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Swallowing sunscreen

Sunscreen - swallowing; Sunscreen poisoning

Sunscreen is a cream or lotion used to protect the skin from sunburn. Sunscreen poisoning occurs when someone swallows sunscreen. 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 exposure, call the local emergency number (such as 911), or the 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.

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Poisonous Ingredient

Older sunscreens used para-aminobenzoic acid (PABA) to protect skin from the sun's rays. However, many of today's sunscreens are PABA-free. Sunscreens may contain any of these ingredients:

• Cinnamates
• Padimate-O
• Salicylates (aspirin-like compounds)
• Zinc oxide

Sunscreen may also contain other ingredients.

Symptoms

Sunscreens are generally considered nonpoisonous (nontoxic). Most symptoms are caused by mild allergic reactions and skin and eye irritation. Symptoms may include:

• Eye irritation if it touched the eyes
• Nausea and vomiting
• Rash
• Shortness of breath (more common in allergic reactions)
• Slowed breathing (if a large amount is swallowed)
• Wheezing (more common in allergic reactions)

Home Care

Seek medical help right away. DO NOT make the person throw up unless poison control or a health care provider tells you to.

If the sunscreen got in the eyes, flush the eyes with cool water for 15 minutes.

Before Calling Emergency

Have this information ready:

• Person's age, weight, and condition
• Name of the product (ingredients and strength, if known)
• Time it was swallowed
• Amount swallowed

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 with you to the hospital, if possible.

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

The person may receive:

• Activated charcoal
• Blood and urine tests
• Breathing support, including a tube through the mouth to the lungs, and a breathing machine (in severe cases)
• Chest x-ray
• ECG (electrocardiogram, or heart tracing)
• Fluids through a vein (by IV)
• Medicine to treat symptoms

Outlook (Prognosis)

How well someone does depends on how much sunscreen they swallowed and how quickly they receive treatment. The faster medical help is given, the better the chance for recovery.

Swallowing sunscreen usually just causes mild stomach upset and vomiting.

Some sunscreens contain a type of alcohol called ethanol. Children who swallow a large amount of sunscreen that contains ethanol may become drunk (intoxicated).

Swallowing a large amount of sunscreen made from salicylates could cause a condition similar to aspirin overdose.

References

Hatten BW. Aspirin and nonsteroidal agents. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 139.

Theobald JL, Kostic MA. Poisoning. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 77.

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Review Date: 11/2/2023  

Reviewed By: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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