What magnesium hydroxide does
Magnesium hydroxide is a white powder with two ordinary jobs in the gut. It neutralises stomach acid, which is why it turns up in antacids, and it draws water into the bowel, which is why larger doses are used as a laxative. In a bone-health tablet the work is different: here it supplies magnesium, a mineral that teams up with calcium in bone and is used by nerves and muscles. Calcibrook Forte pairs it with calcium carbonate and a small amount of zinc sulphate monohydrate.
What is it doing in a bone tablet?
Calcium is the main mineral in bone, and what is left over once the skeleton has taken its share is used for nerve and muscle function. Calcibrook Forte comes as tablets in a combined strength of 1000/240/11mg: 1000mg calcium carbonate, 240mg magnesium hydroxide and 11mg zinc sulphate monohydrate. Zinc is a mineral the body needs in tiny amounts, and it appears here at 11mg per tablet alongside the other two. The listing sits in the bone support range and is used for calcium deficiency and to support bone health.
Taking Calcibrook Forte
Calcium carbonate is absorbed best when it is taken with food, so take the tablet with a meal and a glass of water. The pack states how many tablets make a dose; that figure is the one to follow, since far more calcium and magnesium than the body needs can build up over time. Plenty of water through the day helps the magnesium part do its work in the bowel.
Side effects worth knowing
Mild digestive complaints are the usual ones: indigestion, wind, a bloated feeling, constipation from the calcium or looser stools from the magnesium. Serious problems are uncommon. Very high magnesium levels bring muscle weakness, a slow heartbeat, drowsiness, confusion and, at worst, difficulty breathing; the kidneys clear magnesium, so this is more likely when they are not working well. Long-term use of large calcium carbonate doses can also push blood calcium too high, causing nausea, vomiting, thirst and confusion.
Interactions and storage
Calcium and magnesium both bind to some medicines in the gut and cut how much of them is absorbed. Tetracycline and doxycycline antibiotics, ciprofloxacin and similar antibiotics, bone medicines such as alendronate, iron tablets and levothyroxine are the main ones, and a gap of a few hours between those and this tablet keeps them working. Store the tablets somewhere dry and cool, well away from the kettle or a sunny windowsill.