11/20/2023 0 Comments Symptoms of nic sickThe growing public safety dangers of ENDS were also made evident by the 2019 Outbreak of Lung Injury Associated with e-cigarette use, or vaping (EVALI), which led to a total of 2807 hospitalized cases or deaths in the United States 6. However, severe adverse events are also possible, such as hypertension, tremors, seizures, muscle paralysis, and coma 4, 5. Common adverse events range from cough, headaches, throat irritation, nausea, to anxiety, depression, and insomnia 3. Once a case number has been assigned, follow-up is free, which means you can get initial first aid information before seeing your veterinarian and your veterinarian can consult with a toxicology specialist before beginning treatment.The increased consumption of various nicotine products, including electronic nicotine delivery systems (ENDS) has led to an increase in nicotine product-related adverse events 1, 2. The National Animal Poison Control is available 24 hours a day at 88 and consultations cost approximately $95.00. After 16 hours, the nicotine ingested should be gone. Nicotine is inactivated by a healthy liver and its metabolites are excreted in the urine. If the pet survives the first four hours, the prognosis is felt to be good. If seizures or tremors are occurring, medications will be needed to suppress them. Intravenous fluids support circulation while the body gets rid of the nicotine. Treatment is basically supportive after that. Obviously, this would be performed at the veterinarian's office. Washing out the stomach to get rid of any remaining cigarette materials is helpful but is likely to require sedation as well as activated charcoal to bind the nicotine and prevent it from entering the body. If not too much time (an hour or so) has passed since consumption of the nicotine product, vomiting can be induced. This material is toxic to dogs and can add an entirely new dimension to nicotine poisoning. It is also worth mentioning that some nicotine gums contain xylitol as a sweetener. ![]() Hopefully, there will be cigarette materials in the vomit to give away the diagnosis. It is easy to confuse nicotine poisoning with other poisonings such as strychnine, chocolate, organophosphate insecticides, and certain molds.
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