Drug-induced nutrient depletion

Amphotericin B & Nutrient Depletion

Also searched as Amphocin, Fungizone IV, Abelcet. What the clinical evidence reports, what it may mean, and what to discuss with your pharmacist.

1Nutrient association
Major DepletionHighest rating
The bottom line

Amphotericin B has been associated with depletion of MAGNESIUM. This does not mean a deficiency will occur — it means these are worth knowing about and, if you take Amphotericin B long-term, worth raising with your pharmacist or healthcare provider.

Ask a pharmacist about Amphotericin B Free · usually answered within 24 hours

Take more than one medication? Open the checker with Amphotericin B pre-loaded and add the rest to see overlapping nutrient signals.

The evidence

Reported nutrient depletions with Amphotericin B

Each record below is shown as published in our licensed clinical database, with its evidence rating and citations. Expand a section for food sources and talking points.

MAGNESIUM

Major Depletion

AMPHOTERICIN-B (Abelcet, others)

Amphotericin-B can cause a significant decrease in magnesium levels.

Electrolyte disturbances, including low serum magnesium levels, develop in a large proportion of patients receiving amphotericin-B. Lipid-based formulations might have a lesser effect than the conventional formulations. This disturbance has been association with nephrotoxicity, and may necessitate stopping the drug and giving intravenous electrolyte replacement.
Taking Amphotericin B? A supplement is needed for most patients. ⓘ
Dr. Brian Staiger, Pharm.D explains

Magnesium is a mineral your muscles, nerves, and heart rhythm all depend on, and amphotericin B is well known for draining it. The drug can damage the kidneys' filtering tubes, causing them to leak magnesium out into the urine instead of holding onto it. This is a well-documented, serious concern, not a theoretical one, so most patients on amphotericin B are monitored closely and many need magnesium replacement during treatment. Ask your doctor or pharmacist how your levels are being watched while you are on this medication.

What Magnesium does & food sources

Magnesium is involved in muscle and nerve function, heart rhythm, blood sugar control, and bone health.

Common food sources:

  • Nuts and seeds (almonds, pumpkin seeds)
  • Whole grains
  • Leafy green vegetables
  • Beans and legumes

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

What to discuss with your clinician

Ask whether a magnesium level is worth checking if you take an associated medication long-term — particularly with symptoms like muscle cramps, twitching, or palpitations. Blood levels do not always reflect total body stores, which is worth discussing too.

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

Supplement considerations

Magnesium supplements come in many forms and can cause loose stools at higher doses. They can also bind some medications in the gut (certain antibiotics, thyroid medication), so timing matters — check with your pharmacist.

Do not start or stop medications or supplements without professional guidance — supplements can interact with prescription medications.

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

Caution: Magnesium supplementation can be risky in kidney disease, where magnesium can accumulate — always check with a clinician first if your kidney function is reduced.

Learn more about this nutrient: Magnesium — uses, safety & interactions

References (1)
  1. Sabra R, Branch RA. Amphotericin B nephrotoxicity. Drug Saf 1990;5:94-108. . PubMed
Important

This tool is educational and is not a substitute for professional medical advice. An association is not a diagnosis and does not mean a deficiency will occur. Always talk to your pharmacist or healthcare provider before starting, stopping, or changing any medication or supplement.

Disclaimer: This checker finds which nutrients might be depleted by prescription or over-the-counter medications. Each nutrient depletion issue is rated based on clinical significance. Use your own professional judgment prior to making clinical decisions.

© 2026 Therapeutic Research Center Licensed records refresh weekly · last updated July 3, 2026.
Understand the basics

What drug-induced nutrient depletion means

Some medications can, over time, lower the levels of certain vitamins, minerals, or other nutrients — through reduced absorption, increased loss, or changes in how the body uses them.

Association is not deficiency

An entry here means a depletion has been reported or studied — not that it happens to everyone, or that you are deficient. Dose, duration, diet, and your own health all matter.

Evidence varies by pair

Some drug–nutrient links (like metformin and vitamin B12) are well studied; others rest on limited or preliminary research. Each entry shows the evidence rating from our licensed clinical database.

When to ask about labs

If you take an associated medication long-term, ask your healthcare provider whether monitoring is appropriate for you. Not everyone needs testing — your provider can weigh your dose, duration, and symptoms.

Don't self-supplement blindly

Supplements are not risk-free: some can interact with medications, and some (like potassium or magnesium) can be risky with kidney disease. Talk to your pharmacist before adding anything.

Never stop a medication over this

These medications are prescribed for good reasons, and the benefit usually far outweighs a manageable nutrient consideration. Any change belongs in a conversation with your prescriber.

Food first, usually

For many nutrients, a varied diet covers the gap. Each entry lists common food sources; a supplement is a decision to make with your pharmacist or provider, not a default.

Common questions

Amphotericin B & nutrients: FAQs

Does Amphotericin B deplete MAGNESIUM?
Amphotericin B has been associated with lower MAGNESIUM levels in the clinical literature — see the evidence rating and details above. An association is not a guarantee: dose, duration, diet, and your own health all matter. If you take Amphotericin B long-term, ask your healthcare provider whether checking your MAGNESIUM status is appropriate.
Should I take a supplement because I take Amphotericin B?
Not automatically. The right first step is usually a conversation with your pharmacist or provider — they can weigh your dose and duration, decide whether testing makes sense, and recommend food-first strategies or a supplement if genuinely needed. Some supplements can interact with medications, so do not add one without checking.
Should I stop taking Amphotericin B?
No — never stop a prescribed medication because of a nutrient association. Amphotericin B is prescribed for good reasons, and nutrient considerations are usually manageable with monitoring or diet. Any change to your medication belongs in a conversation with your prescriber.
Where does this information come from?
The depletion records come from the Natural Medicines (Therapeutic Research Center) database — an evidence-graded clinical reference — and are displayed as published, with their citations. The plain-English context is written and reviewed by licensed HelloPharmacist pharmacists.

Questions about Amphotericin B and your nutrition?

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Sources

Sources & How We Checked

Nutrient depletion records for Amphotericin B are evidence-graded and sourced from the Natural Medicines database, and are displayed as published with their citations.

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