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Activated Charcoal

Medical and Pharmacy Editor:
Digestive Disease Myths:Common Misconceptions

Brand Name: Actidose-Aqua, charcoal (activated), CharcoalAid, Insta-Char, Liqui-Char, and Superchar

Generic Name: activated charcoal

Drug Class: Antidotes, other

What Is Activated Charcoal and How Does It Work?

Activated charcoal, also known as activated carbon, is used to absorb a variety of drugs and chemicals in the body by binding the drug or chemical to the activated charcoal. Desorption may occur unless the ratio of charcoal to toxin is extremely high.

Activated charcoal is available under the following different brand names: Actidose-Aqua, charcoal (activated), CharcoalAid, Insta-Char, Liqui-Char, and Superchar.

Dosages of Activated Charcoal Should Be Given As Follows:

Adult and pediatric dosages:

  • 250 mg tablets
  • 260 mg capsules
  • 208 mg/ml liquid
  • 25 g suspension
  • 50 g suspension
  • 25 mg pellets for suspension

Dosage Considerations

Adult poisoning

  • 1 g/kg, 25-100 g orally.
  • Alternatively 10 g charcoal/1 g drug ratio
  • Minimum dose = 25 g

Commonly used with sorbitol 25 g; multiple dose regimen 25 g orally every 2 hours or 50 g every 4 hours without sorbitol.

Do not give sorbitol after first dose due to risk for severe diarrhea; use aqueous solution.

Dose cathartic once daily if used.

Shake vigorously prior to use.

Administer in closed container with straw; may place on ice to improve taste; mix 1:3 soda for pediatrics.

Multiple doses used with dapsone, carbamazepine, digitoxin and digoxin, phenobarbital, theophylline, meprobamate, and quinine.

Pediatric poisoning

Aqueous suspension

Infants: 1 g/kg/dose orally, may repeat every 4-6 hours.

Children: 1-2 g/kg/dose (or 25-50 g/dose) orally, may repeat every 4-6 hours.

Adolescents: 5-10 times the estimated weight of drug/chemical ingested (or 50-100 g/dose) orally, may repeat every 4-6 hours.

Sorbitol suspension

Infants and children: Not indicated; due to the risk for severe diarrhea associated with sorbitol suspension, the aqueous formulation is recommended.

Adolescents: 50 g as a single dose orally; not recommended for multiple dosage regimens (use aqueous solutions for repeat dosing).

What Are Side Effects Associated with Using Activated Charcoal?

Side effects associated with use of activated charcoal, includes the following:

Rare side effects of activated charcoal include:

This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.

Digestive Disease Myths:Common Misconceptions

What Other Drugs Interact with Activated Charcoal?

If your doctor has directed you to use this medication, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider or pharmacist first.

Activated charcoal has moderate interactions with:

Activated charcoal has mikd interactions with:

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Check with your physician if you have health questions or concerns.

What Are Warnings and Precautions for Activated Charcoal?


This medication contains activated charcoal. Do not take Actidose-Aqua, charcoal (activated), CharcoalAid, Insta-Char, Liqui-Char, and Superchar if you are allergic to activated charcoal or any ingredients contained in this drug.

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.


Do not use if there is an intestinal obstruction, unprotected airway (aspiration may occur) or caustic ingestions.

Effects of Drug Abuse

There are no effects of drug abuse with the use of activated charcoal.

Short-term Effects

There are no short-term effects from use of activated charcoal.

Long-term Effects

There are no long-term effects from use of activated charcoal.


Consider the following cautions when using activated charcoal:

  • vomiting may occur
  • caution in patients with decreased peristalsis
  • ipecac may decrease effectiveness of activated charcoal
  • sorbitol or other cathartics may increase risk of significant electrolyte abnormalities
  • capsules or tablets not recommended for treatment of poisoning
  • product containing sorbitol not for use in patients with fructose intolerance
  • note: activated charcoal is not effective with alcohols, caustics (contraindicated), iron, lithium, heavy metals, and mineral acids.

Pregnancy and Lactation

Consult with your physician for use in pregnancy or when lactating.

Reviewed on 4/14/2017

Medscape. Activated Charcoal.

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