Anarchy Covalex Strawberry Lemonade Ingredients & Drug Interactions
by VPX
What is this page for?
First and foremost: checking Anarchy Covalex Strawberry Lemonade against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Anarchy Covalex Strawberry Lemonade is a dietary supplement by VPX with 3 active ingredients. Its ingredients are commonly taken for replacing fluids and electrolytes, preventing dehydration during exercise or illness, treating low blood sodium (under medical care).Based on those ingredients, 205 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Sodium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Anarchy Covalex Strawberry Lemonade by VPX
Ask about any prescription or over-the-counter medication and we check it for interactions with Anarchy Covalex Strawberry Lemonade by VPX — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Anarchy Covalex Strawberry Lemonade by VPX
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This powder has 2 active ingredients: sodium and a proprietary blend. Sodium is an essential mineral that plays a key role in nerve and muscle function, but it's the amount that matters—dietary amounts are fine, but supplements add up fast.
The proprietary blend's contents aren't specified here, so we can't tell you what else is in the mix.
Does it work?
Strong evidence
Sodium is likely effective for cystic fibrosis and possibly effective for amphotericin B nephrotoxicity (kidney damage from that antifungal drug). The evidence for bipolar disorder and congestive heart failure isn't established in the data we hold.
How safe is it?
Well-documented data
Sodium is well tolerated when you stay around the daily recommended limit of 2.3 grams. Too much, though, is linked to high blood pressure, heart strain, and kidney problems.
Population research also ties high sodium intake to a higher risk of stomach cancer. While low sodium can increase bone-loss risk, the answer isn't to load up on supplements—talk with your pharmacist or doctor about what's right for you.
Meds to double-check
Moderate interaction found
Before taking this, double-check with your pharmacist if you take blood pressure drugs, lithium, corticosteroids, didanosine, sodium phosphate bowel-prep products, tolvaptan, or any other sodium-containing medications. All carry Moderate interaction risk with added sodium.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
This product is sodium, so it's only for people with a medical reason to take it (like cystic fibrosis) and under medical supervision. If you take blood pressure drugs, lithium, corticosteroids, or any sodium-containing medication, check with your pharmacist first.
Normal dietary sodium is fine; supplementing without guidance is a different story.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 25, 2011.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Anarchy Covalex Strawberry Lemonade, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Anarchy Covalex Strawberry Lemonade by VPX, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 15 {Calories} | -- |
| Total Carbohydrates | 1 g | -- |
| Protein | 3 g | 6% |
| Sodium | 20 mg | 1% |
| Proprietary Blend | 4383 mg | -- |
Other ingredients: Malic Acid, Natural and Artificial flavors, Sucralean brand Sucralose, Citric Acid Anhydrous, potassium citrate monohydrate, Sodium Chloride, calcium silicate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
FDA Statement of Identity
DIETARY SUPPLEMENT
Suggested/Recommended/Usage/Directions
RECOMMENDED USE: Do not use Anarchy with REDLINE, Meltdown or any other products and/or beverages that contain caffeine or other forms of stimulants. Mix One (1) level scoop of Anarchy with 6 to 8 ounces of water or your favorite non-caffeinated beverage. Unlike other supplements in this category, Anarchy is very powerful and requires only one (1) scoop. Always consume at least ½ ounce of water for every pound of body weight. Example: 160 pound person would drink 80 ounces of water per day.
Precautions
KEEP OUT OF REACH OF CHILDREN.
Do not use this product if you are pregnant or nursing or have any medical condition.
WARNING: NOT FOR USE BY INDIVIDUALS UNDER THE AGE OF 18 YEARS. DO NOT USE IF PREGNANT OR NURSING.
Allergen Warning: Manufactured in a facility that processes milk, egg, soy, wheat, and shellfish.
Consult a physician or licensed qualified health care professional before using this product if you have, or have a family history of, heart disease, thyroid disease, diabetes, high blood pressure, depression or other psychiatric condition, glaucoma, difficulty in urinating, prostate enlargement, or seizure disorder, or if you are using a monoamine oxidase inhibitor (MAOI) or any other dietary supplement, prescription drug, or over-the-counter drug containing ephedrine, pseudoephedrine, or phenylpropanolamine (ingredients found in certain allergy, asthma, cough or cold, and weight control products).
Discontinue use and call a physician or licensed qualified health care professional immediately if you experience rapid heartbeat, dizziness, severe headache, shortness of breath, or other similar symptoms.
Do not exceed recommended serving. Exceeding recommended serving may cause adverse health effects.
Do not use for weight reduction.
Do not use this product if you are more than 15 pounds overweight.
Individuals who are sensitive to the effects of caffeine or have a medical condition should consult a licensed health care professional before consuming this product.
Not recommended for use by children under 18 years of age.
The consumer assumes total liability if this product is used in a manner inconsistent with label guidelines.
This product is intended for use by healthy individuals only.
Warning statement: Too much caffeine may cause nervousness, irritability, sleeplessness, and, occasionally, rapid heartbeat.
FDA Disclaimer Statement
*These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Storage
PROTECT FROM HEAT, LIGHT AND MOISTURE. DO NOT PURCHASE IF SAFETY SEAL IS BROKEN OR MISSING. STORE AT 15-25°C (59-77°F)
Formula
One serving of Anarchy provides 195 mg of caffeine which is less than two cups of coffee.
General Statements
©2010 VITAL PHARMACEUTICALS, INC.
35 ULTRA POTENT SCOOPS
ALL RIGHTS RESERVED.
Anarchy Science: “Without rules and scientific boundaries and limitations – Anarchy is the rule of controlled chaos!" J. Owoc, June, 2010.
BEST BY DATE ON SIDE
Natural & Artificial Flavors
NEW PRE-WORKOUT MATRIX!
Not a Significant Source of Vitamin A, Vitamin C, calcium and iron.
PATENT PENDING COVALENT BONDED CREATINE GLUTAMINE PEPTIDE!
STRAWBERRY LEMONADE
General
V001
Brand IP Statement(s)
Physiological Function: Rapid ATP Resynthesis, CNS Stimulator, Increases Whole Body Creatine Retention & Intramuscular Carnosine, pH Stabilizer/Fatigue Inhibitor, Nutrient Dense Blood-Engorging Muscle Matrix, Explosive Power & Intense Energy! Myogenic Regulatory Factor (MRF) Igniter!* Anarchy is currently the only product in the world to contain VPX's Covalex(TM) Patent Pending Covalently Bonded Creatine Glutamine Peptide!
Words of Wisdom & Caution: Anarchy induces extreme mental acuity & intense energy required for explosive workouts in the gym and on the field. Anarchy is designed to ignite Myogenic Regulatory Factors (MRF’s) and positively influence increases in these muscle gene proteins for proliferation of new muscle cells. Increases in MRF's up to 515% is proven by a study conducted at Baylor University on VPX's NO-Shtogun.* This same University Proven Science has been used to develop the (cutting-edge) Anarchy formula. Anarchy is intended for advanced athletes who seek to increase and/or break personal or competitive performance goals. Anarchy is currently the only product in the world to contain VPX's Covalex(TM)-Patent Pending Covalently Bonded Creatine Glutamine Peptide. Utilize Anarchy with caution. While similar products may require 3 to 5 scoops, it is forbidden to use more than one scoop of Anarchy due to its extreme potency.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Anarchy Covalex Strawberry Lemonade by VPX label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Anarchy Covalex Strawberry Lemonade by VPX
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size5.88 Gram(s) Dosage formPowder Servings per container35 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Protein
Sodium
Interacts with205 drugs
Sodium is an essential mineral and electrolyte your body needs to balance fluids, support nerves, and help muscles work. Most people in modern diets g...
Sodium monograph & interactionsProprietary Blend
Other (inactive) ingredients: Malic Acid, Natural and Artificial flavors, Sucralean brand Sucralose, Citric Acid Anhydrous, Potassium citrate monohydrate, Sodium Chloride, Calcium silicate. These complete the product’s ingredient list but are not active constituents.
Anarchy Covalex Strawberry Lemonade by VPX Drug Interactions
HelloPharmacist Interaction Report
Anarchy Covalex by VPX contains sodium, which interacts with multiple medication types.
The most serious concern is with blood pressure drugs (antihypertensives)—high sodium intake can reduce how well they work and may require you to take more medication to control your blood pressure.
Read the full breakdown — every affected drug type, severity by severity
Sodium also has Moderate interactions with corticosteroids (which cause your body to hold onto sodium, raising the risk of high blood sodium levels), lithium (where changes in sodium intake can shift lithium levels and cause toxicity), didanosine, sodium phosphate products, tolvaptan, and other sodium-containing medications. Each of these carries a risk of high blood sodium or reduced drug effect.
The product also contains a proprietary blend; we hold no interaction data for that ingredient, so we cannot check it. Altogether, these interactions span 203 individual medications.
Use the medication checker below to look up your exact drugs before you start this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Anarchy Covalex Strawberry Lemonade?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Anarchy Covalex Strawberry Lemonade interact with 205 drugs. Click any drug to see the details.
1 of the 3 ingredients in Anarchy Covalex Strawberry Lemonade interact with drugs. Each result below shows which ingredient is responsible. Sodium
AcebutololRhotral, Sectral
How Acebutolol interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Acebutolol interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Acetazolamide interactionAliskirenTekturna
How Aliskiren interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Aliskiren interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Amiloride, Hydrochlorothiazide interactionAmlodipineNorliqva
How Amlodipine interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Ammonium Chloride interactionAprocitentanTryvio
How Aprocitentan interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Aprocitentan interactionAtenololAtenix, Tenormin
How Atenolol interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Atenolol interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Atenolol, Chlorthalidone interactionAzelastine Hydrochloride, Fluticasone PropionateDymista
How Azelastine Hydrochloride, Fluticasone Propionate interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium + Azelastine Hydrochloride, Fluticasone Propionate interactionAzilsartanEdarbi
How Azilsartan interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Azilsartan, Chlorthalidone interactionBeclometasone DipropionateBecotide
How Beclometasone Dipropionate interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium + Beclometasone Dipropionate interactionBeclomethasoneBeclovent, Vanceril
How Beclomethasone interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium + Beclomethasone interactionBeclomethasone DipropionateQNASL, Qvar
How Beclomethasone Dipropionate interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium + Beclomethasone Dipropionate interactionBenazeprilLotensin
How Benazepril interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Benazepril interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Benazepril, Hydrochlorothiazide interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Bendroflumethiazide, Nadolol interactionBendroflumethiazide, Rauwolfia SerpentinaRauzide
How Bendroflumethiazide, Rauwolfia Serpentina interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Bendroflumethiazide, Rauwolfia Serpentina interactionBenzthiazideExna
How Benzthiazide interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Benzthiazide interactionBetamethasoneCelestone, Diprolene AF, Diprosone
How Betamethasone interacts with Anarchy Covalex Strawberry Lemonade — through 1 ingredient. Tap an ingredient for the detail:
SodiumCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium + Betamethasone interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Anarchy Covalex Strawberry Lemonade with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Sodium
Antihypertensive Drugs
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
High intake of dietary sodium can increase systolic and diastolic blood pressure. Also, high intake of sodium may necessitate increased use of antihypertensive medications to achieve blood pressure control in some patients, such as those with chronic kidney disease.
Corticosteroids
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Mineralocorticoids and some glucocorticoids (corticosteroids) cause sodium retention. This effect is dose-related and depends on mineralocorticoid potency. It is most common with hydrocortisone, cortisone, and fludrocortisone, followed by prednisone and prednisolone.
Didanosine (Videx)
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.
Lithium
Altering dietary intake of sodium might alter the levels and clinical effects of lithium.
High sodium intake can reduce plasma concentrations of lithium by increasing lithium excretion. Reducing sodium intake can significantly increase plasma concentrations of lithium and cause lithium toxicity in patients being treated with lithium carbonate. Stabilizing sodium intake is shown to reduce the percentage of patients with lithium level fluctuations above 0.8 mEq/L. Patients taking lithium should avoid significant alterations in their dietary intake of sodium.
Sodium Phosphates
Theoretically, concomitant use of sodium phosphate with sodium supplements might increase the risk of hypernatremia.
Use of high doses (> 45 mL in 24 hours) of sodium phosphate, such as those used for bowel cleansing before surgery, can lead to serious electrolyte disturbances, including hypernatremia. The risk of hypernatremia is highest in the elderly and people with other risk factors for electrolyte disturbances.
Sodium-Containing Drugs
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.
Tolvaptan (Samsca)
Theoretically, concomitant use of tolvaptan with sodium might increase the risk of hypernatremia.
Tolvaptan is a vasopressin receptor 2 antagonist that is used to increase sodium levels in patients with hyponatremia. Patients taking tolvaptan should use caution with the use of sodium salts such as sodium chloride.
Brand information
Manufacturer and brand details for Anarchy Covalex Strawberry Lemonade, from the product label.
Anarchy Covalex Strawberry Lemonade by VPX: Common Questions
Does Anarchy Covalex Strawberry Lemonade by VPX interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is this safe during pregnancy or breastfeeding?
What's a proprietary blend, and why can't you check it?
Can I take this with my blood pressure medication?
Why is this a powder and not a food?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Anarchy Covalex Strawberry Lemonade is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Anarchy Covalex Strawberry Lemonade’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Anarchy Covalex Strawberry Lemonade's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 38 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Sodium 38 references
- Garabedian-Ruffalo SM, Ruffalo RL. Drug and nutrient interactions. Am Fam Physician 1986;33:165-74.
- Food and Drug Administration Science Background: Safety of Sodium Phosphates Oral Solution. September 17, 2001. Available at: http://www.fda.gov/cder/drug/safety/sodiumphospate.htm
- Coton T, Mallaret C, Coilliot C, Carre D, Guisset M. Severe acute ulcerated gastritis induced by salt. Presse Med 2009;38(3):499-500. PubMed
- Frings-Meuthen P, Buehlmeier J, Baecker N, et al. High sodium chloride intake exacerbates immobilization-induced bone resorption and protein losses. J Appl Physiol 2011;111(2):537-542. PubMed
- Frings-Meuthen P, Baecker N, Heer M. Low-grade metabolic acidosis may be the cause of sodium chloride-induced exaggerated bone resorption. J Bone Miner Res 2008;23(4):517-524. PubMed
- Alam S, Johnson AG. A meta-analysis of randomised controlled trials (RCT) among healthy normotensive and essential hypertensive elderly patients to determine the effect of high salt (NaCl) diet of blood pressure. J Hum Hypertens 1999;13(6):367-74.
- Boudville N, Ward S, Benaroia M, House AA. Increased sodium intake correlates with greater use of antihypertensive agents by subjects with chronic kidney disease. Am J Hypertens 2005;18(10):1300-5. PubMed
- Bennett WM. Drug interactions and consequences of sodium restriction. Am J Clin Nutr 1997;65(2 Suppl):678S-681S. PubMed
- Okusa MD, Crystal LJ. Clinical manifestations and management of acute lithium intoxication. Am J Med 1994;97(4):383-9. PubMed
- Food and Nutrition Board, Institute of Medicine. Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. Washington, DC: National Academy Press, 2005. Available at: http://www.nap.edu/openbook.php?record_id=10925. DOI
- D'Elia L, Rossi G, Ippolito R, Cappuccio FP, Strazzullo P. Habitual salt intake and risk of gastric cancer: a meta-analysis of prospective studies. Clin Nutr 2012;31(4):489-98. PubMed
- Goldsmith SR. Hyponatremia in heart failure: time for a trial. J Card Fail 2013;19(6):398-400. PubMed
- Willocks L, Brettle R, Keen J, Valentine C, Pinching AJ. Formulations of didanosine (ddI) and salt overload. Lancet 1992;339(8786):190.
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