What is 'SU Mag' or Magnesium Sulfate Paste?
'SU Mag' is likely a colloquial term for Magnesium Sulfate Paste, a widely used over-the-counter medication known as a "drawing ointment" [1.3.6, 1.3.7]. Its primary active ingredient is dried magnesium sulfate (commonly known as Epsom salt), mixed with glycerol and a small amount of phenol [1.2.3, 1.3.1]. Magnesium sulfate has been in medical use since as early as 1618 [1.3.2].
This paste works through a process called osmosis [1.7.1, 1.7.4]. The dried magnesium sulfate is hygroscopic, meaning it attracts water. When applied to the skin over a boil or splinter, it creates an osmotic gradient, drawing moisture, pus, and other fluids out from the inflamed tissue and towards the paste [1.3.2, 1.7.1]. The glycerol helps keep the paste moist, sustaining this drawing action over several hours [1.7.5]. This process helps to bring boils to a head, draw out foreign objects like splinters, and reduce painful inflammation [1.7.4, 1.8.4].
Primary Uses of Magnesium Sulfate Paste
This ointment is a staple in many first-aid kits due to its versatility [1.3.6]. Its primary applications include:
- Boils and Carbuncles: It is highly effective at drawing out the pus from these painful, bacteria-filled skin abscesses, reducing pressure and promoting natural drainage [1.3.2, 1.7.2].
- Splinters and Foreign Bodies: The paste can help draw small, embedded objects like wooden splinters, thorns, or glass shards closer to the skin's surface, making them easier to remove with tweezers [1.3.2, 1.8.3, 1.8.5].
- Minor Skin Infections and Abscesses: It aids in managing small, localized skin infections by helping to clear out pus and debris [1.3.6, 1.7.2].
- Inflamed Ingrown Hairs: By drawing out pus, the paste can help reduce inflammation and bring the trapped hair to the surface [1.3.6].
How to Apply SU Mag (Magnesium Sulfate Paste): A Step-by-Step Guide
Proper application is key to maximizing the effectiveness of magnesium sulfate paste. Always wash your hands before and after use [1.2.4].
1. Preparation
Gather your supplies: You will need the tub of magnesium sulfate paste, a clean applicator (like a sterile tongue depressor or the handle of a teaspoon), and a clean, sterile dressing or plaster large enough to cover the affected area [1.2.1, 1.8.1].
2. Clean the Area
Wash the affected skin: Gently clean the area around the boil or splinter with mild soap and warm water, then pat it dry [1.2.6]. Ensure there is no broken skin, unless it is a minor localized infection like a boil [1.2.1, 1.3.5].
3. Stir and Apply the Paste
Stir the paste well: The ingredients can separate over time, so it's important to stir it until you have an even, smooth consistency [1.2.3, 1.2.4]. Using your clean applicator, scoop out a generous amount of the paste.
Apply liberally: Spread a thick layer of the paste—about 5mm thick—directly onto the affected area. Do not rub it in [1.2.1, 1.4.6]. Ensure the entire boil or the skin over the splinter is completely covered [1.7.2].
4. Cover with a Dressing
Secure a dressing: Place a sterile, non-adhesive dressing or a plaster over the paste [1.2.1, 1.8.3]. This keeps the paste in place, prevents it from rubbing off on clothing, and protects the area from dirt and bacteria [1.7.2].
5. Frequency and Duration
Reapply as needed: The dressing should be changed and the paste reapplied once or twice a day (e.g., every 12-24 hours) [1.4.4, 1.4.6]. Gently wash off the old paste with warm water before each new application. Continue this process for a few days until the boil drains or the splinter becomes accessible. If there is no improvement after two to three days, you should consult a pharmacist or doctor [1.4.3, 1.8.1].
Comparison of Topical Boil Treatments
Treatment | Mechanism of Action | Best For | Key Considerations |
---|---|---|---|
Magnesium Sulfate Paste | Osmotic action; draws out fluid and pus from under the skin [1.7.1]. | Unbroken boils, carbuncles, splinters, and minor abscesses [1.3.2]. | Should not be used on large areas of broken skin [1.2.4]. Very effective for bringing infections to a head. |
Ichthammol Ointment | Also a drawing salve, thought to have mild antiseptic properties. | Similar uses to magnesium sulfate, including boils and splinters [1.3.6]. | Has a very strong, distinct odor. Evidence for its drawing action is less defined than the osmotic effect of magnesium sulfate [1.5.2]. |
Warm Compresses | Moist heat increases blood flow to the area, encouraging natural drainage. | Early-stage boils to help them mature and come to a head [1.3.6]. | Requires frequent application (multiple times a day for 10-15 minutes). It's a non-medicinal first step. |
Topical Antibiotics | Kills bacteria on the skin's surface to prevent or treat infection. | Minor cuts and scrapes after a boil has drained to prevent secondary infection. | Does not have a "drawing" action to bring pus to the surface. |
Precautions and When to See a Doctor
While generally safe for most people, there are important precautions [1.3.6].
- Do not use on broken skin or large open wounds, unless it's a minor infection like a boil [1.3.5, 1.3.7].
- Do not use if you are allergic to magnesium sulfate or any other ingredients [1.3.2].
- Avoid prolonged use without consulting a doctor [1.3.5].
- Side effects are rare for topical use but can include skin irritation. If this occurs, stop use and consult a pharmacist [1.2.1, 1.6.2].
You should seek medical advice if:
- The boil is very large, painful, or located on your face or spine.
- You develop a fever or feel generally unwell [1.7.6].
- The condition does not improve after several days of treatment, or it worsens [1.2.4].
- The area shows signs of a spreading infection, such as significant redness, warmth, or red streaks [1.2.1].
- You have a weakened immune system or diabetes.
Conclusion
Magnesium sulfate paste, or 'SU Mag', is an effective, time-tested remedy for drawing out minor skin infections like boils and removing splinters [1.3.6]. By following the correct application procedure—cleaning, applying a thick layer, and covering the area—you can leverage its powerful osmotic action to find relief. However, it is crucial to recognize its limitations and consult a healthcare professional for more severe or persistent conditions.
For more information on medication safety, you can visit the U.S. Food and Drug Administration.