Fluoride overdose

Fluoride is a chemical commonly used to prevent tooth decay. Fluoride overdose occurs when someone takes more than the normal or recommended amount of this substance. This can be by accident or on purpose.

This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an overdose, call your local emergency number (such as 911), or your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Poisonous Ingredient

Fluoride can be harmful in large amounts. Acute exposure to dangerous amounts of fluoride is rare, and usually occurs in small children.

Where Found

Fluoride is found in many over-the-counter and prescription products, including:

• Certain mouthwashes and toothpastes
• Certain vitamins (Tri-Vi-Flor, Poly-Vi-Flor, Vi-Daylin F)
• Water that has fluoride added to it
• Sodium fluoride liquid and tablets

Fluoride may also be found in other household items, including:

• Etching cream (also called acid cream, used to etch designs in drinking glasses)
• Roach powders

Other products may also contain fluoride.

Symptoms

Symptoms of a fluoride overdose include:

• Abdominal pain

  Abdominal pain

  Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the stomach region or belly.

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• Abnormal taste in the mouth (salty or soapy taste)

  Abnormal taste

  Taste impairment means there is a problem with your sense of taste. Problems range from distorted taste to a complete loss of the sense of taste. A...

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• Diarrhea

  Diarrhea

  Diarrhea is when you pass loose or watery stool.

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• Drooling
• Eye irritation (if it gets in the eyes)
• Headache

  Headache

  A headache is pain or discomfort in the head, scalp, or neck. Serious causes of headaches are rare. Most people with headaches can feel much better...

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• Abnormal levels of calcium and potassium in the blood
• Irregular or slow heartbeat
• Cardiac arrest (in severe cases)

  Cardiac arrest

  Cardiac arrest occurs when the heart suddenly stops beating. When this happens, blood flow to the brain and the rest of the body also stops. Cardia...

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• Nausea and vomiting

  Nausea and vomiting

  Nausea is feeling an urge to vomit. It is often called "being sick to your stomach. "Vomiting or throwing-up forces the contents of the stomach up t...

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• Shallow breathing
• Tremors (rhythmic movements)
• Weakness

Before Calling Emergency

Have this information ready: 

• Person's age, weight, and condition (for example, is the person awake or alert?)
• Name of the product (ingredients and strength, if known)
• Time it was swallowed
• Amount swallowed
• If the medicine was prescribed for the person

Call for help even if you don't know this information.

Poison Control

Your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

What to Expect at the Emergency Room

Take the container to the hospital with you, if possible.

The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure.

Tests that may done include:

• Blood and urine tests
• Chest x-ray
• Electrocardiogram (ECG)

  Electrocardiogram

  An electrocardiogram (ECG) is a test that records the electrical activity of the heart.

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Treatment may include:

• Fluids through a vein (by IV)
• Medicines to treat symptoms
• Calcium or milk
• Laxatives
• Breathing support, including a tube through the mouth into the lungs and connected to a breathing machine (ventilator)

  Ventilator

  A kidney stone is a solid mass made up of tiny crystals. One or more stones can be in the kidney or ureter at the same time.

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The above tests and treatments are more likely to be done if someone overdoses on fluoride from household products, such as hydrofluoric acid in rust remover. They are less likely to be done for an overdose of fluoride from toothpaste and other health products.

Outlook (Prognosis)

How well someone does depends on how much fluoride was swallowed and how quickly treatment is received. The faster a person gets medical help, the better the chance for recovery.

The amount of fluoride in toothpaste is usually not swallowed in large enough amounts to cause harm.

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