By Renee Schmid, DVM & Ahna Brutlag, DVM, MS, DABT, DABVT Pet poison Helpline; Dr. Colleen M. Almgren, DVM, PhD, Pet poison Helpline.

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Acetaminophen (Tylenol®, Paracetamol, APAP, N-acetyl-p-aminophenol) is a medication supplied for ache relief and fever palliation in people. The is a renowned over-the-counter dental medication and also is also easily accessible by prescription. Acetaminophen might be the just ingredient in a medication or be part of a mix product containing various other medications. These medications may include aspirin, opioids, antihistamines, decongestants, and also caffeine. Typical uses include the treatment of headaches, pain, colds, flu, and also menstrual discomfort.

Acetaminophen is available in numerous forms including tablets, capsules, gelatin caps, melt away tablets, rectal suppositories, and liquids. Acetaminophen is often found in houses with pets. Poisoning may take place when pets gain into the owner’s medications. In part cases, owner may provide acetaminophen come treat their pet’s pain at unsafe doses. Low doses of acetaminophen may be encourage in dogs for specific indications and should just be offered under the direction of a veterinarian.

Why is paracetamol (Tylenol) toxic (poisonous) because that dogs and also cats?

Acetaminophen is typically safe for human beings at the encourage dose. The management (mechanism because that breaking down and removing drugs from the body) of paracetamol is various in dogs and also cats than in humans. This method that reasonably small doses, also a small piece that a pill, may be toxicity for dog or cats.

Cats are especially sensitive come acetaminophen. Cats have actually less sensible cellular pathways for certain species of drug metabolism, including acetaminophen. Since cats room not may be to successfully metabolize acetaminophen, they are more vulnerable to poisoning. Cats build intoxication at much reduced doses 보다 those that cause poisoning in dogs.

What need to I perform if my dog or cat eats acetaminophen?

If the exposure just occurred and your pets is no yet showing any type of signs that illness, call your veterinary or Pet poison Helpline, a 24/7 pet poison control, in ~ 800-213-6680. Early assessment and treatment increase the chance for a safe and successful outcome.

If your dog or cat is showing any signs the distress, automatically transport her pet to your veterinarian or closestly veterinary emergency clinic. Be certain to take the pill bottle and also remaining pills through you. That is necessary to administer as much info as possible regarding the form of medication, amount ingested, time of ingestion and also symptoms. It might be advantageous to take an old blanket or bath towel incase your pet i do not care nauseated and also vomits throughout the automobile ride. If vomiting occurs, examine for any type of evidence of medication and also note the amount present prior to discarding the vomit. If you space not may be to do this, conserve the vomit so that the veterinary staff deserve to examine it because that you.

Try to stay calm and provide as much of the details requested by your veterinarian or Pet poison Helpline together possible. Details should be noted for all pets with access to the mediation. This info is an important to judge the risk of poisoning and provide the best possible recommendations for her dog or cat.

Information that may be asked for include:

Age, weight, and breed that the pets Time of ingestion The quantity of medication ingested (If the number of pills that was originally present in the bottle is known, counting the continuing to be pills to recognize how countless were ingested) The toughness of the medication (how numerous milligrams every pill or every ml) any type of other ingredients present in the pills (e.g., antihistamine, caffeine, etc.) The pet’s medical history including what other medication they are taking any current symptoms

What space the indications of acetaminophen (Tylenol) poisoning in dogs or cats?

Pets may present no signs initially. Acetaminophen can cause liver damage or decrease the red blood cell’s capacity to bring oxygen (due come methemoglobinemia). Cat are much more likely to construct early red blood cell transforms while dog are much more likely to construct liver damage. Depending upon the dose, both red blood cell changes and also liver damages may take place in one of two people species.

Red blood cell alters can occur within 4-12 hours. Pets may become weak and depressed. They additionally may prevent eating and develop rapid breathing, a high heart rate, panting, abdominal pain, vomiting or drooling. Your mucous membranes, including the gums or tissue approximately the world of the eye, may develop a bluish color called cyanosis. These areas may also develop a chocolate brown shade from methemoglobin accumulation. Some pets develop swelling in the face, paws, and also forelimbs several hours after eating acetaminophen.

Liver damages may be delayed for numerous days. In enhancement to the indications above, dark urine, yellow discoloration the the eyes or skin, an enlarged abdomen, raised drinking and urination or discolored feces might be seen. If these signs are not recognized and treated, fatality may occur.

Dry eye (keratoconjunctivitis) can additionally be caused by acetaminophen poisoning. Squinting, discharge indigenous the eyes, pawing at the face and also eye pains are signs of this condition. If the ingested acetaminophen was linked with other medications, extr signs may occur. This may encompass wobbliness, weakness, depression, hyperactivity, agitation, disorientation, vocalizing, transforms in love rate, pale gums, tremors, seizures, or raised body temperature.

How is acetaminophen (Tylenol) poisoning diagnosed in a dog or cat?

Acetaminophen poisoning may be suspected when pets develop changes in the red blood cells, indications of liver damage or other signs regular with acetaminophen poisoning. Most cases are diagnosed in pet that have actually the supposed signs and a recognized or doubt exposure come acetaminophen. Acetaminophen levels in the blood have the right to be measured in ~ a human being hospital or committed laboratory, however, trial and error for acetaminophen levels is no common. The results may not be changed quickly and also finding a laboratory to operation the trial and error for pets may be difficult. Since the results may be delayed, treatment is often started without experimentation if poisoning is suspected.

How is acetaminophen poisoning treated in dogs and also cats?

Early decontamination and also treatment to decrease the threat for major toxicity. If paracetamol ingestion developed within a few hours of treatment, the veterinarian may induce vomiting or do flushing the the stomach (gastric lavage). Once vomiting is controlled, set off charcoal may be administered. This deserve to decrease absorb of paracetamol from the cradle tract. Triggered charcoal must only it is in administered through a veterinarian. Otherwise, aspiration into the lungs and life-threatening alters in sodium levels may occur.

Depending top top the sheep ingested, hospitalization may be needed. Fluids may be administered under the skin or intravenously. A medicine called N-acetylcysteine is just one of the major treatments. Other medications, such as liver protectants and also Vitamin C, may also be given.

If liver damages occurs or methemoglobin levels in the blood increase rapidly, more intensive treatment is needed. These alters increase the danger for long-term results or even death. Pet that develop a short red blood cell count (anemia) or a decreased capacity of the red blood cell to carry oxygen (due to methemoglobinemia) might require oxygen supplementation or a blood transfusion. Pets v liver damages can construct an increased chance of bleeding. These pets might need Vitamin K or plasma transfusions. They may likewise need dextrose in their fluids to keep blood glucose levels stable.

What is the prognosis because that recovery through dogs and cats exposed come acetaminophen?

The outcome depends on numerous factors, consisting of the initial wellness of the pet, quantity ingested, various other drugs ingested and also time come treatment. With early on treatment, pets are much less likely to construct long-term effects. Part pets may have actually permanent liver damage. Return uncommon, death may occur with high sheep or when treatment is delayed.

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What steps have the right to I take to prevent acetaminophen toxicity in my pet?

never give any type of medication to a pets without an initial consulting a veterinarian. Execute not leave any medications, including vitamins and also supplements, whereby unattended pets may reach them. It is not unusual for pets to chew with closed bottles. Curious pets might want to inspect out purses, back packs, lunch boxes or suitcases. Part pets will even open reduced cabinets or obtain into open drawers. Keep in mind that pets can acquire on counters or hit items turn off counters and also tables. Execute not assume a pets will prevent eating a medication just since it has actually a poor taste. If medicines are dropped, confine all pets in another area of the home until every the medication deserve to be choose up.

Whenever a toxicity exposure is suspected, immediate action is recommended. Beforehand consultation and also treatment can assist prevent serious health effects.


Pet poison Helpline, an pet poison control center based the end of Minneapolis, MN is accessible 24/7 because that pet owners and veterinary specialists that require help treating a perhaps poisoned pet. The staff offers treatment advice because that poisoning instances of every species, including dogs, cats, birds, tiny mammals, big animals and exotic species. Together the most cost-effective alternative for pet poison control care, Pet toxicity Helpline’s fee of $65 per incident has follow-up consultations because that the expression of the poison case. Pet poison Helpline is easily accessible in north America by calling 800-213-6680. Additional information have the right to be discovered online at