top of page
Writer's pictureDr. Gaffud

Toxicity in Pets: The Role of Activated Charcoal

Updated: Aug 17


Two dogs and a cat sitting on a chair with an activited charcoal on the side with  the words Pet Toxicity at the top

Every pet owner wants to keep their dogs safe and healthy, but sometimes, accidents happen, leading to potential toxicity.


Understanding what toxicity is and how it affects the pet is crucial. To help pet owners, this article explores:


What is Toxicity in Pets?

A sick dog lying on a bed


Toxicity in pets refers to the harmful effects that various toxic substances have on animals, particularly dogs, when ingested, inhaled, or absorbed through the skin.


Common toxins include medications like acetaminophen and ibuprofen, chocolate, marijuana, and certain household items that cause severe symptoms and health risks.


"Dogs are the most commonly poisoned species, particularly younger ones, with most cases resulting from exposure to insecticides and rodenticides," according to the 2010 study by Berny, P., Caloni, F., Croubels, S., Sachana, M., Vandenbroucke, V., Davanzo, F., & Guitart, R.

Understanding toxicity helps pet owners recognize clinical signs and seek immediate treatment from veterinary professionals to ensure a faster recovery and better pet safety.


What are the Common Causes of Toxicity in Pets?

A cat and a bottle of capsule medicines on the floor

Common causes of toxicity in pets include ingesting toxic substances such as certain medications, plants, and even human foods like chocolate, household chemicals and items,  outdoor hazards, human personal care products, pet-specific dangers, mold and mycotoxins, and heavy metals.


Some of these substances are listed below. 

  • Chocolate: Contains theobromine, which is toxic to dogs and cats.

  • Grapes and Raisins: Cause kidney failure in dogs.

  • Onions, Garlic, and Chives: Cause gastrointestinal irritation and damage red blood cells.

  • Xylitol: A sugar substitute found in sugar-free gum, candy, and baked goods,  causes a rapid release of insulin, leading to hypoglycemia in dogs.

  • Alcohol: Even small amounts is toxic, causing vomiting, diarrhea, central nervous system depression, and even death.

  • Human Medications: Over-the-counter and prescription drugs like ibuprofen, acetaminophen, antidepressants, and ADHD medications are highly toxic.

  • Veterinary Medications: Overdoses or incorrect administration of veterinary medications also lead to toxicity.

  • Cleaning Products: Bleach, ammonia, and disinfectants cause burns or poisoning if ingested or inhaled.

  • Rodenticides: These are highly toxic and cause severe bleeding, neurological damage, or death.

  • Insecticides: Insect baits, sprays, and flea and tick treatments meant for humans or the environment are toxic to pets.

  • Lilies: Highly toxic to cats, causing kidney failure.

  • Sago Palm: Ingesting any part of this plant leads to liver failure in pets.

  • Oleander, Azaleas, and Rhododendrons: These plants contain toxins that affect the heart.

  • Antifreeze (Ethylene Glycol): Even a small amount is fatal, causing kidney failure.

  • Pesticides and Fertilizers: Toxic if ingested, causing gastrointestinal distress, neurological symptoms, or even death.

  • Slug and Snail Bait: Often contains metaldehyde, which is toxic to pets.

  • Batteries: If chewed, batteries leak acid that causes burns and toxicity.

  • Essential Oils: Certain oils like tea tree, peppermint, and citrus are toxic to pets, especially cats.

  • Cosmetics and Lotions: Some ingredients in cosmetics and lotions are toxic if ingested.

  • Human Hair Dye: Cause severe allergic reactions and toxicity.

  • Flea and Tick Products: Overdosing or using the wrong product for the wrong species lead to severe reactions.

  • Pet Shampoos: Certain shampoos contain ingredients that are toxic if ingested or used improperly.

  • Spoiled Food: Moldy food contain mycotoxins, which cause severe neurological symptoms and even death.

  • Lead and Zinc: Found in paint, toys, and some dietary supplements, these cause severe health issues if ingested.


"Toxic substances in pets include pesticides, insecticides, and drugs like analgesics, anesthetics, antidepressants, and muscle relaxants," according to the 2023 study by Kang, J., Kim, A., Chae, H., Lim, H., Kim, S., Ku, B., & Lee, K.

What are the Signs of Toxicity in Pets?

A dog being clinically assessed in the veterinary clinic.

Signs of toxicity in pets vary depending on the substance involved, the amount ingested, and the pet species.


However, some common symptoms to watch out for are listed below.

  • Gastrointestinal Symptoms: Vomiting and diarrhea, often accompanied by drooling or loss of appetite.

  • Neurological Symptoms: Seizures, tremors, or uncoordinated movements (ataxia).

  • Cardiovascular Symptoms: Irregular heartbeat, fainting, or sudden collapse.

  • Respiratory Symptoms: Difficulty breathing, coughing, or rapid, shallow breaths.

  • Behavioral Changes: Lethargy, agitation, or unusual aggression or anxiety.

  • Urinary Symptoms: Increased or decreased urination, or blood in the urine.

  • Skin and Coat Symptoms: Redness, swelling, hives, or hair loss.

  • Ocular Symptoms: Red or swollen eyes, dilated pupils, or excessive tearing.

  • Excessive Salivation: Profuse drooling, often accompanied by nausea or vomiting.

  • Muscle Symptoms: Weakness, muscle tremors, or stiffness.


"Tachycardia, hypersalivation, dyspnea, and facial swelling are the most common clinical signs observed in poisoned dogs and cats," according to the 2022 study by Lorsirigool, A., Sudjaroen, Y., & Kulnides, N.

"Cannabis toxicosis in pets is often characterized by urinary incontinence, disorientation, ataxia, lethargy, hyperesthesia, and bradycardia," according to the 2021 study by Amissah, R., Vogt, N., Chen, C., Urban, K., & Khokhar, J.

Recognizing the signs of toxicity in pets is crucial for timely intervention and treatment. 


How Does Activated Charcoal Work to Treat Toxicity in Pets?

A cat sitting on a platform with its eyes closed

Activated charcoal is a highly effective treatment for pet toxicity, functioning through a process known as toxin binding, which prevents harmful substances from being absorbed through the gastrointestinal tract.


"Activated charcoal is effective in absorbing toxic substances and drugs, especially when administered immediately after intake, but can still work efficiently after 6 hours," according to the 2018 study by Alkhatib, A., & Alzaailay, K.

This medicinal grade carbon black works by adsorbing toxins, allowing them to be eliminated from the body before they cause significant harm. Veterinary professionals often recommend it as an initial acute treatment for cases of intoxication.


What is Activated Charcoal?


Activated charcoal, also known as carbon black, is a form of carbon that has been processed to create numerous tiny pores, increasing its surface area and making it highly effective in adsorbing toxins from the body.


This medicinal-grade substance is commonly used in various treatments, especially in cases of toxicity in pets, due to its ability to bind with harmful substances and prevent their absorption.


"Activated charcoal is a carbon material with unique surface and textural properties, containing more than 80% carbon and used for oral medicinal purposes like lowering cholesterol and treating poisonings," according to the 2015 study by Zaini, M., & Mohamad, N.

Activated charcoal is produced by heating carbon-rich materials to high temperatures in the presence of a gas, creating numerous pores within the carbon structure. These pores enhance its ability to adsorb toxins, making it valuable in human and veterinary medicine.


In veterinary medicine, it is favored for its swift action and broad-spectrum binding capacity against various toxic agents, making it effective for treating poisoning cases from insect bites to chemical ingestion.


How Does Activated Charcoal Bind to Toxins?


Activated charcoal binds to toxins through adsorption, preventing them from being absorbed into the body. It removes harmful substances quickly, including heavy metals, drug overdoses, pesticides, and food toxins.


"Activated charcoal has a maximal binding capacity of 0.48 mg toxin/mg charcoal and a dissociation constant of 0.078 mg charcoal/l, " according to the 1990 study by Fricke, R., & Jorge, J.

Using activated charcoal provides immediate relief for pets and improves the overall prognosis after toxin exposure, preventing systemic absorption and facilitating their elimination through the feces.


"Activated charcoal's surface area permits the binding of many drugs and toxins in the gastrointestinal lumen, reducing their systemic absorption," according to the 2016 study by Juurlink, D.

Therefore, the timely administration of activated charcoal makes all the difference in life-threatening scenarios.


What Types of Toxins Can Activated Charcoal Treat?

An activated charcoal in different forms of powder, tablet, and capsule with a glass of water

Activated charcoal is effective in treating a wide range of toxins that pets are exposed to, including ingested substances like chocolate and medications, inhaled toxins from household fumes, and even certain topical poisons.


This versatility makes it an essential substance in the emergency treatment of pet toxicity, capable of addressing various scenarios of toxin exposure.


Ingested Toxins


Ingested toxins pose a significant risk to pets, including chocolate, medications like acetaminophen and ibuprofen, and household items. Activated charcoal helps absorb toxins and prevent further complications. It's crucial to administer it promptly to minimize toxin absorption.


For chocolate ingestion, charcoal should be given within two hours for maximum effectiveness. After treatment, follow up with a vet for proper recovery and symptom management.


Inhaled Toxins


Inhaled toxins are dangerous for pets, resulting from poor air quality, household fumes, or smoke from fires. Activated charcoal helps by adsorbing toxins that have entered the gastrointestinal tract afterward, but immediate veterinary care is crucial. Symptoms include coughing, labored breathing, drooling, vomiting, and lethargy. Quick veterinary assistance is essential for the best outcome.


In emergencies, activated charcoal assists by binding to any remaining toxins, but it should never replace professional veterinary intervention.


Topical Toxins


Pets exposed to harmful substances like pesticides, chemicals, or toxic plants develop symptoms such as skin irritation, nausea, and lethargy. Activated charcoal helps absorb these toxins, but seeking veterinary care for proper treatment and monitoring is crucial. 


Does Activated Charcoal Bind to All Toxins?

A sad dog and a cat on the floor with grapes, chocolates, and caplet medicines

No, activated charcoal does not bind to all toxins. It is effective for many, but some substances are either poorly absorbed or not absorbed at all by activated charcoal.


"Activated charcoal efficiently adsorbed some drugs and poisons, but less efficiently absorbed others," according to the 1968 study by Decker, W., Combs, H., & Corby, D.

Table 1. Some of the toxins that bind and do not bind to activated charcoal.

Toxins That Bind to Activated Charcoal

Toxins That Do Not Bind to Activated Charcoal

Acetaminophen

Aspirin (Salicylates)

Pyrethrins/pyrethroids

Organophosphate

Carbamates

Barbiturates

Benzodiazepines

Theophylline

Prescription drugs

Narcotics (e.g., morphine, codeine)

Tricyclic Antidepressants

Phenobarbital

Carbamazepine

Marijuana

Anticoagulant rodenticides

Strychnine


Alcohols

Heavy Metals

Caustic alkalis 

Metaldehyde 

Mineral acids

Nitrates

Paraquat 

Hydrocarbons

Pesticides

Ethylene glycol

Xylitol

Lithium

Boric Acid

Potassium

Arsenic

Fluoride

Ammonia

Borates

Bromide

Chlorate

Cyanide

Iodide

Nitrates

Nitrites

Phosphorus

Sodium Chloride

Activated charcoal works by adsorbing toxins onto its surface, preventing their absorption in the gastrointestinal tract. However, it is less effective or ineffective against substances like alcohols, heavy metals, and corrosive agents because these substances either do not adsorb well to the charcoal or require different treatment approaches.


"Activated charcoal is ineffective or inadequately effective in cases of poisoning with acids or bases, alcohols, organic solvents, inorganic salts, or metals," according to the 2019 study by Zellner, T., Prasa, D., Färber, E., Hoffmann-Walbeck, P., Genser, D., & Eyer, F.

How is Activated Charcoal Administered to Pets?

A dog eating a substance from the owner's hands

Activated charcoal is administered to pets through various methods depending on the severity of the toxicity and the pet's condition.


"Activated charcoal can be administered as a single dose, combined with sorbitol, or as multiple doses after carprofen ingestion in dogs," according to the 2015 study by Koenigshof, A., Beal, M., Poppenga, R., & Jutkowitz, L.

Common methods of administration include direct ingestion and tube feeding for those unable to swallow, ensuring effective treatment of intoxication in dogs and other pets. Activated charcoal tablets and capsules are not widely considered effective and are not commonly employed in veterinary medicine.


"Activated charcoal suspension is more effective than tablets or capsules in decreasing paracetamol absorption, but a preservable and easily redispersible formulation is preferable for first aid," according to the 2004 study by Remmert, H., Olling, M., Slob, W., Giesen, W., Dijk, A., & Rauws, A.

Direct Ingestion


Activated charcoal works best as a slurry, typically mixed with water or canned food. Giving activated charcoal with a small amount of food makes it more appealing and easier to administer, especially for dogs.


Dosage varies by pet size, so consult a vet before administering. Administer charcoal within one to two hours of toxin exposure for best results. Monitor the pet closely and follow the vet's dosage advice.


"Activated charcoal alone is as effective as combination treatment with gastric lavage in reducing paracetamol systemic absorption, and its effectiveness decreases significantly 2 hours after ingestion," according to the 2002 study by Christophersen, A., Levin, D., Hoegberg, L., Angelo, H., & Kampmann, J.

Tube Feeding


Tube feeding is necessary for pets unable to ingest activated charcoal orally due to severe symptoms or decreased consciousness. This method ensures the correct dosage is delivered directly to the stomach, maximizing the treatment's efficacy in binding toxins. It is critical for pets with neurological impairment or gastrointestinal distress.


The procedure involves carefully selecting the appropriate size of the feeding tube, placing the tube, administering activated charcoal, and monitoring the pet's response. Veterinary professionals often perform this procedure under controlled conditions, using sedatives if necessary to minimize discomfort.


Understanding the timing and method of application, along with observing safety protocols, greatly enhance the effectiveness of this treatment.


Are There Any Risks or Side Effects of Using Activated Charcoal in Pets?

A sick dog with an IV fluid line inserted on its forearm

While activated charcoal is a widely used treatment for pet toxicity, it is not without risks and potential side effects, such as aspiration, dehydration, or hypernatremia if administered improperly. 


"Activated charcoal can reduce the absorption of many drugs and toxins, but its utility decreases with time and is not free of risk," according to the 2016 study by Juurlink, D.

Activated charcoal should only be given to patients who are not showing symptoms, to prevent any complications that arise from its use. If the patient is showing symptoms, it's important to protect their airway by using an inflated endotracheal tube to prevent them from inhaling vomit or activated charcoal. 


Before administering activated charcoal, it's essential to assess the patient's hydration levels to determine if they need fluid therapy. It's not safe to give activated charcoal to a dehydrated pet, showing signs of neurological issues, has high sodium levels, has a compromised gastrointestinal tract, is experiencing kidney failure, has megaesophagus, or has diabetic ketoacidosis. 


Understanding these risks is essential for pet owners and necessitates following veterinary guidance when using activated charcoal for treatment.


How Can Pet Owners Prevent Toxicity in Their Pets?

A set of household cleaning chemicals with the toxic sign on each container

Preventing toxicity in pets largely depends on proactive measures taken by pet owners, including educating themselves about common toxic substances and maintaining a safe home environment for dogs.


Implementing safety protocols and monitoring pet access to harmful items significantly reduce the risk of intoxication and promote overall pet safety.


Comments


bottom of page