Which statement about the relationship between magnesium sulfate and myasthenia gravis is true?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Magnesium sulfate is a medication known for its role in various obstetrical conditions, such as preventing seizures in preeclampsia and managing preterm labor. In the context of myasthenia gravis, a neuromuscular disorder characterized by weakness and rapid fatigue of voluntary muscles, magnesium sulfate can have a significant effect on muscle function.

The correct statement about magnesium sulfate in relation to myasthenia gravis is that it blocks calcium channels, leading to increased weakness. In patients with myasthenia gravis, the transmission of signals from nerves to muscles is already impaired due to the autoimmune destruction of acetylcholine receptors at the neuromuscular junction. Magnesium has a neuromuscular blocking effect, which can further exacerbate muscle weakness by inhibiting the release of calcium needed for muscle contraction. This mechanism can worsen the symptoms of myasthenia gravis, hence the caution needed when administering it to affected patients.

Using magnesium sulfate with caution in patients with myasthenia gravis is essential because while it serves important medicinal purposes, its action can significantly impact muscle function in this population, leading to potentially dangerous exacerbations of weakness. Therefore, careful monitoring and consideration of the patient's status are paramount when this drug

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