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Charcoal

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Charcoal is a fine, black powder made from wood or other natural materials by heating them in an airless environment. Charcoal used for health conditions is usually “activated” to make it a very fine powder, which increases its effectiveness. Activated charcoal can chemically attach, or adsorb, to a variety of particles and gases, which makes it ideal for removing potentially toxic substances from the digestive tract. Activated charcoal is not absorbed into the body, so it carries adsorbed substances out of the body in the faeces.

Where is it found?

Charcoal used for health conditions is pure carbon made from wood, bamboo, coconut shells, or other organic material.

Charcoal has been used in connection with the following conditions (refer to the individual health concern for complete information):

Rating Health Concerns
2Stars High cholesterol
Indigestion (for intestinal wind symptoms)
3Stars Reliable and relatively consistent scientific data showing a substantial health benefit.
2Stars Contradictory, insufficient, or preliminary studies suggesting a health benefit or minimal health benefit.
1Star For an herb, supported by traditional use but minimal or no scientific evidence. For a supplement, little scientific support and/or minimal health benefit.

Who is likely to be deficient?

There is no human requirement for charcoal.

How much is usually taken?

In cases of poisoning, 50 to 100 grams is given to adults, while children receive lower doses of 10 to 25 grams.1 However, since some poisons are not effectively adsorbed by activated charcoal, consult with local poison control centres or emergency services to determine whether charcoal should be used. Amounts used for other conditions range from 500 to 1,000 mg per day for preventing intestinal wind to 4 to 32 grams per day for lowering blood cholesterol.

Are there any side effects or interactions?

Charcoal will turn the stools black, and may lead to diarrhoea or constipation in some people. No other adverse effects have been reported.

People with a rare disease called variegate porphyria who were given activated charcoal experienced a worsening of their condition.2 Until more research is available, people with variegate porphyria should not take activated charcoal.

At the time of writing, there were no well-known drug interactions with calcium.

References

1. Position statement and practice guidelines on the use of multi-dose activated charcoal in the treatment of acute poisoning. American Academy of Clinical Toxicology; European Association of Poisons Centres and Clinical Toxicologists. J Toxicol Clin Toxicol 1999;37:731–51.

2. Hift RJ, Todd G, Meissner PN, Kirsch RE. Administration of oral activated charcoal in variegate porphyria results in a paradoxical clinical and biochemical deterioration. Br J Dermatol 2003;149:1266–9.

2007-09-01