Assess the situation
Fill in what you know. Estimates are fine, exact numbers are better. Keep the packaging nearby for your call.
Emergency vet or poison control: which do I call?
Nicotine works within minutes to an hour, so do not wait to see whether signs appear. Vets commonly induce vomiting if the pet has not already vomited and it is safe to do so, give activated charcoal, start IV fluids, and monitor heart rate, rhythm, and blood pressure. There is no antidote. The outlook improves a lot if a pet gets through the first 4 hours (Veterinary Medicine, 2004).
Go straight to an emergency vet if…
- Your pet is vomiting, drooling heavily, shaking, wobbly, agitated, weak, collapsing, or having a seizure
- Your cat ate any nicotine product
- Your pet chewed a vape pod, cartridge, refill bottle, or a nicotine patch
- The estimated dose is in the Emergency range
Call poison control first if…
- Your dog just ate a small amount, such as one butt or one piece of gum, and seems normal
- You are not sure of the product strength or how much is missing
- The gum, lozenge, or liquid might also contain xylitol
- You want a case number and treatment plan to hand to your vet
How nicotine poisoning develops
Nicotine first overstimulates the nervous system, heart, and gut. At high doses that stimulation turns into blockade, which can lead to weakness, paralysis, and trouble breathing. Liquid nicotine is absorbed fastest; buffered gum and smokeless tobacco are also absorbed well through the mouth.
Early signs
- Vomiting, drooling, diarrhea
- Agitation, restlessness, fast breathing
- Fast or slow heart rate, high blood pressure
Nervous system and heart
- Tremors, twitching, wobbliness
- Abnormal heart rhythm
- Seizures after larger doses
Depression and paralysis
- Weakness, collapse, paralysis
- Slow or stopped breathing, low blood pressure
- Coma and death are possible
Published data behind these estimates
These figures come from veterinary toxicology references, poison control case data, and the FDA. Most toxic dose data for nicotine comes from dogs and from people; there is very little feline data. They describe documented effects, not a line between "safe" and "dangerous."
| Nicotine dose or product | Documented effect or content |
|---|---|
| 1 mg/kg | Clinical signs reported in pets at doses as low as this (Tobacco Control, 2011; MSPCA-Angell). The UK Veterinary Poisons Information Service treats 1 mg/kg as potentially toxic. |
| 9.2 mg/kg (dogs) | Reported minimum lethal oral dose in dogs (Tobacco Control, 2011). Other references give 9 to 12 mg/kg. |
| 20 to 100 mg total | Reported minimum lethal dose in dogs and cats: as little as one to five regular cigarettes (Veterinary Medicine, 2004; FDA) |
| Cats | No established toxic threshold. Poison control cases in cats involved doses of about 1.7 to 170 mg/kg (Tobacco Control, 2011). |
| Cigarette / butt / cigar | 9 to 30 mg per cigarette; 5 to 7 mg per butt; 15 to 40 mg per cigar (FDA; Veterinary Medicine, 2004) |
| Gum / patch / tobacco | Gum 2 to 4 mg per piece; patches 8.3 to 114 mg each; chewing tobacco 6 to 8 mg per gram; snuff 12 to 16 mg per gram (Veterinary Medicine, 2004) |
| E-liquid | About 8 to 59 mg per mL (Pet Poison Helpline). Up to 36 mg per mL in UK refills (VPIS). |
This calculator uses, for dogs: 1 mg/kg and above = Emergency. Below 1 mg/kg = Urgent, except that a whole cigarette, more than one cigarette butt, a cigar, or any e-liquid, pod, or patch is always shown as Emergency, because the FDA calls those an emergency for pets. Doses of 9.2 mg/kg and above add a lethal-range warning. For cats, any amount is shown as Emergency, because no toxic threshold has been established for cats. There is no "safe" result, and even the lowest result says to call now.