Are intravenous (IV) hydration drinks beneficial or harmful?

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Last updated: April 17, 2025View editorial policy

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From the Guidelines

Liquid IV drinks are generally not necessary for most healthy individuals, but can be beneficial in specific situations like treating dehydration from diarrhea, vomiting, or excessive sweating, as they provide essential electrolytes for rapid rehydration 1. When considering the use of Liquid IV drinks, it's essential to weigh their benefits against their drawbacks, including high sugar content and artificial ingredients. For individuals who require rapid rehydration, Liquid IV drinks can be a convenient option, but it's crucial to follow package directions and be mindful of the added sugar in your daily intake. In cases of severe dehydration, shock, or altered mental status, isotonic intravenous fluids such as lactated Ringer’s and normal saline solution should be administered as the first line of treatment, rather than Liquid IV drinks 1. The American Academy of Pediatrics and the World Health Organization recommend oral rehydration solutions (ORS) as the primary treatment for mild to moderate dehydration in children and adults, which can be a more effective and cost-efficient alternative to Liquid IV drinks 1. For routine hydration, plain water remains the healthiest and most cost-effective option, and individuals should prioritize a balanced diet and regular water intake to stay adequately hydrated. In specific situations where Liquid IV drinks are necessary, it's essential to choose a product with minimal added sugar and artificial ingredients, and to follow the recommended dosage to avoid excessive sugar intake. Ultimately, the decision to use Liquid IV drinks should be made on a case-by-case basis, taking into account the individual's specific health needs and circumstances, and under the guidance of a healthcare provider when possible 1.

From the Research

Liquid IV Drinks: Good or Bad

  • The provided studies do not directly address the topic of liquid IV drinks, but rather focus on oral rehydration solutions (ORS) and their use in treating dehydration and diarrheal illnesses 2, 3, 4, 5, 6.
  • According to the studies, ORS are effective in preventing and treating dehydration, and are recommended for use in patients with diarrheal illnesses, as well as for athletes and individuals engaging in vigorous exercise 2, 3, 4, 5, 6.
  • The studies suggest that ORS should contain specific amounts of sodium and carbohydrates to be effective, and that excessive consumption of sodium-free fluids should be avoided to prevent exercise-induced hyponatremia 2.
  • While the studies do not specifically address liquid IV drinks, they do provide guidance on the importance of proper hydration and electrolyte balance, which may be relevant to the use of liquid IV drinks 2, 3, 4, 5, 6.
  • It is worth noting that the studies emphasize the importance of using ORS that are similar to the World Health Organization's reduced osmolarity ORS, and that other liquids, such as sport drinks and juice, are not recommended for patients with severe dehydration 2, 3, 4, 5, 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Oral rehydration therapy.

Pediatric clinics of North America, 1990

Research

Oral rehydration solutions in non-cholera diarrhea: a review.

The American journal of gastroenterology, 2009

Research

The use of oral rehydration solutions in children and adults.

Current gastroenterology reports, 2004

Research

Principles and Practice of Oral Rehydration.

Current gastroenterology reports, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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