Rehydration & electrolytes · Oral rehydration solution

Oral Rehydration Salts (ORS)

A balanced mixture of salts and glucose that restores fluids and electrolytes lost through diarrhoea, vomiting, or heavy sweating.

OTCKidney warningPaediatric useSenior precaution
ElectralPedialyteEnerzalProlyte
Overview & typical uses

A balanced mixture of salts and glucose that restores fluids and electrolytes lost through diarrhoea, vomiting, or heavy sweating.

Primary uses

  • Preventing and treating mild to moderate dehydration
  • Supporting recovery during acute diarrhoea and vomiting
How it works

The precise glucose-to-sodium ratio drives water absorption through the intestinal wall, restoring hydration effectively even during illness.

Available forms & strengths
  • Oral powder sachet (Oral)
  • Ready-to-drink solution (Oral)
General precautions & contraindications

Do not use if

  • Severe dehydration needing intravenous fluids
  • Ongoing vomiting preventing any oral intake — seek medical care

Pregnancy

Generally considered safe. Considered safe in pregnancy.

Breastfeeding

Generally considered safe. Safe during breastfeeding.

Kidney considerations

  • Discuss with a clinician before use if you have severe kidney disease or need fluid restriction.

Paediatric use

Safe from infancy. Encourage frequent small sips.

Older adults

Encouraged during dehydrating illness; check for heart-failure fluid restrictions first.

Common side effects
  • Usually well tolerated
  • Mild nausea in some people
Serious warnings — seek help if these appear
  • Electrolyte imbalance from incorrect preparation
Food & alcohol precautions
Sugary drinks / juice

Do not substitute — they lack the correct salt balance and can worsen diarrhoea.

Storage, missed dose & overdose

Storage

Store dry sachets below 25 °C. Once mixed, use within 24 hours (refrigerated).

If a dose is missed

Take small sips frequently as tolerated — no fixed schedule.

Overdose

Overdose is uncommon with correct preparation. Do not alter concentrations.

What to monitor

  • Seek medical care for signs of severe dehydration: very little urine, extreme dizziness, confusion, or inability to keep fluids down.
Frequently asked questions
Can I make ORS at home?

Home-made recipes exist for emergencies, but pre-packaged ORS gives the most accurate salt balance.

How much ORS should I drink?

Follow package guidance. In general, small frequent sips are more effective than large gulps.

Medical references
  • WHO Oral Rehydration Salts formulationWorld Health Organization
  • UNICEF diarrhoea treatment guidanceUNICEF

Content last reviewed: 2025-01-01

Medical disclaimer

This information is for educational purposes only and should not replace professional medical advice. Please consult a licensed pharmacist or clinician for advice tailored to your personal circumstances.