Duopharma Uphalyte Oral Rehydration Salts – Orange Flavour

Duopharma Uphalyte Oral Rehydration Salts – Orange Flavour is an oral rehydration salts (ORS) powder supplied in single-dose sachets and made by Duopharma. Each sachet contains sodium chloride 525 mg, sodium bicarbonate 425 mg, potassium chloride 375 mg and glucose anhydrous 6.25 g, and the powder carries an orange flavour. It is a powder that is mixed with drinking water before it is taken and is not a ready-to-drink product.

This is an OTC (Over-the-Counter) product that can be bought from pharmacies and online pharmacies in Malaysia without needing a doctor’s prescription. The formula listed on the pack and by several Malaysian pharmacy retailers lists sodium bicarbonate, which is worth checking if you are comparing it with other ORS brands, because some other brands in the Malaysian market list trisodium citrate in its place. Always rely on the ingredient list printed on the sachet and pack insert in your hand.

Uphalyte Orange Flavour is sold by sachet counts that vary from retailer to retailer, from single sachets up to boxes of 50 sachets, so please check the pack-size option you select on the DoctorOnCall product page. The exact sachet weight is quoted slightly differently between retailers, so the printed pack label is the final reference. Because the sachets are mixed with water and consumed as a drink, it is important to measure the water volume stated on the pack and not to improvise with more or less water.

• Wash your hands and use a clean glass or container. Empty the entire contents of one sachet of Uphalyte Oral Rehydration Salts into it.
• Add 250 mL of boiled, cooled drinking water to the contents of one sachet. Measure the water carefully, as using less water makes the solution too concentrated and using more makes it too dilute.
• Stir or shake well for 2 to 3 minutes until the powder is completely dissolved.
• Take the amount and frequency stated on the pack insert, or as directed by your doctor or pharmacist, since the quantity differs by age. Sip it steadily rather than drinking it all at once.
• Do not add sugar, salt, milk, fruit juice or any other powder or drink to the solution.
• Prepare each serving fresh, and discard any unused prepared solution within the time period stated on the pack insert.

The reconstitution instruction verified from Malaysian retailer listings is one sachet dissolved in 250 mL of boiled, cooled water. The amount to be taken per serving, how often, and for how long depend on age, body weight and the situation, and these were not consistently available from verified sources for this specific product, so please follow the dosing table on the printed pack insert or the advice of your doctor or pharmacist rather than guessing a quantity. Do not take more than the stated amount, and do not give it to infants or young children without first speaking to a doctor or pharmacist. If you miss a serving there is no need to double up; simply continue with the next scheduled serving. Stop and seek medical advice if symptoms persist, worsen, or if you are unable to keep fluids down.

Use the unopened sachets before the expiry date printed on the sachet and outer pack. Always check this date, along with the batch number, before preparing a serving, and do not use sachets that are past their expiry date or that have a torn or damaged seal. Once the powder has been mixed with water, treat it as a freshly prepared drink and discard any unused portion within the time stated on the pack insert.

Store the unopened sachets in a cool, dry place away from direct sunlight and moisture, as directed on the pack, and keep them out of the reach and sight of young children. Keep sachets in their outer box until they are needed so that the foil is not damaged or exposed to humidity. Do not use any sachet that is torn, swollen, or that contains powder that has become hard, lumpy or discoloured.

• Common: Nausea or vomiting, particularly if the solution is drunk too quickly. Taking small, steady sips may reduce this.
• Common: A salty taste, bloating, or mild stomach discomfort after drinking the solution.
• Serious: Signs that too much salt has been taken, such as extreme thirst, unusual drowsiness, confusion, muscle twitching or swelling of the hands, feet or face, which can happen if the powder is mixed with too little water or too much is taken. Stop the product and seek medical attention.
• Serious: An allergic reaction such as rash, itching, swelling of the face or throat, or difficulty breathing, which requires emergency medical care.
• Serious: Vomiting that is persistent so that fluids cannot be kept down, which needs prompt review by a doctor.

• Do not use if you are allergic to any of the ingredients, including the flavouring.
• Do not use in people with a blocked, perforated or paralysed bowel (intestinal obstruction, perforation or ileus).
• Do not use in people who are unable to pass urine, or who have severe kidney failure, unless a doctor has specifically advised it.
• Do not use in people with ongoing, uncontrolled vomiting who cannot keep fluids down without seeing a doctor first.
• Do not use in people with known problems absorbing glucose, unless advised by a doctor.

• No specific drug interaction table was available from verified sources for this product, so please tell your pharmacist about all the medicines you take before using it.
• Use with caution if you take potassium supplements, potassium-sparing diuretics, or medicines for blood pressure or heart conditions, because the sachet contains potassium chloride and sodium and a pharmacist should check suitability.
• Do not mix the powder with milk, fruit juice, soft drinks or other beverages, as this changes the balance of the solution; mix it with plain boiled, cooled water only.
• Do not add extra sugar or salt to the prepared solution.

• Always use exactly 250 mL of boiled, cooled water per sachet, and measure it rather than estimating.
• Take small, regular sips instead of gulping, especially for people who feel nauseous.
• Prepare a fresh serving each time and discard leftover prepared solution within the time stated on the pack insert.
• Keep a few sachets at home in their original box, and check the expiry date from time to time.
• Wash your hands and use a clean container to mix the solution, particularly when preparing it for a child or an older person.
• This product contains glucose and sodium, so people with diabetes, high blood pressure, kidney or heart conditions should check with a pharmacist first.

Precautions: Each sachet contains glucose, sodium and potassium, so please speak to a pharmacist or doctor before use if you have diabetes, high blood pressure, heart disease or kidney disease, or if you are on a low-sodium or potassium-restricted diet. Infants, young children, older adults, and pregnant or breastfeeding women should seek professional advice on suitable quantities before use. Mix the powder only with the volume of water stated on the pack and do not add sugar, salt or other ingredients.

When to See a Doctor or Pharmacist: Seek medical advice promptly if the person is an infant or young child, if there is blood in the stool, a high fever, severe abdominal pain, or persistent vomiting, or if signs of significant dehydration appear, such as a very dry mouth, sunken eyes, passing very little or no urine, dizziness, unusual drowsiness or confusion. Also seek advice if symptoms do not improve or if they worsen. Get emergency care immediately for any sign of a severe allergic reaction.