Vital Salts Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Vital Salts 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
Vital Salts is a dietary supplement by Return Healthy 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, 220 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Sodium, Potassium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Vital Salts by Return Healthy
Ask about any prescription or over-the-counter medication and we check it for interactions with Vital Salts by Return Healthy — 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 Vital Salts by Return Healthy
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
Vital Salts contains 5 ingredients: sodium, potassium, sodium chloride, sodium bicarbonate, and potassium citrate, plus potassium bicarbonate—all mineral salts meant to support electrolyte balance. Sodium and potassium are both essential minerals that help regulate fluid balance, nerve signals, and muscle function.
The product includes three inactive ingredients—cellulose, magnesium stearate, and silica—which are standard binders and flow agents in capsules.
Does it work?
Not established
The evidence in our data is mixed. Sodium chloride and sodium bicarbonate are both likely effective for cystic fibrosis and possibly effective for preventing kidney damage from amphotericin B (an antifungal medication).
However, we hold insufficient evidence to rate either ingredient for bipolar disorder or congestive heart failure. Potassium citrate and potassium bicarbonate have no effectiveness ratings in our data.
How safe is it?
Well-documented data
Sodium is generally well tolerated when intake stays at or below the Chronic Disease Risk Reduction level of 2.3 grams daily, but higher amounts are linked to worsened heart disease, high blood pressure, and kidney problems. High sodium intake is also associated with increased gastric cancer risk in population studies.
Potassium is generally well tolerated orally, though common side effects include abdominal pain, belching, diarrhea, flatulence, nausea, and vomiting; rare serious effects are abnormal heart rhythms and very low blood pressure. The safety data cautions that sodium supplements are not recommended without medical advice, especially for those with heart or kidney concerns, and that potassium supplements can cause dangerous blood levels in people with kidney disease.
Meds to double-check
Moderate interaction found
Before taking Vital Salts, check with your pharmacist if you take blood pressure medications (antihypertensives), potassium-sparing diuretics (water pills that keep potassium), ACE inhibitors or angiotensin receptor blockers (blood pressure drugs), corticosteroids (steroids), lithium (mood stabilizer), didanosine (HIV medication), sodium phosphate laxatives, tolvaptan (water-balance medication), or any sodium-containing drug. All carry Moderate-severity risks.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
This product is a mineral supplement meant to address electrolyte imbalance, but it's not something to start on your own if you take blood pressure medications, mood stabilizers, HIV drugs, or water pills. If you have heart disease, high blood pressure, or kidney disease, talk to your pharmacist or doctor before using it.
Check your exact medications with our tool below.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Sep 25, 2024.
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 Vital Salts, straight from the product label.
| Brand | Return Healthy |
|---|---|
| Barcode (UPC) | 019962468407 |
| Net contents | 120 Vegetarian Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Sep 25, 2024 |
| DSLD ID | 313322 |
| Product type | Mineral |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free |
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 Vital Salts by Return Healthy, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Sodium | 500 mg | 20% |
| Potassium | 99 mg | 3% |
| Sodium Chloride | 400 mg | -- |
| Sodium Bicarbonate | 100 mg | -- |
| Potassium Citrate | 75 mg | -- |
| Potassium Bicarbonate | 25 mg | -- |
| Chloride | 600 mg | 17% |
Other ingredients: Cellulose, Magnesium Stearate, Silica
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.
Suggested/Recommended/Usage/Directions
Directions: Take one to two (1-2) capsules with water, three to four (3-4) times a day, for up to ten (10) capsules daily, or as directed by your health care practitioner.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to treat, diagnose, cure or prevent any disease.
Precautions
Caution: Individuals who are pregnant or lactating should consult with their health care practitioner before using this product.
Do not use if security seal is broken or missing.
Keep out of reach of children.
Storage
Store in a cool dry place away from direct light.
General Statements
Empowered wellness
For more information, visit ReturnHealthy.com
Formulation
Electrolyte balance, energy & endurance, helps with mild to moderate muscle crampings
This product contains no hidden excipients, binders, fillers, artificial colors, fragrance, wheat, gluten, dairy, corn, fish, egg, shellfish, animal derivatives, tree nuts or peanuts.
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Vital Salts by Return Healthy 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 Vital Salts by Return Healthy
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Vegetarian Capsule(s) Dosage formCapsule Servings per container60 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.
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 & interactionsPotassium
Interacts with62 drugs
Potassium is an essential mineral your body needs for nerve signals, muscle function, and a steady heartbeat, and most people get enough from a balanc...
Potassium monograph & interactionsChloride
Other (inactive) ingredients: Cellulose, Magnesium Stearate, Silica. These complete the product’s ingredient list but are not active constituents.
Vital Salts by Return Healthy Drug Interactions
HelloPharmacist Interaction Report
Vital Salts by Return Healthy contains sodium and potassium compounds that interact with a number of medications.
The most serious concerns center on sodium's effect on blood pressure control: high sodium intake can reduce the effectiveness of blood pressure medications (antihypertensives) by raising systolic and diastolic pressure, which may require dose adjustments to maintain control.
Read the full breakdown — every affected drug type, severity by severity
Sodium in this product also interacts with corticosteroids (steroids used for inflammation and immune conditions), lithium (a mood stabilizer for bipolar disorder), didanosine (an HIV medication), sodium phosphate laxatives, tolvaptan (a water-balance medication), and other sodium-containing drugs—all at Moderate severity. With corticosteroids, the risk is dangerously high sodium levels (hypernatremia); with lithium, changes in sodium intake can shift lithium levels and cause toxicity; with didanosine and sodium phosphates, the concern is again high sodium levels; and with tolvaptan, sodium supplements can work against what the drug is trying to do.
Potassium in this product poses Moderate-severity risks with potassium-sparing diuretics (water pills that preserve potassium), ACE inhibitors (a common blood pressure drug class), and angiotensin receptor blockers (another blood pressure class)—all three can cause dangerously high potassium levels (hyperkalemia) when combined with potassium supplements.
We could not check chloride. Altogether, these interactions span 218 individual medications.
Use the medication checker on this page to verify your exact prescriptions before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Vital Salts?
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 Vital Salts interact with 220 drugs. Click any drug to see the details.
2 of the 3 ingredients in Vital Salts interact with drugs. Each result below shows which ingredient is responsible. Sodium Potassium
BetamethasoneCelestone, Diprolene AF, Diprosone
How Betamethasone interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium Bicarbonate + Betamethasone interactionBetamethasone DipropionateSernivo
How Betamethasone Dipropionate interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium Bicarbonate + Betamethasone Dipropionate interactionBetamethasone Dipropionate, CalcipotrieneEnstilar, Wynzora
How Betamethasone Dipropionate, Calcipotriene interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium Bicarbonate + Betamethasone Dipropionate, Calcipotriene interactionBetamethasone ValerateLuxiq
How Betamethasone Valerate interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium Bicarbonate + Betamethasone Valerate interactionBetaxololBetoptic, Kerlone
How Betaxolol interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Betaxolol interactionBisoprololZebeta
How Bisoprolol interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Bisoprolol interactionBisoprolol, HydrochlorothiazideZiac
How Bisoprolol, Hydrochlorothiazide interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Bisoprolol, Hydrochlorothiazide interactionBosentanTracleer
How Bosentan interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Bosentan interactionBudesonideEntocort EC, Eohilia, Pulmicort, Tarpeyo, Uceris
How Budesonide interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium Bicarbonate + Budesonide interactionBumetanideBurinex
How Bumetanide interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Bumetanide interactionBumetanide (iv)Bumex
How Bumetanide (iv) interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Bumetanide (iv) interactionBumetanide (oral)Bumex
How Bumetanide (oral) interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Bumetanide (oral) interactionBumetanide, PotassiumBurinex K
How Bumetanide, Potassium interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Potassium BicarbonatePotassium-sparing Diuretics Moderate
Interaction Summary
Concomitant use increases the risk of hyperkalemia.
Read the full Potassium Bicarbonate + Bumetanide, Potassium interactionCandesartan CilexetilAmias, Atacand
How Candesartan Cilexetil interacts with Vital Salts — through 2 ingredients. Tap an ingredient for the detail:
Potassium BicarbonateAngiotensin Receptor Blockers (arbs) Moderate
Interaction Summary
Using ARBs with high doses of potassium increases the risk of hyperkalemia.
Read the full Potassium Bicarbonate + Candesartan Cilexetil interactionSodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Candesartan Cilexetil interactionCandesartan Cilexetil, HydrochlorothiazideAtacand HCT
How Candesartan Cilexetil, Hydrochlorothiazide interacts with Vital Salts — through 2 ingredients. Tap an ingredient for the detail:
Potassium BicarbonateAngiotensin Receptor Blockers (arbs) Moderate
Interaction Summary
Using ARBs with high doses of potassium increases the risk of hyperkalemia.
Read the full Potassium Bicarbonate + Candesartan Cilexetil, Hydrochlorothiazide interactionSodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Candesartan Cilexetil, Hydrochlorothiazide interactionCaptoprilAcepril, Capoten
How Captopril interacts with Vital Salts — through 2 ingredients. Tap an ingredient for the detail:
Potassium BicarbonateAce Inhibitors (aceis) Moderate
Interaction Summary
Using ACEIs with high doses of potassium increases the risk of hyperkalemia.
Read the full Potassium Bicarbonate + Captopril interactionSodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Captopril interactionCaptopril, HydrochlorothiazideAcezide, Capozide
How Captopril, Hydrochlorothiazide interacts with Vital Salts — through 2 ingredients. Tap an ingredient for the detail:
Potassium BicarbonateAce Inhibitors (aceis) Moderate
Interaction Summary
Using ACEIs with high doses of potassium increases the risk of hyperkalemia.
Read the full Potassium Bicarbonate + Captopril, Hydrochlorothiazide interactionSodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Captopril, Hydrochlorothiazide interactionCarteololCartrol, Ocupress
How Carteolol interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Carteolol interactionCarvedilolCoreg, Coreg CR
How Carvedilol interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Carvedilol interactionCeliprololCelicard
How Celiprolol interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Celiprolol interactionChlorothiazideDiuril
How Chlorothiazide interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Chlorothiazide interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Chlorothiazide, Methyldopa interactionChlorothiazide, ReserpineDiupres
How Chlorothiazide, Reserpine interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Chlorothiazide, Reserpine interactionChlorthalidoneHygroton, Thalitone
How Chlorthalidone interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Chlorthalidone interactionChlorthalidone, ClonidineClorpres, Combipres
How Chlorthalidone, Clonidine interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Chlorthalidone, Clonidine interactionCilazaprilInhibace
How Cilazapril interacts with Vital Salts — through 2 ingredients. Tap an ingredient for the detail:
Potassium BicarbonateAce Inhibitors (aceis) Moderate
Interaction Summary
Using ACEIs with high doses of potassium increases the risk of hyperkalemia.
Read the full Potassium Bicarbonate + Cilazapril interactionSodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Cilazapril interactionClevidipineCleviprex
How Clevidipine interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Clevidipine interactionClobetasolClobex, Temovate
How Clobetasol interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium Bicarbonate + Clobetasol interactionClonidineCatapres
How Clonidine interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium Bicarbonate + Clonidine interactionCortisone AcetateCortisone Tablets, Cortone
How Cortisone Acetate interacts with Vital Salts — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Read the full Sodium Bicarbonate + Cortisone Acetate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Vital Salts with known interactions, here are the types of medications they 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.
Potassium
Ace Inhibitors (Aceis)
Using ACEIs with high doses of potassium increases the risk of hyperkalemia.
ACEIs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion. Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia. However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels.
Angiotensin Receptor Blockers (Arbs)
Using ARBs with high doses of potassium increases the risk of hyperkalemia.
ARBs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion. Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia. However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels.
Potassium-Sparing Diuretics
Concomitant use increases the risk of hyperkalemia.
Using potassium-sparing diuretics with potassium supplements increases the risk of hyperkalemia.
Brand information
Manufacturer and brand details for Vital Salts, from the product label.
Return Healthy
See all Return Healthy products- Name
- Return Healthy LLC
- Street Address
- 3143 S 840 E, Suite #342
- City
- St George
- State
- Utah
- ZipCode
- 84790-8547
- Phone Number
- (435) 624-1329
- Web Address
- ReturnHealthy.com
Vital Salts by Return Healthy: Common Questions
Does Vital Salts by Return Healthy interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is this safe to take during pregnancy or while breastfeeding?
What are the side effects I might experience?
Can too much sodium from this product really hurt me?
What is potassium supposed to do in the body?
Why would I need a sodium supplement if salt is already everywhere in food?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Vital Salts 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 Vital Salts’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sodium
Interacts with 205 drugsSodium 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...
Read the full Sodium monograph → Herb & supplement monographPotassium
Interacts with 62 drugsPotassium is an essential mineral your body needs for nerve signals, muscle function, and a steady heartbeat, and most people get enough from a balanced diet rich in fruits and vegetables. P...
Read the full Potassium monograph →Sources & How We Checked
Vital Salts'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 50 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
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