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Antifreeze Poisoning

Antifreeze poisoning is one of the most deadly pet poisonings. Ethylene glycol has a sweet taste that attracts pets, and even a small amount can cause fatal kidney failure.

Key Facts

  • Ethylene glycol (antifreeze) is extremely toxic; as little as 1 tablespoon can kill a cat
  • Sweet taste makes it attractive to pets
  • Three stages: neurological signs (30 min-12 hrs), apparent recovery (12-24 hrs), kidney failure (24-72 hrs)
  • Early treatment is critical; antidote (fomepizole or ethanol) must be given within hours
  • Calcium oxalate crystals in urine are characteristic finding
  • Once kidney failure develops, prognosis is very poor
  • Prevention: use propylene glycol-based antifreeze (safer); clean up all spills immediately
  • Species: dogs and cats

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