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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