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What the FDA labels say about taking them together

Magnesium hydroxide and phenytoin

Phenytoin's FDA label of October 15, 2024 names magnesium hydroxide in its drug interactions section; the magnesium hydroxide label PlainMeds reads does not name phenytoin.

Check it at the source: the magnesium hydroxide FDA label on DailyMed (effective August 21, 2026); the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.).

What does the magnesium hydroxide label say about phenytoin?

Magnesium hydroxide's label (effective August 21, 2026) does not name phenytoin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (MiraFAST soft chews), Bayer HealthCare LLC., effective August 21, 2026 (SPL set 2cee67dd-b71f-32b8-e063-6394a90ae864), via openFDA; the full label on DailyMed

What does the phenytoin label say about magnesium hydroxide?

Phenytoin label, drug interactions

Interacting Agent: Antacids Antacids may affect absorption of phenytoin.; Examples: Calcium carbonate, aluminum hydroxide, magnesium hydroxide Prevention or Management: Phenytoin and antacids should not be taken at the same time of day

Source: FDA drug label (Phenytek), Mylan Pharmaceuticals Inc., effective October 15, 2024 (SPL set 0f94c791-8b07-4b41-927e-c9f28bec5f60), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Magnesium hydroxide generic labelers
29Phenytoin generic labelers
Magnesium hydroxidePhenytoin
Labeled forConstipation, Acid reflux and ulcersSeizures and epilepsy
Boxed warningNoNo
Pharmacy cost (NADAC)$0.0095 per mL Milk of magnesia suspension$0.145 per capsule 100 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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