BACK
TO
TOP
Browse A-Z
Spanish Version
 
E-mail Form
Email Results

 
 
Print-Friendly
Bookmarks
bookmarks-menu

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
  • Abnormal taste in the mouth (salty or soapy taste)
  • Diarrhea
  • Drooling
  • Eye irritation (if it gets in the eyes)
  • Headache
  • Abnormal levels of calcium and potassium in the blood
  • Irregular or slow heartbeat
  • Cardiac arrest (in severe cases)
  • Nausea and vomiting
  • 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)

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)

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.

Open References

References

Aronson JK. Fluoride salts and derivatives. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:366-367.

Levine MD. Chemical injuries. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 55.

 

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.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language.

© 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

All content on this site including text, images, graphics, audio, video, data, metadata, and compilations is protected by copyright and other intellectual property laws. You may view the content for personal, noncommercial use. Any other use requires prior written consent from Ebix. You may not copy, reproduce, distribute, transmit, display, publish, reverse-engineer, adapt, modify, store beyond ordinary browser caching, index, mine, scrape, or create derivative works from this content. You may not use automated tools to access or extract content, including to create embeddings, vectors, datasets, or indexes for retrieval systems. Use of any content for training, fine-tuning, calibrating, testing, evaluating, or improving AI systems of any kind is prohibited without express written consent. This includes large language models, machine learning models, neural networks, generative systems, retrieval-augmented systems, and any software that ingests content to produce outputs. Any unauthorized use of the content including AI-related use is a violation of our rights and may result in legal action, damages, and statutory penalties to the fullest extent permitted by law. Ebix reserves the right to enforce its rights through legal, technological, and contractual measures.
© 1997- adam.comAll rights reserved.

 
 
 

 

 

A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.
Content is best viewed in IE9 or above, Firefox and Google Chrome browser.