Incense
Incense is a product that creates a smell when it is burned. Incense poisoning can occur when someone sniffs or swallows liquid incense. This can be by accident or on purpose. Solid incense is not considered poisonous.
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 your local emergency number (such as 911), or your local poison 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
The ingredients in incense that can be harmful are:
- Aromatic oils
- Nitrates
- Nitrites (including amyl nitrite)
Where Found
Liquid incense is sold on the internet under a variety of brand names. It is usually described as a room deodorizer, despite being sold for other purposes. Liquid incense that is breathed in (inhaled) is called a "popper."
Symptoms
Below are symptoms of incense poisoning in different parts of the body.
EYES, EARS, NOSE, AND THROAT
- Blurred vision
- Burning pain in the throat
- Burns to the eye
STOMACH AND INTESTINES
- Abdominal pain
- Diarrhea (watery, bloody)
-
Vomiting
Vomiting
Nausea is feeling an urge to vomit. It is often called "being sick to your stomach. "Vomiting or throwing-up is forcing the contents of the stomach ...
HEART AND BLOOD
-
Low blood pressure
Low blood pressure
Low blood pressure occurs when blood pressure is much lower than normal. This means the heart, brain, and other parts of the body do not get enough ...
- Inability of blood to carry oxygen, which starves the body of oxygen
LUNGS
- Difficulty breathing
- Rapid breathing
NERVOUS SYSTEM
-
Coma
(decreased level of consciousness and lack of responsiveness)
Coma
Decreased alertness is a state of reduced awareness. A coma is a state of decreased alertness from which a person cannot be awakened. A long-term co...
- Convulsions
- Euphoria, a feeling like being drunk (intoxicated)
- Seizures
-
Stupor
(decreased level of consciousness)
Stupor
Decreased alertness is a state of reduced awareness. A coma is a state of decreased alertness from which a person cannot be awakened. A long-term co...
SKIN
- Blue skin or fingers
- Rash
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 incense is on the skin or in the eyes, flush with lots of water for at least 15 minutes.
If the person swallowed liquid incense, give them water or milk right away, unless a provider tells you not to. DO NOT give anything to drink if the person has symptoms that make it hard to swallow. These include:
- Vomiting
- Convulsions
- A decreased level of alertness
Before Calling Emergency
Have this information ready:
- Person's age, weight, and condition
- Name of the product (ingredients, if known)
- Time it was swallowed
- Amount swallowed
Poison Control
Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. They will give you further instructions.
Poison Help hotline
For a POISON EMERGENCY call:1-800-222-1222ANYWHERE IN THE UNITED STATESThis national hotline number will let you talk to experts in poisoning. This ...
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 incense 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:
- Blood and urine tests
- Breathing support, including a tube through the mouth into the lungs, and a breathing machine (ventilator).
- Chest x-ray
- EKG (electrocardiogram, or heart tracing)
- Endoscopy. Camera placed down the throat to look for burns in the esophagus and the stomach.
- Fluids through a vein (by IV)
- Laxatives
- Medicine called an antidote to reverse the effect of the poison
-
Tube through the mouth into the stomach to wash out the stomach (
gastric lavage
)
Gastric lavage
Gastric suction is a procedure to empty the contents of your stomach.
Outlook (Prognosis)
How well someone does depends on how much incense they swallowed and how quickly they receive treatment. The faster medical help is given, the better the chance for recovery.
Abusing liquid incense is as dangerous as taking other illicit drugs, and it may cause death.
References
Maypole J, Woolf AD. Essential oils. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 101.
Mycyk MB. Hallucinogens and drugs of abuse. In: Adams JG, ed. Emergency Medicine . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 150.
Review Date: 10/16/2015
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.