Talcum powder poisoning
Talc poisoning; Baby powder poisoning
Talcum powder is a powder made from a mineral called talc. Talcum powder poisoning may occur when someone breathes in or swallows talcum powder. 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 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
Talc can be harmful if it is swallowed or breathed in.
Where Found
Talc may be found in:
- Certain products that kill germs (antiseptics)
- Some baby powder
- Talcum powder
- As a filler in street drugs, like heroin
Other products may also contain talc.
Symptoms
Most symptoms of talcum powder poisoning are caused by breathing in (inhaling) talc dust, especially in infants. Sometimes this happens by accident or over a long period of time.
Breathing problems are the most common problem of inhaling talcum powder. Below are other symptoms of talcum powder poisoning in different parts of the body.
BLADDER AND KIDNEYS
-
Urine output is greatly decreased
Urine output is greatly decreased
Decreased urine output means that you produce less urine than normal. Most adults make at least 500 ml of urine in 24 hours (a little over 2 cups)....
- No urine output
EYES, EARS, NOSE, and THROAT
- Cough
- Eye irritation
- Throat irritation
STOMACH AND INTESTINES
- Diarrhea
- Vomiting
HEART AND BLOOD
-
Collapse
Collapse
Fainting is a brief loss of consciousness due to a drop in blood flow to the brain. The episode most often lasts less than a couple of minutes and y...
-
Convulsions
Convulsions
A seizure is the physical findings or changes in behavior that occur after an episode of abnormal electrical activity in the brain. The term "seizure...
-
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 ...
LUNGS
- Chest pain
-
Cough
Cough
Coughing is an important way to keep your throat and airways clear. But too much coughing may mean you have a disease or disorder. Some coughs are d...
- Difficulty breathing
- Lung failure
- Rapid, shallow breathing
- Wheezing
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...
-
Drowsiness
Drowsiness
Drowsiness refers to feeling abnormally sleepy during the day. People who are drowsy may fall asleep in inappropriate situations or at inappropriate...
- Fever
- Lack of desire to do anything (lethargy)
- Twitching of arms, hands, legs, or feet
-
Twitching of the facial muscles
Twitching of the facial muscles
A facial tic is a repeated spasm, often involving the eyes and muscles of the face.
SKIN
- Blisters
-
Blue skin
, lips, and fingernails
Blue skin
Cyanosis is a bluish color to the skin or mucous membrane that is usually due to a lack of oxygen in the blood.
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 person breathed in the talcum powder, move them to fresh air right away.
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. This hotline number will let you talk to experts in poisoning. 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 container to the hospital with you, 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 as appropriate.
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)
- Fluids through a vein (by IV)
- Medicine to treat symptoms
The person may be admitted to the hospital.
Outlook (Prognosis)
How well someone does depends on how much talcum powder they swallowed and how quickly they receive treatment. The faster medical help is given, the better the chance for recovery. Breathing in talcum powder can lead to very serious lung problems, even death.
Use caution when using talcum powder on babies. Talc-free baby powder products are available.
Workers who have regularly breathed in talcum powder over long periods of time have developed serious lung damage and cancer.
Injecting heroin that contains talc into a vein may lead to heart and lung infections and serious organ damage, and even death.
References
Blanc PD. Acute responses to toxic exposures. In: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray & Nadel's Textbook of Respiratory Medicine . 6th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 75.
Cowie RL, Becklake MR. Pneumoconioses. In: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray & Nadel's Textbook of Respiratory Medicine . 6th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 73.
Sue YJ, Pinkert H. Baby powder, borates, and camphor. 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 99.
Zosel AE. General approach to the poisoned patient. In: Adams JG, ed. Emergency Medicine . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 143.
Review Date: 10/18/2015
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.