Drug & supplement interaction

Uzara + Magnesium Hydroxide (OTC drug)

Magnesium Hydroxide (OTC drug) brand name: Milk of Magnesia (MOM).

Moderate Interaction
The bottom line Moderate

Uzara has a moderate interaction with Magnesium Hydroxide (OTC drug). Theoretically, overuse or misuse of stimulant laxatives can increase the risk of cardiac glycoside toxicity due to potassium depletion.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Uzara and Magnesium Hydroxide (OTC drug)

Here is the interaction we found between these two, with the evidence behind it.

Moderate

STIMULANT LAXATIVES

Why this applies to Magnesium Hydroxide (OTC drug)

Magnesium Hydroxide (OTC drug) falls under STIMULANT LAXATIVES — the group Uzara interacts with.

Theoretically, overuse or misuse of stimulant laxatives can increase the risk of cardiac glycoside toxicity due to potassium depletion.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thinking behind this one. Uzara contains natural compounds that act a lot like heart medications called cardiac glycosides. The concern with laxatives is that overusing them can flush out potassium from your body, and low potassium makes those heart-active compounds in Uzara more likely to cause trouble (think irregular heartbeat or nausea).

Now, this warning was really written for stimulant laxatives. Milk of Magnesia works differently, it pulls water into the gut to soften stool. Still, taking too much for too long can cause diarrhea and loss of fluids and potassium, so the same logic can apply. This is a theoretical concern based on how these things work, not strong proof. Used occasionally and as directed, it's unlikely to be a problem. If you'll be using it regularly alongside Uzara, please check with your pharmacist or doctor first.

References
  1. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Uzara Also Interacts With Other Medications

Uzara has 1 major, 131 moderate known drug interactions in our database — the Magnesium Hydroxide (OTC drug) one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Uzara

Covers the 2,830 medications we’ve checked against Uzara. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Magnesium Hydroxide (OTC drug)

This page covers Uzara only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Magnesium Hydroxide (OTC drug) page lists 46 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Jalap (major), Oleander (major), Alder Buckthorn (moderate) and Aloe (moderate).

By severity: 3 major · 34 moderate · 9 minor.

From our pharmacist’s overview on the Magnesium Hydroxide (OTC drug) page

“Milk of magnesia (magnesium hydroxide) is the medicine-cabinet fix for constipation, and most of the 46 supplements known to interact with it come from the same shelf. Twenty-nine are herbal stimulant laxatives, aloe latex and cascara sagrada among them, and doubling up on laxatives can drain fluid and potassium fast.”

Reviewed by 2 · Jul 18, 2026

Open the Magnesium Hydroxide (OTC drug) interaction page

How much people look this up

Where Uzara and Magnesium Hydroxide (OTC drug) Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Uzara
Steady interest

#897 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Magnesium Hydroxide (OTC drug)
Top half

#1,120 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Uzara

What is Uzara?

  • Diarrhea
  • Stomach cramps
  • Menstrual cramps (dysmenorrhea)
  • Headaches
  • Digestive upset

Uzara is a traditional African root remedy used mainly for diarrhea and stomach cramps. Because it contains cardiac glycosides that can affect the heart, it should be used cautiously and for short periods only. Talk to a pharmacist or doctor before using it, especially if you have heart problems, are pregnant, or take heart medications.

Read the full Uzara monograph & all interactions
Keep checking

Other Drugs & Uzara

Browse every other medication we’ve checked against Uzara — both the ones with a known interaction and the ones without. Select any drug for the full detail.

1Major
131Moderate
0Minor
2,697No known interaction
Major

1 interaction

Moderate

131 interactions

Showing 60 of 131 moderate interactions — see all 131 on the Uzara page.

No interaction 2,697 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Uzara and Magnesium Hydroxide (OTC drug) Together: Common Questions

Can you take Uzara with Magnesium Hydroxide (OTC drug)?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Uzara and Magnesium Hydroxide (OTC drug) interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.