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At a glance

Activated Charcoal is an adsorbent medication used for the treatment of oral poisonings diarrhea and flatulence. It adsorbs toxic substances and gases and helps eliminate them from the body.

Indications

Acute oral poisoning (within 1 hour of ingestion) diarrhea (due to food heavy meals and drugs) flatulence (due to diet and other factors).

Pharmacology

Activated charcoal has a large surface area (300-2000 sqm per gram) that adsorbs toxic substances and gases and prevents their absorption from the gastrointestinal tract. It interrupts the enterohepatic and enteroenteric circulation of some drugs/toxins and their metabolites.

Dosage

Acute Oral Poisoning (Adults):

  • Single dose: 25-100 g
  • Multiple-dose: Initial 50-100 g then 12.5 g every hour or 25 g every 2 hours or 50 g every 4 hours. Minimum dose 25 g. (Do not use sorbitol after first dose)

Acute Oral Poisoning (Children):

  • <1 year: 1 g/kg/dose every 4-6 hours
  • 1-12 years: 25-50 g/dose every 4-6 hours

Diarrhea (Adults): 2-4 tablets 3-4 times daily

Diarrhea (Children): Half adult dose

Flatulence (Adults): 1-2 tablets dissolved in water/milk every 2 hours

Side effects

Common side effects: Vomiting constipation diarrhea black stools abdominal swelling.

Serious (rare): Bowel obstruction platelet aggregation charcoal embolism thrombocytopenia hemorrhage hypoglycemia hypocalcemia hypothermia hypotension.

Use in pregnancy

Considered safe during pregnancy but consult your doctor if needed.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • For poisoning: Use as soon as possible after ingestion (within 1 hour)
  • Do not use with other medications (reduces absorption)
  • For unconscious patients administer via gastric tube by a physician
  • Monitor peristalsis (multiple dose therapy)
  • Do not induce vomiting for petroleum distillate or caustic ingestions (may harm gastric lining)
Overdose effects

Overdose symptoms: constipation and intestinal obstruction (mechanical ileus). Treatment: saline laxative.

Storage conditions

Store below 30C. Keep out of reach of children.

Activated Charcoal — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.