Activated Charcoal
About
Common charcoal is made from peat, coal, wood, coconut shell, or petroleum. “Activated charcoal” is similar to common charcoal, but is made especially for use as a medicine. To make activated charcoal, manufacturers heat common charcoal in the presence of a gas that causes the charcoal to develop lots of internal spaces or “pores.” These pores help activated charcoal “trap” chemicals.
Activated charcoal is used to treat poisonings, reduce intestinal gas (flatulence), lower cholesterol levels, prevent hangover, and treat bile flow problems (cholestasis) during pregnancy.
How it works
Activated charcoal is good at trapping chemicals and prevents their absorption.
Effectiveness
Likely Effective
Trapping chemicals to stop some types of poisoning when used as a part of standard treatmentConcerns
Activated charcoal is safe for most adults when used short-term. Side effects of activated charcoal include constipation and black stools. More serious, but rare, side effects are a slowing or blockage of the intestinal tract, regurgitation into the lungs, and dehydration.
Warnings
Pregnancy and breast-feeding: Activated charcoal might be safe when used short-term if you arepregnantorbreast-feeding, but consult with your healthcare professional before using if you are pregnant.Are there any interactions with medications?
Gastrointestinal (GI) blockage or slow movement of food through the intestine: Don't use activated charcoal if you have any kind of intestinal obstruction. Also, if you have a condition that slows the passage of food through your intestine (reduced peristalsis), don't use activated charcoal, unless you are being monitored by your healthcare provider.
Interactions
Moderate
AlcoholActivated charcoal is sometimes used to prevent poisons from being absorbed into the body. Taking alcohol with activated charcoal might decrease how well activated charcoal works to prevent poison absorption.
Medications taken by mouth (Oral drugs)Activated charcoal absorbs substances in the stomach and intestines. Taking activated charcoal along with medications taken by mouth can decrease how much medicine your body absorbs, and decrease the effectiveness of your medication. To prevent this interaction, take activated charcoal at least one hour after medications you take by mouth.
Syrup of ipecacActivated charcoal can bind up syrup of ipecac in the stomach. This decreases the effectiveness of syrup of ipecac.