Why it's dangerous
Ethylene glycol is metabolized into toxic byproducts that cause severe acute kidney failure and central nervous system depression.
Toxic compound: Ethylene glycol
How vets treat it
The vet runs blood tests for ethylene glycol (some clinics have in-house kits), other bloodwork and urine tests for calcium oxalate crystals. In-house tests are less sensitive and specific than testing at a human hospital lab, and the vet may start treatment before the diagnosis is confirmed if no reliable test is available. The antidote is fomepizole (4-MP), the treatment of choice in dogs, or ethanol if fomepizole isn't available. Both block the enzyme that turns ethylene glycol into the breakdown products that damage the kidneys. Your dog also gets IV fluids to correct dehydration and flush ethylene glycol out in the urine, and the vet corrects acidosis, low blood sugar or low calcium as needed. Once the kidneys are failing and urine output has dropped or stopped, the antidote is of little benefit, because almost all of the ethylene glycol has already been broken down.
Outlook
The outlook depends on how fast treatment starts: the longer the delay, the worse it gets. Calcium oxalate crystals in the urine signal a poor prognosis, and in dogs they can appear as early as 6 hours after drinking. Once kidney failure has developed, the prognosis is poor.
Where pets are exposed
- Car antifreeze and radiator coolant, the main source. The poison in them is ethylene glycol. Concentrated antifreeze can be up to about 95% ethylene glycol, and premixed 50/50 coolant is also sold.
- Spills and leaks on garage floors and driveways, leaking cars, containers kept in garages and sheds, and old coolant that was not disposed of properly. Pets lap up the puddles.
- Antifreeze tastes sweet, which tempts pets to drink it. US makers have added a bittering agent since 2012, but the Merck Veterinary Manual says some animals may still find it palatable.
- Toilets and RV plumbing winterized with antifreeze. Pet Poison Helpline sees dogs that drank from toilets in cabins.
- Some snow globes, which have been found to contain ethylene glycol. A pet that licks the liquid from a broken globe can be poisoned.
- Other products: windshield de-icers (some contain less ethylene glycol), aircraft de-icers, brake, transmission and hydraulic fluids, motor oil, and less obvious ones such as solar heating fluids, ice-rink freezing equipment, bases of portable basketball hoops, paints, solvents, wood stains, printer and pen inks, photo-developing fluids and some eye masks.
- In cats, poisoning has been reported from ethylene glycol absorbed through the skin from topical products.
- Cases peak when people add antifreeze or flush radiators. Merck says that is fall, winter and early spring in cold climates; Pet Poison Helpline names summer and winter.
Prevention
- Store antifreeze in closed containers out of pets' reach, and dispose of old antifreeze properly.
- Clean up any spill or leak at once. Soak it up with cat litter, sand or sawdust, or dilute it with several gallons of water, so pets can't lick the residue.
- Choose propylene glycol-based antifreeze, sold as 'pet-safe', where you can. It has a much wider margin of safety, but it is not harmless, so keep pets away from it too.
- Keep pets away from leaking cars, from garages and sheds where coolant is kept, and from toilets or RV plumbing winterized with antifreeze.
- Keep snow globes where pets can't knock them over, and keep pets away from a broken one.
- Keep other car fluids out of reach as well, including brake and transmission fluids and windshield de-icers.
Good to know
Poisoning occurs in three stages; stage 2 may appear as a temporary recovery while internal damage progresses. Propylene glycol is a safer alternative found in some products.
Common questions
How much antifreeze can kill a dog or a cat?
Very little. Merck's pet-owner page puts the lethal amount at 1 to 2 teaspoons for a cat and 3 to 4 teaspoons for a dog. Pet Poison Helpline says one teaspoon can be fatal to a cat, and a tablespoon or two to a dog, depending on its size. Cats are far more sensitive: the Merck Veterinary Manual gives a minimum lethal dose of undiluted ethylene glycol of 1.4 mL per kg in cats, against 4.4 to 6.6 mL per kg in dogs.
How long do I have to get my pet treated after it drinks antifreeze?
For cats, only a few hours: Pet Poison Helpline says treatment must start within 3 hours, and ASPCApro says within 4 hours. For dogs, Pet Poison Helpline says within 8 to 12 hours. In both species, the outlook gets worse the longer treatment is delayed, so go to a vet immediately rather than waiting for signs.
My pet drank antifreeze but seems fine. Is it okay?
Not necessarily, so go to a vet now. Early signs can be missed, and pets can seem to recover around 12 hours after drinking while the kidneys are being damaged. The antidote helps only before kidney failure sets in.
Should I make my pet throw up after it drinks antifreeze?
No, don't do it at home. Go to your vet or call a poison line instead. Merck says ethylene glycol is absorbed so fast that even decontamination at the clinic may not help, and a pet with neurologic signs must never be made to vomit. Fast veterinary treatment with the antidote is what improves the outlook.
Is 'pet-safe' propylene glycol antifreeze actually safe?
It is much safer than ethylene glycol, but it is not safe to drink. Merck says it causes a similar but milder poisoning, and Pet Poison Helpline says concentrated propylene glycol antifreeze can quickly cause sedation, stumbling and seizures. In cats, repeated exposure can cause severe anemia. Still keep it away from pets.
Can a broken snow globe poison my dog or cat?
It can. Pet Poison Helpline, the ASPCA and ASPCApro all say some snow globes have been found to contain ethylene glycol. If a globe breaks and your pet licks the liquid, treat it like antifreeze and go to a vet right away. No source says how much a typical globe contains.
Sources
- Merck Veterinary Manual — Ethylene Glycol Toxicosis in Animals
- Merck Veterinary Manual — Ethylene Glycol (Antifreeze) Poisoning
- ASPCA Animal Poison Control Center — Digging Deeper: Getting the Facts on the Dangers of Antifreeze and Your Pets
- ASPCApro — Ethylene Glycol and Antifreeze Poisoning in Pets
- Pet Poison Helpline — Antifreeze Poisoning in Dogs & Cats (Ethylene Glycol Poisoning)
- Pet Poison Helpline — Antifreeze
- Pet Poison Helpline — Propylene Glycol
- Pet Poison Helpline — How to Poison Proof Your Garage
- Pet Poison Helpline
This page is informational and is not veterinary advice. If your pet has been exposed to something risky, contact your vet or an animal poison control line right away.