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January 28, 1983

Oral Solutions for Fluid and Electrolyte Replacement-Reply

Author Affiliations

The Upjohn Company Kalamazoo, Mich

JAMA. 1983;249(4):474. doi:10.1001/jama.1983.03330280024017

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In Reply.—  I agree with Dr Meroney that one of the most common applications for both commercial and noncommercial electrolyte formulas is in the treatment of diarrheal states. This is not an area where the important contributions by the armed forces in heat stress disorders would apply.It bears reemphasis that the recently popular, nonprescription, "ready-to-use" commercial liquid products for oral consumption are not well designed for use in gastrointestinal (GI) tract disorders. If used, it should be solely on a short-term emergency basis. Changing these compositions by adding ingredients is not recommended despite its simplicity.Dry-ingredient formulas that are administered orally after dilution were originally designed for use in GI tract disorders and have been commercially available for many years. The greatest risk associated with the use of these products (homemade formulas) is the creation of complex fluid/electrolyte disorders when the dilution and administration are done improperly, especially when