/hr)	Y (IVPB ≤ 6 gm)	Y (IVPB ≤ 1 gm)	Y (≤ 4 gm, ≤ 2 gm/hr)	Y (≤ 4 gm, ≤ 2 gm/hr)

Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent	Formulary Equivalent
magnesium oral supplements	magnesium oxide (Mag-Ox) dose adjust down to nearest tablet size (nearest 400 mg)

Last updated: May. 4, 2026

Therapeutic Interchange Policy magnesium oxide (Mag-Ox)

UpToDate Lexidrug

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

This site is intended for the staff of Iredell Health System. While others may view accessible pages, Iredell Health System makes no warranty, express or implied, as to the use of this information outside of Iredell Health System. The content of this policy and procedure document serves as guidance to the delivery of quality patient care. Care providers are expected to exercise critical thinking and situational awareness skills, and in specific situations to take such action as is necessary for the delivery of quality patient care.