activated charcoal

REMS

Acute management of many oral poisonings following emesis/lavage.

Contraindicated in:

None.

Use Cautiously in:

Poisonings due to cyanide, corrosives, ethanol, methanol, petroleum distillates, organic solvents, mineral acids, or iron;
Endoscopic examination (observation will be obscured).

GI: black stools, constipation, diarrhea, vomiting

Drug-drug:

Other drugs, including laxatives, will be adsorbed by charcoal and as a result will not be systemically absorbed from the GI tract.

Drug-Food:

Milk, ice cream, or sherbet will ↓ ability of charcoal to absorb other agents.

(Generic available)

Oral solution: 15 g/72 mL^OTC; 25 g/120 mL^OTC; 25 g/240 mL^OTC; 50 g/250 mL^OTC
Oral suspension: 25 g/240 mL^OTC
In combination with:
sorbitol (Actidose with Sorbitol; Char-Flo with Sorbitol; Insta-Char/Sorbitol)

Antidote

PO (Adults ): 25–100 g (may be repeated every 4–6 hr).
PO (Children 1–12 yr): 25–50 g (may be repeated every 4–6 hr).
PO (Children <1 yr): 1 g/kg (may be repeated every 4–6 hr).

CharcoAid 2000, Char-Flo, EZ Char, Insta-Char

Binds drugs and chemicals in the GI tract.

Therapeutic effects:

Decreased intestinal absorption of drugs or chemicals in the overdose situation.

Therapeutic Classification: antidotes

Pharmacologic Classification: adsorbents

Absorption: None.

Distribution: None.

Metabolism/Excretion: Excreted unchanged in the feces.

Half-Life: Unknown.

Aqueous Charcodote, Charac-50, Charcodote

(antidote)

ROUTE	ONSET	PEAK	DURATION
PO	within min	unknown	4–12 hr

Explain the purpose and side effects of activated charcoal. Inform patient that stools will turn black.
Poisoning: When counseling, discuss methods of prevention; need to confer with poison control center, health care provider, or emergency department before administering; and need to bring ingested substance to emergency department for identification.

NDC Code

0220- Boiron
- 0220-1158- Carbo vegetabilis
  - 0220-1158-41- 80 PELLET in 1 TUBE (0220-1158-41)

0220- Boiron
- 0220-1168- Carbo vegetabilis
  - 0220-1168-41- 5 [hp_C] in 1 TUBE (0220-1168-41)

0220- Boiron
- 0220-1169- Carbo vegetabilis
  - 0220-1169-41- 6 [hp_C] in 1 TUBE (0220-1169-41)

0220- Boiron
- 0220-1172- Carbo vegetabilis
  - 0220-1172-41- 9 [hp_C] in 1 TUBE (0220-1172-41)

0220- Boiron
- 0220-1173- Carbo vegetabilis
  - 0220-1173-41- 12 [hp_C] in 1 TUBE (0220-1173-41)

0220- Boiron
- 0220-1176- Carbo vegetabilis
  - 0220-1176-41- 15 [hp_C] in 1 TUBE (0220-1176-41)

0220- Boiron
- 0220-1177- Carbo vegetabilis
  - 0220-1177-41- 30 [hp_C] in 1 TUBE (0220-1177-41)

0220- Boiron
- 0220-1196- Carbo vegetabilis
  - 0220-1196-41- 200 [kp_C] in 1 TUBE (0220-1196-41)

0220- Boiron
- 0220-1197- Carbo vegetabilis
  - 0220-1197-41- 1 [hp_M] in 1 TUBE (0220-1197-41)

0220- Boiron
- 0220-1200- Carbo vegetabilis
  - 0220-1200-41- 12 [hp_X] in 1 TUBE (0220-1200-41)

0220- Boiron
- 0220-1201- Carbo vegetabilis
  - 0220-1201-41- 30 [hp_X] in 1 TUBE (0220-1201-41)

0395- Humco Holding Group. Inc.
- 0395-0527- Humco Charcoal Activated
  - 0395-0527-91- 28 g in 1 BOTTLE, PLASTIC (0395-0527-91)

0395- Humco Holding Group. Inc.
- 0395-0527- Humco Charcoal Activated
  - 0395-0527-98- 227 g in 1 BOTTLE, PLASTIC (0395-0527-98)

0574- Padagis US LLC
- 0574-0122- EZ Char
  - 0574-0122-25- 25 g in 1 BOTTLE (0574-0122-25)

0574- Padagis US LLC
- 0574-0520- ACTIDOSE
  - 0574-0520-04- 120 mL in 1 BOTTLE (0574-0520-04)

0574- Padagis US LLC
- 0574-0520- ACTIDOSE
  - 0574-0520-08- 240 mL in 1 BOTTLE (0574-0520-08)

0574- Padagis US LLC
- 0574-0520- ACTIDOSE
  - 0574-0520-74- 120 mL in 1 TUBE (0574-0520-74)

0574- Padagis US LLC
- 0574-0520- ACTIDOSE
  - 0574-0520-76- 240 mL in 1 TUBE (0574-0520-76)

0574- Padagis US LLC
- 0574-0521- ACTIDOSE AQUA
  - 0574-0521-04- 120 mL in 1 BOTTLE (0574-0521-04)

0574- Padagis US LLC
- 0574-0521- ACTIDOSE AQUA
  - 0574-0521-08- 240 mL in 1 BOTTLE (0574-0521-08)

0574- Padagis US LLC
- 0574-0521- ACTIDOSE AQUA
  - 0574-0521-25- 72 mL in 1 TUBE (0574-0521-25)

0574- Padagis US LLC
- 0574-0521- ACTIDOSE AQUA
  - 0574-0521-74- 120 mL in 1 TUBE (0574-0521-74)

0574- Padagis US LLC
- 0574-0521- ACTIDOSE AQUA
  - 0574-0521-76- 240 mL in 1 TUBE (0574-0521-76)

71919- Washington Homeopathic Products
- 71919-825- Carbo vegetabilis
  - 71919-825-05- 900 PELLET in 1 VIAL, GLASS (71919-825-05)

76472- SEVENE USA
- 76472-1139- Carbo Vegetabilis 30c
  - 76472-1139-1- 80 PELLET in 1 CYLINDER (76472-1139-1)

76472- SEVENE USA
- 76472-3011- Carbo Vegetabilis 200ck
  - 76472-3011-1- 80 PELLET in 1 CYLINDER (76472-3011-1)

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