Activated charcoal - Revision history

Danbot: Switch SMW query from broadtable to table format for better layout with TOC

2026-03-20T21:55:33Z

Switch SMW query from broadtable to table format for better layout with TOC

← Older revision		Revision as of 21:55, 20 March 2026
Line 97:		Line 97:
	\|?Has Route=Route		\|?Has Route=Route
	\|?Has Population=Population		\|?Has Population=Population
	\|format=~~broadtable~~		\|format=table
	\|headers=plain		\|headers=plain
	\|mainlabel=-		\|mainlabel=-

Danbot: Fix SMW query: replace link=subject with mainlabel=- to fix broken subobject fragment links

2026-03-20T17:25:35Z

Fix SMW query: replace link=subject with mainlabel=- to fix broken subobject fragment links

← Older revision		Revision as of 17:25, 20 March 2026
Line 99:		Line 99:
	\|format=broadtable		\|format=broadtable
	\|headers=plain		\|headers=plain
	\|~~link~~=~~subject~~		\|mainlabel=-
	\|sort=Has Indication		\|sort=Has Indication
	\|limit=50		\|limit=50

Danbot: Add dynamic SMW Indications by Condition table (auto-populated from disease pages via MedicationDose template)

2026-03-20T16:43:44Z

Add dynamic SMW Indications by Condition table (auto-populated from disease pages via MedicationDose template)

@@ Line 86: / Line 86: @@
 *Created by heating wood and other natural materials in an airless environment
 *"Activated" by turning into fine powder, which ↑ surface area
 ==See Also==

Rossdonaldson1: /* General */

2025-03-05T17:40:25Z

General

← Older revision		Revision as of 17:40, 5 March 2025
Line 1:		Line 1:
	==General==		==General==
			[[File:ActivatedCharcoalPowder BrightField.jpg\|thumb\|A micrograph of activated charcoal showing fractal-like shape of the particles that provides an enormous surface area. Each particle in this image, despite being only around 0.1 mm across, can have a surface area of several square centimeters.]]
	*Type: [[Antidote]]		*Type: [[Antidote]]
	*A fine, black, odorless powder recognized for more than 2 centuries as an effective adsorbent of many substances		*A fine, black, odorless powder recognized for more than 2 centuries as an effective adsorbent of many substances

ClaireLewis: /* Contraindications */

2019-10-07T13:31:06Z

Contraindications

← Older revision		Revision as of 13:31, 7 October 2019
Line 52:		Line 52:

	==Contraindications==		==Contraindications==
	*Altered mental status		*[[Altered mental status]]
	*Intestinal obstruction		*Intestinal [[SBO\|obstruction]]
	*Increased risk of aspiration		*Increased risk of aspiration
	*Ingestion of substances not absorbed by charcoal		*Ingestion of substances not absorbed by charcoal
Line 61:		Line 61:
	*Does not work with:		*Does not work with:
	**Heavy metals ([[Iron Toxicity\|Iron]], [[Lead Toxicity\|Lead]], [[Arsenic]], [[Mercury]], Zinc)		**Heavy metals ([[Iron Toxicity\|Iron]], [[Lead Toxicity\|Lead]], [[Arsenic]], [[Mercury]], Zinc)
	**Inorganic ions ([[Lithium]], Potassium, Sodium, ~~Flouride~~ and Iodine)		**Inorganic ions ([[Lithium]], Potassium, Sodium, Fluoride and Iodine)
	**[[Hydrocarbons]]/essential oils		**[[Hydrocarbons]]/essential oils
	**Toxic alcohols ([[Ethylene Glycol Toxicity\|Ethylene Glycol]], [[Methanol Toxicity\|Methanol]], [[Isopropyl Alcohol Toxicity\|Isopropanol]])		**Toxic alcohols ([[Ethylene Glycol Toxicity\|Ethylene Glycol]], [[Methanol Toxicity\|Methanol]], [[Isopropyl Alcohol Toxicity\|Isopropanol]])
	**Acids/bases		**Acids/bases
	**~~Organophosates~~		**[[Organophosphates]]

	==Adverse Reactions==		==Adverse Reactions==

Beren85: /* Indications */

2019-08-31T16:10:29Z

Indications

← Older revision		Revision as of 16:10, 31 August 2019
Line 27:		Line 27:

	==Indications==		==Indications==
	*~~should~~ be considered for a poisoned or overdosed patient after risk-to-benefit assessment of the ingested substance and patient-specific factors		*Should be considered for a poisoned or overdosed patient after risk-to-benefit assessment of the ingested substance and patient-specific factors
	*Ingested drug is adsorbed by charcoal AND one of the following:		*Ingested drug is adsorbed by charcoal AND one of the following:
	**Time since ingestion is less than 1-2hr		**Time since ingestion is less than 1-2hr
Line 33:		Line 33:
	**Drug delays gastric emptying AND time since ingestion is <4hr		**Drug delays gastric emptying AND time since ingestion is <4hr
	**Drug is a controlled release preparation AND time since ingestion is <12-18hr		**Drug is a controlled release preparation AND time since ingestion is <12-18hr

			THE KILLER CS
			*Cyanide
			*Colchicine
			*Calcium channel blockers
			*Cyclic antidepressants
			*Cardioglycosides
			*Cyclopeptide mushrooms (''Amanita phalloides'')
			*Cocaine
			*Cicutoxin (water hemlock)
			*Salicylates

	===AACT recommendations===		===AACT recommendations===

Kramarsh: /* Limitations */

2018-03-26T18:05:34Z

Limitations

← Older revision		Revision as of 18:05, 26 March 2018
Line 54:		Line 54:
	**Toxic alcohols ([[Ethylene Glycol Toxicity\|Ethylene Glycol]], [[Methanol Toxicity\|Methanol]], [[Isopropyl Alcohol Toxicity\|Isopropanol]])		**Toxic alcohols ([[Ethylene Glycol Toxicity\|Ethylene Glycol]], [[Methanol Toxicity\|Methanol]], [[Isopropyl Alcohol Toxicity\|Isopropanol]])
	**Acids/bases		**Acids/bases
			**Organophosates

	==Adverse Reactions==		==Adverse Reactions==

Kramarsh: /* Adult Dosing */

2018-03-26T18:05:06Z

Adult Dosing

← Older revision		Revision as of 18:05, 26 March 2018
Line 10:		Line 10:
	*If not pre-mixed best administered in a 1:8 ratio of AC to liquid (water, coke)		*If not pre-mixed best administered in a 1:8 ratio of AC to liquid (water, coke)
	*AC alone comparably effective to AC to cathartic (sorbitol, Mg citrate)		*AC alone comparably effective to AC to cathartic (sorbitol, Mg citrate)
	**if cathartic is used, it should only be a single time (avoid in ~~MDAC~~)		**if cathartic is used, it should only be a single time (avoid in [[multidose activated charcoal]] therapy)
	**repeated dosages associated with dehydration, hypotension, electrolyte derangements		**repeated dosages associated with dehydration, hypotension, electrolyte derangements

Kramarsh: /* Adult Dosing */

2018-03-26T18:04:15Z

Adult Dosing

← Older revision		Revision as of 18:04, 26 March 2018
Line 10:		Line 10:
	*If not pre-mixed best administered in a 1:8 ratio of AC to liquid (water, coke)		*If not pre-mixed best administered in a 1:8 ratio of AC to liquid (water, coke)
	*AC alone comparably effective to AC to cathartic (sorbitol, Mg citrate)		*AC alone comparably effective to AC to cathartic (sorbitol, Mg citrate)
	**if cathartic is used, it should only be a single time		**if cathartic is used, it should only be a single time (avoid in MDAC)
	**repeated dosages associated with dehydration, hypotension, electrolyte derangements		**repeated dosages associated with dehydration, hypotension, electrolyte derangements

Mholtz: Text replacement - "* " to "*"

2017-07-10T08:29:20Z

Text replacement - "* " to "*"

← Older revision		Revision as of 08:29, 10 July 2017
Line 1:		Line 1:
	==General==		==General==
	*Type: [[Antidote]]		*Type: [[Antidote]]
	* A fine, black, odorless powder recognized for more than 2 centuries as an effective adsorbent of many substances		*A fine, black, odorless powder recognized for more than 2 centuries as an effective adsorbent of many substances
	*Common Trade Names: Actidose-Aqua [OTC]; Actidose/Sorbitol [OTC]; Char-Flo with Sorbitol [OTC]; EZ Char [OTC]; Kerr Insta-Char in Sorbitol [OTC]; Kerr Insta-Char [OTC] <ref>Activated Charcoal. online.lexi.com.elibrary.einstein.yu.edu/lco/action/doc/retrieve/docid/patch_f/6579?hl=5864#f_pregnancy-and-lactation. Updated 10/5/15. Accessed 12/30/15. </ref>		*Common Trade Names: Actidose-Aqua [OTC]; Actidose/Sorbitol [OTC]; Char-Flo with Sorbitol [OTC]; EZ Char [OTC]; Kerr Insta-Char in Sorbitol [OTC]; Kerr Insta-Char [OTC] <ref>Activated Charcoal. online.lexi.com.elibrary.einstein.yu.edu/lco/action/doc/retrieve/docid/patch_f/6579?hl=5864#f_pregnancy-and-lactation. Updated 10/5/15. Accessed 12/30/15. </ref>

Line 7:		Line 7:
	*25-100gm PO<ref name="AACT PP" />		*25-100gm PO<ref name="AACT PP" />
	*Common standard dose is 50gm		*Common standard dose is 50gm
	* 10:1 ratio of charcoal to xenobiotic typically recommended		*10:1 ratio of charcoal to xenobiotic typically recommended
	*If not pre-mixed best administered in a 1:8 ratio of AC to liquid (water, coke)		*If not pre-mixed best administered in a 1:8 ratio of AC to liquid (water, coke)
	* AC alone comparably effective to AC to cathartic (sorbitol, Mg citrate)		*AC alone comparably effective to AC to cathartic (sorbitol, Mg citrate)
	**if cathartic is used, it should only be a single time		**if cathartic is used, it should only be a single time
	**repeated dosages associated with dehydration, hypotension, electrolyte derangements		**repeated dosages associated with dehydration, hypotension, electrolyte derangements
Line 27:		Line 27:

	==Indications==		==Indications==
	* should be considered for a poisoned or overdosed patient after risk-to-benefit assessment of the ingested substance and patient-specific factors		*should be considered for a poisoned or overdosed patient after risk-to-benefit assessment of the ingested substance and patient-specific factors
	*Ingested drug is adsorbed by charcoal AND one of the following:		*Ingested drug is adsorbed by charcoal AND one of the following:
	**Time since ingestion is less than 1-2hr		**Time since ingestion is less than 1-2hr
Line 63:		Line 63:
	*Metabolism: not absorbed		*Metabolism: not absorbed
	*Excretion: excreted whole in feces		*Excretion: excreted whole in feces
	* Adsorption begins within about 1 minute but may not achieve equilibrium for 10-25 minutes		*Adsorption begins within about 1 minute but may not achieve equilibrium for 10-25 minutes
	* Clinical efficacy inversely related to time elapsed after ingestion and depends on rate of adsorption of xenobiotic		*Clinical efficacy inversely related to time elapsed after ingestion and depends on rate of adsorption of xenobiotic

	===Mechanism of action===		===Mechanism of action===