Magnesium sulphate, commonly known as Epsom salt, is a mineral salt. It is a micronutrient. It has anti-inflammatory and laxative properties. Magnesium sulphate replaces magnesium in patients with magnesium deficiency and at site of edema in case of injuries. It decreases nerve impulses to heart muscles. In the intestine magnesium sulphate helps to retain water inside the colon, increasing the mobility and helps in evacuation of bowel.
 

• Magnesium Sulphate is used to correct the magnesium levels in patients with low magnesium levels in the body when the patient is not able to tolerate oral supplements. It is also used for the prevention and control of seizures associated with pre-eclampsia andeclampsia
• Magnesium sulfate is used as a laxative to relieve occasional constipation.

• Difficulty in breathing
•  Swelling of eyelids, face, lips
•  Itching and rash
•  Dizziness and Drowsiness
•  Pain at the injection site
•  Muscle weakness
•  Excessive thirst
•  Slurred speech

•  Using too much magnesium sulfate can cause serious, life-threatening side effects.
•  Do not use magnesium sulfate as a laxative without medical advice if you have: severe stomach pain, nausea, vomiting, a perforated bowel, a bowel obstruction, severe constipation, colitis, toxic megacolon, or a sudden change in bowel habits that has lasted 2 weeks or longer.
• Drink plenty of liquids while you are taking magnesium sulfate.
• If you have rectal bleeding or if you do not have a bowel movement after using magnesium sulfate as a laxative, stop using the medication and call your doctor at once.

• Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. Having the right amount of vitamin D, calcium, and phosphorus is important for building and keeping strong bones.
• Vitamin D is made by the body when skin is exposed to sunlight. Sunscreen, protective clothing, limited exposure to sunlight, dark skin, and age may prevent getting enough vitamin D from the sun. 

• Vitamin D is used to treat and prevent bone disorders (such as rickets, osteomalacia).
• Vitamin D with calcium is used to treat or prevent bone loss (osteoporosis).
• Vitamin D is also used with other medications to treat low levels of calcium or phosphate caused by certain disorders (such as hypoparathyroidism, pseudohypoparathyroidism, familial hypophosphatemia). 
• It may be used in kidney disease to keep calcium levels normal and allow normal bone growth. 
• Vitamin D drops (or other supplements) are given to breast-fed infants because breast milk usually has low levels of vitamin D.

• At normal doses usually has no side effects. 
• Too much vitamin D can cause harmful high calcium levels. Tell your doctor right away if any of these signs of high vitamin D/calcium levels occur: nausea/vomiting, constipation, loss of appetite, increased thirst, increased urination, mental/mood changes, unusual tiredness.

• Before using this medication, tell your doctor or pharmacist your medical history, especially of: high calcium/vitamin D levels (hypercalcemia/hypervitaminosis D), difficulty absorbing nutrition from food (malabsorption syndrome), kidney disease, liver disease.
• Liquid products, chewable tablets, or dissolving tablets may contain sugar and/or aspartame. Liquid products may also contain alcohol. Caution is advised if you have diabetes, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet.