Activated Charcoal Dosing for Phenol Poisoning

Administration and Dosage

• For phenol poisoning, activated charcoal should be administered at a dose of 1-2 g/kg body weight orally or via nasogastric tube, with 50g being the standard adult dose 1
• Multiple-dose activated charcoal should only be administered under medical supervision 2
• Formulations containing sorbitol as a cathartic should be used cautiously, as hypernatremic dehydration has been reported after repeated doses 1

Limitations and Contraindications

• The American Heart Association and American Red Cross state there is insufficient evidence to recommend for or against activated charcoal in first aid settings 3, 2
• Always contact poison control centers for guidance before attempting any decontamination method 2
• Activated charcoal should not be administered by lay rescuers without direction from poison control or emergency medical personnel 2

Prioritization of Care

• Always prioritize airway protection and hemodynamic stabilization before considering gastrointestinal decontamination 2