Orthomolecular Medicine News Service, November 23, 2016
Magnesium deficiency is found more frequently in children with attention deficit hyperactivity disorder (ADHD) than in healthy children. In one study of ADHD children, magnesium deficiency was found in 95 percent of those examined (1). Does this warrant magnesium supplementation for hyperactive children? The answer is yes.
Magnesium Is Safe and It Works
A review that looked at studies done on magnesium for the treatment of ADHD in children concluded that although “studies supported that magnesium is effective for treating ADHD…until further strong evidences for its efficacy and safety are provided, magnesium is not recommended for treating ADHD.” (4) This is typical of modern “evidence-based” medical literature. Some medical professionals will ignore what is already known unless a sufficient number of double-blind randomized studies have been performed. Magnesium supplementation is safe and effective, and it is critically important for children who are deficient.
The safety of magnesium has been well established. There have been no deaths reported from magnesium supplementation. None (5). An overdose of magnesium may result in loose stool. This is temporary, and will go away once dosages are reduced or divided into smaller amounts of magnesium given throughout the day. Magnesium supplementation is safe and it is worth trying, especially when we consider the dangers of ADHD drugs.
ADHD Drugs Are Dangerous
Depending on which ADHD drug is being taken, side effects of overdose include mydriasis, tremors, anxiety, agitation, hyper-reflexia, headache, gastrointestinal upset, combative behavior, confusion, hallucinations, delirium, dizziness, dystonia, insomnia, paranoia, movement disorders, tachycardia hypertension, seizures, and yes, even hyperactivity, the very condition an ADHD drug is supposed to be treating. Oh, and they can kill you (6,7). Even if “fatalities are rare” (7), I imagine this brings little comfort to parents. Moreover, the most common side effects of ADHD drugs, taken as prescribed, are appetite loss, abdominal pain, headaches, sleep disturbances, diminished growth, hallucinations and psychotic disturbances (8). Magnesium produces none of these effects. And even though magnesium is both safe and effective, nowhere in the report from the American Academy of Pediatrics (AAP) Clinical Practice Guideline for ADHD is magnesium supplementation recommended (8).
When it comes to the potential for kids to die suddenly from taking their prescribed ADHD medication, concerns are dismissed by the AAP with statements like “evidence is conflicting as to whether stimulant medications increase the risk of sudden death” (8). One would hope that with this level of uncertainty about the risk of death, the medical advice would be against the use of ADHD medication. Instead, the recommendation from the United States Food and Drug Administration (FDA) is “continue your ADHD treatment as prescribed by a healthcare professional” (9). Just be sure to “talk to your healthcare professional about any questions you may have about ADHD medications.” Well, never has “talking about it” made medication any less dangerous.
Other Benefits of Magnesium
In addition to its effectiveness for treating hyperactivity, magnesium also benefits children in other profound ways: it can help kids sleep better at night, relieve discomfort from sore muscles and growing pains, relieve constipation, reduce anxiety, and reduce headache days (10).
“I have come to the conclusion that everyone could benefit from extra magnesium supplementation.”
Magnesium and Other Nutrients for ADHD
ADHD is not caused by a drug deficiency. Instead of giving drugs to our children, we should look to the benefits of providing them with optimal nutrition. Children with ADHD may benefit from optimal levels of several nutrients including vitamin D (11), iron (12), niacin (B3), pyridoxine (B6), vitamin C, and omega-3 fatty acids (13). In addition to removing refined sugar from the diet, avoiding artificial food dyes, and providing healthy food, pediatrician Ralph Campbell, MD, recommends a vitamin B complex supplement be given with breakfast, an additional 100 mg of B6 at another meal, and 200 mg or more of magnesium per day for ADHD children (13). Other helpful tips include limiting screen time and increasing exercise, especially in the outdoors.
The recommended dietary allowance (RDA) of magnesium for children ages one to three is 80 mg per day. Children ages four to five: 130 mg magnesium per day. By age nine, our government recommends that kids should be getting (at least) 240 mg of magnesium per day. And at age fourteen, between 360 to 410 mg per day. Keep in mind, only about 30 to 40 percent of dietary magnesium is absorbed by the body (14). Remember, too much magnesium in a less-absorbable form can cause loose stool. This side effect can be prevented by reducing the amount of magnesium given and providing it in a more absorbable form. If larger total daily doses of magnesium are required, divide the dose into smaller amounts and give it multiple times throughout the day.
Oral magnesium citrate is inexpensive and fairly well absorbed. Other useful, but more costly, oral forms of magnesium include magnesium glycinate, magnesium gluconate, magnesium taurate, magnesium malate, and magnesium chloride. Avoid magnesium oxide (it absorbs very poorly) and avoid both magnesium glutamate and magnesium aspartate (10). Magnesium sulfate is cheap and can be obtained transdermally by soaking in regular Epsom salt baths.
How We Get Magnesium into Our Children
Oral magnesium supplementation:
Our children take bi-weekly Epsom salt baths. We toss a handful or two of Epsom salt in their bath and have them soak for about ten to fifteen minutes. Our kids call it “water salt.”
Our children eat a plant-based diet which provides magnesium from many sources:
To see the magnesium content many foods, you may wish to visit http://www.whfoods.com/genpage.php?tname=nutrient&dbid=75
Our children do not suffer from ADHD. But we don’t like to wait around for nutritional problems to show up. We see to it that our kids get the nutrients their growing bodies need. “Don’t take chances; take vitamins and minerals” is our motto. Always will be.
(OMNS Assistant Editor Helen Saul Case is the author of The Vitamin Cure for Women’s Health Problems, and Vitamins & Pregnancy: The Real Story. She is coauthor of Vegetable Juicing for Everyone. Her newest book,Orthomolecular Nutrition for Everyone, will be available March 2017.)
For Further Reading:
Campbell, R., and Saul, AW. The Vitamin Cure for Infant and Toddler’s Health Problems. Basic Health Publications (2013).
Campbell, R., and Saul, AW. The Vitamin Cure for Children’s Health Problems. Basic Health Publications (2011).
Dean, C. The Magnesium Miracle. Ballantine Books (2007).
Mercola, J. Raising a Generation of Pill-Poppers; How Abuse of “Uppers,” “Downers,” and Stimulants Threatens an Entire Generation http://articles.mercola.com/sites/articles/archive/2014/05/01/antidepressants-adhd-drugs.aspx
Rimland, B. An Orthomolecular Study of Psychotic Children. http://orthomolecular.org/library/jom/1974/pdf/1974-v03n04-p371.pdf
Vitamin Supplements Help Protect Children from Heavy Metals, Reduce Behavioral Disorders. http://orthomolecular.org/resources/omns/v03n07.shtml
Bipolar Kids Need Nutrition, Not Junk Food and More Drugs. http://orthomolecular.org/resources/omns/v04n15.shtml
Case, HS. Tips from a Megavitamin Mom: Getting Kids to Take Vitamins and Lots of Them. http://orthomolecular.org/resources/omns/v12n09.shtml
1. Kozielec, T., B. Starobrat-Hermelin. “Assessment of magnesium levels in children with attention deficit hyperactivity disorder (ADHD).” Magnes Res 10(2) (June 1997):143-148.
2. Starobrat-Hermelin B. “[The effect of deficiency of selected bioelements on hyperactivity in children with certain specified mental disorders].” Ann Acad Med Stetin 44 (1998):297-314.
3. Starobrat-Hermelin, B., T. Kozielec. “The effects of magnesium physiological supplementation on hyperactivity in children with attention deficit hyperactivity disorder (ADHD). Positive response to magnesium oral loading test.” Magnes Res 10(2) (June 1997):149-156.
4. Ghanizadeh, A. “A systematic review of magnesium therapy for treating attention deficit hyperactivity disorder.” Arch Iran Med 16(7) (July 2013:412-417. doi: 013167/AIM.0010.
5. Saul, AW. No Deaths from Supplements. No Deaths from Minerals. No Deaths from Amino Acids. No Deaths from Herbs. http://orthomolecular.org/resources/omns/v12n02.shtml
6. Childs, D., and T. Neale. “ADHD Drugs Linked to Sudden Death.” ABC News Medical Unit. June 15, 2009. http://abcnews.go.com/Health/MindMoodNews/story?id=7829005&page=1 (accessed July 2016).
7. Spiller, HA., H. L. Hays, A. Aleguas Jr. “Overdose of drugs for attention-deficit hyperactivity disorder: clinical presentation, mechanisms of toxicity, and management.” CNS Drug 27(7) (July 2013):531-543. doi: 10.1007/s40263-013-0084-8.
8. Subcommittee on Attention-Deficit/Hyperactivity Disorder; Steering Committee on Quality Improvement and Management, M. Wolraich, L. Brown, R.T. Brown, et al. “ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents.” Pediatrics128(5) (Nov 2011):1007-1022. doi: 10.1542/peds.2011-2654. Epub 2011 Oct 16.
9. “FDA Drug Safety Communication: Safety Review Update of Medications used to treat Attention-Deficit/Hyperactivity Disorder (ADHD) in children and young adults.”http://www.fda.gov/Drugs/DrugSafety/ucm277770.htm
10. Dean, C. The Magnesium Miracle. Ballantine Books (2007).
11. Kamal, M., A. Bener, M.S. Ehlayel. “Is high prevalence of vitamin D deficiency a correlate for attention deficit hyperactivity disorder?” Atten Defic Hyperact Disord 6(2): (June 2014)73-78. doi: 10.1007/s12402-014-0130-5. Epub 2014 Mar 9. Bener A., M. Kamal. “Predict attention deficit hyperactivity disorder? Evidence -based medicine.” Glob J Health Sci 6(2) (Nov 2013):47-57. doi: 10.5539/gjhs.v6n2p47.
12. Bener, A., M. Kamal, H. Bener, et al. “Higher prevalence of iron deficiency as strong predictor of attention deficit hyperactivity disorder in children.” Ann Med Health Sci Res 4(Suppl 3) (Sept 2014):S291-7. doi: 10.4103/2141-9248.141974.
13. Campbell, R, AW Saul. The Vitamin Cure for Children’s Health Problems. Laguna beach, CA: Basic Health Publications, 2011.
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