Salt Tablets
Sodium tablets for long, hot endurance events. One triathlon trial found a performance benefit, others found none, and salt tablets do not prevent the hyponatremia they are often taken for.
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What the science says
- Performance benefit in a hot half-ironman Limited evidence
A randomized controlled trial in half-ironman triathletes found oral salt supplementation improved race time compared with placebo, alongside better fluid balance. It is a single trial in a long event under heat stress.
- No benefit in cooler or shorter exercise Moderate evidence
A randomised crossover trial found sodium supplementation had no effect on cycling time-trial performance in cool conditions. Sweat sodium losses over shorter sessions are easily replaced by ordinary food.
- Does not reliably prevent hyponatremia Limited evidence
A prospective observational study of weight-based sodium supplementation in ultramarathon runners found no clear protection against dysnatremia or improvement in performance. Exercise-associated hyponatremia is driven mainly by drinking too much fluid, not by too little salt.
Dosage & safety
How to take it
Interactions
With medications
- lithium
Sodium intake drives lithium clearance, so a sudden change in salt load can push lithium levels up or down. do not start regular salt tablets without telling the prescriber
- antihypertensives and diuretics
A large sodium load works against blood-pressure control and fluid management. talk to your doctor before using them
Well-established interactions only — this is not a complete list. Always tell your doctor and pharmacist what you take.
Frequently asked questions
Do salt tablets improve endurance performance?
Salt tablets have limited evidence for performance: one randomized trial in half-ironman triathletes racing in heat found improved race time versus placebo. Another trial found no effect on cycling time-trial performance in cool conditions (moderate evidence of no benefit there).
Do salt tablets prevent hyponatremia?
Salt tablets do not reliably prevent hyponatremia: an ultramarathon study of weight-based sodium supplementation found no clear protection against dysnatremia. Exercise-associated hyponatremia is driven mainly by drinking too much fluid, not by too little salt.
How many salt tablets should I take per hour?
Studies used roughly 1–2 g of sodium chloride per hour during prolonged exercise in heat, spread through the session and always taken with plenty of fluid. For sessions under about 90 minutes or in cool weather there is no established need for salt tablets.
Who should not take salt tablets?
People with hypertension, heart failure or kidney disease should not use salt tablets without medical advice, and a change in salt load can shift lithium levels. Taking salt tablets with too little fluid causes nausea and vomiting, and confusion or collapse during an event needs medical assessment, not more salt.
Scientific references
- Effects of oral salt supplementation on physical performance during a half-ironman: A randomized controlled trial
- Sodium supplementation has no effect on endurance performance during a cycling time-trial in cool conditions: a randomised cross-over trial
- Prospective Observational Study of Weight-based Assessment of Sodium Supplements on Ultramarathon Performance (WASSUP)
Related in Physical performance
- Creatine (monohydrate) Strong evidence
- Whey Protein Strong evidence
- Caffeine Strong evidence
- Beta-Alanine Moderate evidence
- BCAA (Branched-Chain Amino Acids) Limited evidence
- EAA (Essential Amino Acids) Moderate evidence