Presentation
50g/250mL suspension
Note: Coformulation with sorbitol not recommended.
Role
- Decontamination of poisons adsorbed by activated charcoal.
- Enhanced elimination of compounds that undergo enterohepatic recirculation.
Dose
Decontamination of poisonings
- 50g (child 1g/kg up to 50g) PO/NG stat
Enhanced elimination of poisonings
- 25g (child 0.5g/kg up to 25g) PO/NG q4h
Stocking recommendations
| Tertiary centre | Regional centre | Rural centre | Remote centre |
|---|---|---|---|
| > 5 bottles | > 5 bottles | 2 bottles | 2 bottles |
Rationale
Activated charcoal is a safe and effective decontamination option for poisonings. It should be available in all centres.
Precautions
Activated charcoal should only be provided to patients who can protect or have a protected airway. Offer orally to alert and co-operative patients. If patient is ventilated it can be provided via a nasogastric tube.
Disclaimer
Fact sheet developed by Queensland Poisons Information Centre.
This fact sheet is about the use of these antidotes in Australia, and may not apply to other countries. Children’s Health Queensland Hospital and Health Service cannot be held responsible for the accuracy of information, omissions of information, or any actions that may be taken as a consequence of reading this fact sheet.
Last updated: July 2023