Fluoride overdose

Definition

Poisoning from an overdose of fluoride.

Poisonous Ingredient

• fluoride
  

Where Found

• sodium fluoride tablets
  
• sodium fluoride liquid
  
• Tri and multivitamins with fluoride (Tri-Vi-Flor, Poly-Vi-Flor, Vi-Daylin F)
  
• fluoridated water
  
• some mouthwashes (ACT, Fluorigard)
  
• some toothpastes (Crest, Aqua Fresh, Colgate MFP)
  
• roach powders
  
• etching cream
  

Note: This list may not be all inclusive.

Symptoms

• body as a whole
  o excessive salivation
  o abnormal taste (salty or soapy taste)
  o tremors
  o weakness
  o convulsions
  
• respiratory
  o shallow respirations
  
• gastrointestinal
  o nausea
  o vomiting
  o diarrhea
  o abdominal pain
  
• nervous system
  o shock
  

Home Treatment

Give milk every 4 hours. The standard procedure is to induce vomiting unless the patient is unconscious or experiencing convulsions. Before inducing vomiting, contact Poison Control for verification.

If instructed to induce vomiting, the standard procedure is as follows:

• Give the usual dose of ipecac syrup: 15 milliliters (ml) or 1 TABLEspoonful for children and 30 ml (2 TABLEspoonsful) for an adult.
  
• Follow with 1/2 glass or 4 ounces (oz.) of water for children or 8 to 12 oz. of water for adults.
  
• Repeat 1 more time in 1/2 hour if emesis has not occurred.
  

Before Calling Emergency

Determine the following information:

• the patient's age, weight, and condition
  
• the name of the product (ingredients and strengths if known)
  
• the time it was swallowed
  
• the amount swallowed
  

Poison Control, or a local emergency numberIf you are concerned about a fluoride overdose or poisoning, seek emergency medical care immediately at your nearest emergency room. See poison control centers for the national telephone number. Take the container or a sample with you to the emergency room.