Depilatory poisoning

Answer 1

Definition

Depilatory is a product used to remove unwanted hair. Depilatory poisoning occurs when someone swallows this substance.

This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.

Alternative Names

Hair removal agents poisoning

Poisonous Ingredient

• Sodium or calcium hydroxide (alkalis), which are quite toxic
• Barium sulfide
• Thioglycollates

Note: This list may not include all poisonous ingredients.

Where Found

• Various depilatories

Symptoms

• Abdominal pain
• Blurred vision
• Breathing difficulty
• Burning pain in the throat
• Burns to the eye
• Collapse
• Coma
• Diarrhea(watery, bloody)
• Drooling
• Inability to walk in a normal manner
• Low blood pressure
• No urine output
• Rash
• Slurred speech
• Stupor
• Vomiting

Home Treatment

Seek immediate medical help. Do NOT make a person throw up unless told to do so by Poison Control or a health care professional.

If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. Do NOT give water or milk if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.

Before Calling Emergency

Determine the following information:

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

Poison Control, or a local emergency number

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number 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.

See: Poison control center - emergency number

What to expect at the emergency room

The health care provider will measure and monitor your vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. You may receive:

• Activated charcoal
• Breathing support
• Endoscopy -- camera down the throat to see burns in the esophagus and the stomach
• Fluids through a vein (by IV)
• Laxative
• Medicine (antidote) to reverse the effect of the poison
• Surgical removal of burned skin (skin debridement)
• Tube through the mouth into the stomach to wash out the stomach (gastric lavage)
• Washing of the skin (irrigation) -- perhaps every few hours for several days

Expectations (prognosis)

This can be a very serious poisoning. How well you do depends on the amount of poison swallowed and how quickly treatment is received. The faster you get medical help, the better the chance for recovery.

Extensive damage to the mouth, throat, and stomach is possible. The outcome depends on the extent of this damage. Damage can continue to occur to the esophagus and stomach for several weeks after the product is swallowed.

References

Caraccio TR, McFee RB. Cosmetics and toilet articles. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose. 4th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 100.

Answer 2

Definition

Depilatory is a product used to remove unwanted hair. Depilatory poisoning occurs when someone swallows this substance.

This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.

Alternative Names

Hair removal agents poisoning

Poisonous Ingredient

• Sodium or calcium hydroxide (alkalis), which are quite toxic
• Barium sulfide
• Thioglycollates

Note: This list may not include all poisonous ingredients.

Where Found

• Various depilatories

Symptoms

• Abdominal pain
• Blurred vision
• Breathing difficulty
• Burning pain in the throat
• Burns to the eye
• Collapse
• Coma
• Diarrhea(watery, bloody)
• Drooling
• Inability to walk in a normal manner
• Low blood pressure
• No urine output
• Rash
• Slurred speech
• Stupor
• Vomiting

Home Treatment

Seek immediate medical help. Do NOT make a person throw up unless told to do so by poison control or a health care professional.

If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. Do NOT give water or milk if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.

Before Calling Emergency

Determine the following information:

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

Poison Control, or a local emergency number

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number 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.

See: Poison control center - emergency number

What to expect at the emergency room

The health care provider will measure and monitor your vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. You may receive:

• Activated charcoal
• Breathing support
• Endoscopy -- camera down the throat to see burns in the esophagus and the stomach
• Fluids through a vein (by IV)
• Laxative
• Medicine (antidote) to reverse the effect of the poison
• Surgical removal of burned skin (skin debridement)
• Tube through the mouth into the stomach to wash out the stomach (gastric lavage)
• Washing of the skin (irrigation) -- perhaps every few hours for several days

Expectations (prognosis)

This can be a very serious poisoning. How well you do depends on the amount of poison swallowed and how quickly treatment is received. The faster you get medical help, the better the chance for recovery.

Extensive damage to the mouth, throat, and stomach is possible. The outcome depends on the extent of this damage. Damage can continue to occur to the esophagus and stomach for several weeks after the product is swallowed.

References

Caraccio TR, McFee RB. Cosmetics and toilet articles. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose. 4th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 100.

Reviewed By

Review Date: 01/26/2010

Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.