charcoal, activated


P&G Health


Zuellig Pharma
Full Prescribing Info
Medicinal charcoal.
Ultracarbon also contains the following excipients: Bentonite and cornstarch.
Pharmacotherapeutic Group: Medicinal charcoal/adsorbent.
Diarrhoea and poisoning due to foods, heavy metals and drugs. Flatulence (excess of gas in gastrointestinal tract) due to diet and other factors.
Dosage/Direction for Use
Diarrhoea: Recommended Dose: 2-4 tablets 3-4 times daily, depending on the severity of the case.
Children: Half the recommended dose.
Acute Intoxications: 0.5-1 g/kg body weight.
2-4 tablets/kg body weight; children 3-4 tablets/kg body weight. This corresponds to the following regimen:
Adults and Adolescents or ≥60 kg body weight: 120-240 tablets. Children 10-14 years or ≥30 kg body weight: 90-120 tablets; 6-9 years or ≥20 kg body weight: 60-80 tablets; 3-5 years or ≥15 kg body weight: 45-60 tablets; 1-2 years or ≥10 kg body weight: 30-40 tablets.
Flatulency: Adults 1 or 2 tablets repeated every 2 hrs or 2 tablets at 2 hrs after meal.
Administration: Diarrhoea: Ultracarbon tablets should be taken on an empty stomach with plenty of liquid. Allow Ultracarbon tablets to disintegrate in water with stirring or take whole with liquid. It is advisable to administer Ultracarbon tablets together with a glucose electrolyte solution in order to replace any loss of water and salt. Milk or milk products are not suitable. Ultracarbon tablets should be used until the stools have returned to normal. If the patient has not responded to treatment after about 3 days, other therapeutic or diagnostic measures must be taken.
Acute Intoxications: Stir Ultracarbon tablets in water to make a paste and administer in small quantities. In unconscious patients, a physician or a nurse under medical supervision, should administer the suspension of Ultracarbon tablets in water by gastric tube. Administration may be repeated at intervals of 2-4 hrs. Due to the risk of hypochloraemia, the suspension should be given in isotonic saline or full electrolyte solution where multiple doses are administered. Milk or milk products are not suitable. It is recommended to additionally administer 1 tablespoonful (adults) or ½-1 tablespoonful (children) of sodium sulfate (Glauber's salt) in 1 glass of water 30-60 min later. This saline laxative induces rapid intestinal passage. By this measure, the poison which is bound to the charcoal, is removed from the intestinal tract before part of the poisonous substances are to be liberated. To accelerate elimination in intoxications with substances subject to enterohepatic circulation, 1 tablet/1-2 kg body weight should be given. This measure can be repeated every 2-4 hrs.
The sooner the charcoal is administered after intoxication, the stronger its effect. Ultracarbon tablets should be administered as soon as the intoxication is detected.
Flatulency: After disintegration in liquid, Ultracarbon tablets can be taken immediately after meal.
Activated charcoal is well tolerated and due to its lack of toxicity, overdose requiring treatment is unlikely. Should symptoms of overdose like constipation and intestinal obstruction (mechanical ileus) occur, a saline laxative may be administered to enhance the elimination of Ultracarbon tablets.
Febrile diarrhoea. Medicinal charcoal should not be taken in the case of intoxication with corrosive substances (strong acids and alkalis) as this would complicate diagnostic measures eg, oesophagoscopy and gastroscopy.
Special Precautions
Several poisons and drugs require different or additional measures. Medicinal charcoal is not effective in intoxications with organic and inorganic salts as well as solvents eg, for instance, lithium, thallium, cyanide, iron salts, methanol, ethanol and ethylene glycol. Different measures are in these cases indicated to eliminate the poison (eg, gastric lavage). The following table lists important poisons in which medicinal charcoal is ineffective and for which a suitable oral therapy is known: See table.

Click on icon to see table/diagram/image

In many intoxications, a specific antidote must be administered additionally to medicinal charcoal (eg, acetylcysteine in paracetamol poisoning).
To avoid aspiration in unconscious patients, a physician should administer the suspension of Ultracarbon tablets in water by gastric tube.
In patients undergoing multiple dose, activated charcoal therapy after intoxication, gastrointestinal sounds should be monitored frequently to assess peristaltic action.
Ultracarbon should not be used in cases of poisoning with pesticides.
Effects on the Ability to Drive or Operate Machinery: Ultracarbon tablets has no influence on the ability to drive and use of machines.
Impairment of Fertility:
No restrictions.
Use in pregnancy and lactation:
No restrictions.
Use In Pregnancy & Lactation
No restrictions.
Adverse Reactions
As most undesirable effects are based on post-marketing spontaneous reporting, precise frequency estimation is not possible.
No adverse reactions to Ultracarbon are known to occur if taken in the recommended dosage to treat the diarrhoea. After very high doses as those taken in intoxications, constipation and intestinal obstruction (mechanical ileus) may occur in individual cases; this can be prevented by administering saline laxatives (eg, sodium sulfate). As medicinal charcoal is excreted in unchanged form, the stools turn black (discoloured faeces) after intake of Ultracarbon tablets.
Drug Interactions
Ultracarbon should not be administered together with other drugs because their efficacy can be reduced.
Do not store above 30°C.
MIMS Class
ATC Classification
A07BA01 - medicinal charcoal ; Belongs to the class of charcoal preparations. Used as intestinal adsorbents.
Tab 250 mg x 20's, 50's.
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