“…Given intramuscularly, this solution may be both irritating and sclerosing; small amounts of lidocaine can be added to reduce discomfort [20]. It has been suggested that since sulfate ions bind calcium, mag nesium chloride might be preferred to magnesium sul fate for treating patients with coexisting hypocalcemia [ It can be expected that about 50% of an intravenous load of magnesium will be lost in the urine [6,23], and 50 mEq or more of magnesium may be needed within the first 12 h [5,6,23,24], It has been suggested that slower infusion rates decrease the urinary loss, since the plasma [Mg] determining the renal threshold will less likely be exceeded [25], Generally, to initiate therapy in a severely depleted patient, no more than 100 mEq of magnesium should be given during a 12-hour period, and consider able caution is needed with this dose [23]. For example, in a small number of magnesium-deficient subjects, Flink [12] noted that a rate of infusion of 50 mEq of magnesium every 12 h for 48 h resulted in an average serum [Mg] of about 3.0 mEq/1, and a rate of 100 mEq every 12 h was associated with an average serum level of about 4.0 mEq/1 (with no individual value exceeding 6.5 mEq/1).…”