Toluene and xylene poisoning
Toluene and xylene are strong compounds that are used in many household and industrial products. Toluene and xylene poisoning can occur when someone swallows these substances, breathes in their fumes, or when these substances touch the skin.
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.
The harmful substances in these products are:
Toluene and xylene are used in:
Other products may also contain toluene and xylene.
Below are symptoms of toluene and xylene poisoning in different parts of the body.
EYES, EARS, NOSE, AND THROAT
STOMACH AND INTESTINES
HEART AND BLOOD VESSELS
LUNGS AND AIRWAYS
Get medical help right away. DO NOT make the person throw up unless poison control or a health care provider tells you to. If the substance is on the skin or in the eyes, flush with lots of water for at least 15 minutes.
If the person swallowed the substance, give them water or milk right away, if a provider tells you to do so. DO NOT give anything to drink if the person has symptoms that make it hard to swallow. These include vomiting, convulsions, or a decreased level of alertness. If the person breathed in fumes, move them to fresh air right away.
Before Calling Emergency
Have this information ready:
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 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.
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.
Tests that may be done include:
Treatment may include:
How well someone does depends on how severe the poisoning is and how quickly treatment is received. The faster medical help is given, the better the chance for recovery.
Inhaling these substances for long periods of time can cause permanent brain damage. This type of damage is seen in people who sniff these substances on purpose to get high.
Aronson JK. Organic solvents. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:385-389.
Wang GS, Buchanan JA. Hydrocarbons. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 152.
Review Date: 10/16/2017
Reviewed By: Jesse Borke, MD, FACEP, FAAEM, Attending Physician at FDR Medical Services/Millard Fillmore Suburban Hospital, Buffalo, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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