Controversy Surrounds ORS and Electrolyte Drinks in India

The controversy surrounding Oral Rehydration Solution (ORS) and electrolyte drinks in India has sparked significant public health discussions. Pediatrician Dr. Sivaranjini Santhosh has raised alarms about a newly rebranded electrolyte drink that closely resembles ORS, potentially confusing consumers. This article delves into the critical differences between ORS and electrolyte drinks, the health risks associated with high sugar content, and the importance of adhering to WHO guidelines for effective hydration. Kenvue, the company behind the rebranded product, defends its innovations while addressing concerns about consumer safety. Discover the implications of this debate for public health and the well-being of children.

By Narendra Chaudhary Apr 2, 2026, 10:02 IST

Understanding the ORS Debate

The Oral Rehydration Solution (ORS) is a crucial medical advancement used to combat dehydration from diarrhoea. However, a significant controversy has emerged in India regarding the branding and labeling of electrolyte drinks, igniting a public health discussion. Dr. Sivaranjini Santhosh, a pediatrician from Hyderabad, has expressed concerns about a newly rebranded electrolyte drink that closely resembles ORS products. She argues that the relaunched product, eRZL, is marketed in a way that confuses consumers due to its similar branding, including a four-letter name, font style, color scheme, and even the same fruit imagery.

Dr. Santhosh warns that this confusion could pose serious risks, particularly for children suffering from diarrhoea. She criticized the product's sugar content, questioning its scientific formulation and the necessity of altering the original formula. Furthermore, she has initiated a trademark opposition against the new brand, highlighting that the company, previously part of Johnson & Johnson, still offers a WHO-recommended ORS under its former brand name.

Dr. Santhosh has previously campaigned against beverage companies using the term ORS, as many do not comply with the WHO's recommended salt-sugar ratios, potentially leading to increased dehydration in vulnerable children. In response to her criticisms, the company has issued a legal notice demanding the removal of her posts.

Kenvue's Response

Kenvue Clarifies Its Position

Kenvue has stated that innovation drives their product development, and they have introduced new variants to cater to diverse hydration needs. They claim that eRZL has significantly reduced added sugar by 87% while enhancing electrolyte content to better serve daily hydration requirements. The company asserts that the rebranding of their legacy products was conducted with the necessary regulatory approvals from the National Food Regulator, ensuring compliance with food safety standards.

They also addressed misconceptions regarding the knowledge of chemists and retailers about the products they sell.

Importance of ORS

What is ORS and Its Significance?

ORS is a scientifically crafted mixture of glucose, sodium, and potassium aimed at quickly rehydrating the body, particularly vital for children under five, where diarrhoeal diseases are a leading cause of mortality. Experts stress that the effectiveness of ORS lies in its specific salt-sugar ratio, which facilitates fluid absorption. Any deviation from this formula can diminish its efficacy or exacerbate dehydration.

Comparing ORS and Electrolyte Drinks

ORS vs Electrolyte Drinks: Key Differences

While both ORS and electrolyte drinks serve the purpose of hydration, they differ significantly:

ORS is a medical product with a WHO-recommended formula.
It is specifically designed for treating diarrhoeal dehydration.
It maintains a precise electrolyte balance.

Conversely, electrolyte drinks are marketed as consumer beverages for daily hydration and fatigue, often containing higher sugar levels and not suitable for medical dehydration. Experts caution that using the wrong product in medical scenarios can delay appropriate treatment.

Health Risks of High Sugar Content

Health Concerns Related to Sugar Content

One major issue with electrolyte drinks is their high sugar content, which can draw water into the intestines, potentially worsening diarrhoea. Despite claims of reduced sugar, medical professionals warn that these drinks cannot replace ORS. Additionally, regular consumption of sugary beverages may lead to obesity, insulin resistance, and type 2 diabetes. There are ongoing debates about the safety of artificial sweeteners like sucralose, although regulatory bodies have deemed them safe within established limits.