Drug & supplement interaction

Sodium + Didanosine

Didanosine brand names: Videx, Videx EC.

Moderate Interaction
The bottom line Moderate

Didanosine falls into 2 drug categories that Sodium can interact with; the most serious is rated moderate. Concomitant use of didanosine with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia.

Read the full interaction report
SeverityModerate
LikelihoodProbable
Interactions2
EvidenceC
What do Severity, Likelihood & Evidence mean?
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Interaction report

Sodium and Didanosine

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Sodium interacts with whole categories of medication. Didanosine falls into 2 of those categories, so it can interact with Sodium in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

DIDANOSINE (Videx)

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Concomitant use of didanosine with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia.
Didanosine formulations contain a significant amount of sodium.
Severity Moderate Likelihood Probable Evidence C

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thing many folks don't realize about didanosine (Videx): the medication itself, especially the buffered and powder forms, already carries a fair amount of sodium built right into it. So when you add extra sodium on top, whether from salty foods or a sodium supplement, you're stacking sodium on sodium. Over time that can push your blood sodium too high, a condition called hypernatremia, which may show up as excess thirst, swelling, headache, confusion, or extra strain on your heart and kidneys.

This is a recognized, agreed-upon concern, not just a lab theory. Everyday salt in cooking is usually fine for most people, but deliberately taking sodium tablets is where I'd pump the brakes. Please loop in your doctor or pharmacist before adding any sodium, particularly if you have blood pressure, heart, or kidney issues.

References
  1. Willocks L, Brettle R, Keen J, Valentine C, Pinching AJ. Formulations of didanosine (ddI) and salt overload. Lancet 1992;339(8786):190.
Moderate

SODIUM-CONTAINING DRUGS

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Why this applies to Didanosine

Didanosine falls under SODIUM-CONTAINING DRUGS — the group Sodium interacts with.

Concomitant use of sodium-containing drugs with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia and long-term sodium-related complications.
The Chronic Disease Risk Reduction (CDRR) intake level of 2.3 grams of sodium daily indicates the intake at which it is believed that chronic disease risk increases for the apparently healthy population. Some medications contain high quantities of sodium. When used in conjunction with sodium supplements or high-sodium diets, the CDRR may be exceeded. Additionally, concomitant use may increase the risk for hypernatremia; this risk is highest in the elderly and people with other risk factors for electrolyte disturbances.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the deal with this one: the buffered forms of didanosine contain a good amount of sodium, which is added to protect the drug from stomach acid. By itself that's usually fine, but if you stack extra sodium on top of it (sodium supplements or a very salty diet), all that sodium adds up. The concern isn't about how well your HIV medicine works. It's that your total daily sodium could climb higher than is healthy.

Over time, too much sodium can nudge up blood pressure and add fluid, which matters more if you're older or have heart or kidney issues. This is a theoretical, pharmacology-based caution, not a documented disaster, so don't panic. Just don't deliberately add sodium without checking with your pharmacist or doctor first.

References
  1. Stallings VA, Harrison M, Oria M; Committee to Review the Dietary Reference Intakes for Sodium and Potassium, Food and Nutrition Board, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine. Washington (DC): National Acad

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Sodium Also Interacts With Other Medications

Sodium has 204 moderate known drug interactions in our database — the Didanosine one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Sodium

Covers the 2,830 medications we’ve checked against Sodium. Pick one to open its full report.

From our Q&A

Questions About Sodium or Didanosine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Sodium or Didanosine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Didanosine

This page covers Sodium only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Didanosine page lists 20 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).

By severity: 1 major · 10 moderate · 9 minor.

From our pharmacist’s overview on the Didanosine page

“Almost everything on this page threatens didanosine (Videx) the same way, by keeping the drug from being absorbed. For an HIV medicine that is not a small problem, because a weaker dose lets the virus rebound and can breed resistance, so treat these pairings with real care.”

Reviewed by 2 · Jul 18, 2026

Open the Didanosine interaction page

One more smart check

Taking Sodium as Part of a Dietary Supplement Product? Check It for Interactions

We hold 26,145 real supplement products containing Sodium, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Sodium. Your product may carry other ingredients that interact with Didanosine too, on top of Sodium — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Sodium and Didanosine Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Sodium
Top 10

#6 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Didanosine
Top half

#1,386 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Sodium

What is Sodium?

  • Replacing fluids and electrolytes
  • Preventing dehydration during exercise or illness
  • Treating low blood sodium (under medical care)
  • Seasoning and food preservation
  • Antacid (as sodium bicarbonate)

Sodium is an essential mineral and electrolyte your body needs to balance fluids, support nerves, and help muscles work. Most people in modern diets get more than enough—often too much—from food, so supplements are rarely needed except for specific medical reasons like dehydration or low blood sodium. Talk to your doctor or pharmacist before deliberately adding sodium, especially if you have high blood pressure, heart, or kidney problems.

Read the full Sodium monograph & all interactions
Medication

About Didanosine

What Is Didanosine Used For?

Brand names: Videx, Videx EC

  • Didanosine is used along with other medications to treat human immunodeficiency virus (HIV) infection. Didanosine is in a class of medications called nucleoside reverse transcriptase inhibitors (NRTIs). It works by decreasing the amount of HIV in the blood. Although didanosine does not cure HIV, it may decrease your chance of developing acquired immunodeficiency syndrome (AIDS) and HIV-related illnesses such as serious infections or cancer. Taking these medications along with practicing safer sex and making other lifestyle changes may decrease the risk of transmitting (spreading) the HIV virus to other people.

See full Didanosine drug information
Keep checking

Other Drugs & Sodium

Browse every other medication we’ve checked against Sodium — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
204Moderate
0Minor
2,625No known interaction
Moderate

204 interactions

Showing 60 of 204 moderate interactions — see all 204 on the Sodium page.

No interaction 2,625 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Sodium and Didanosine Together: Common Questions

Can you take Sodium with Didanosine?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 2 interactions listed for Sodium and Didanosine?
Didanosine belongs to more than one drug category, and Sodium interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Sodium and Didanosine interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.