Cedar leaf oil poisoning

Definition

Cedar leaf oil is made from some types of cedar trees. Cedar leaf oil poisoning occurs when someone swallows this substance. Young children who smell the oil may try to drink it because it has a sweet smell.

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 control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Poisonous Ingredient

The substance in cedar leaf oil that can be harmful is thujone (a hydrocarbon).

Where Found

Cedar leaf oil is used in:

Symptoms

Below are symptoms of cedar leaf oil poisoning in different parts of the body.

EYES, EARS, NOSE, AND THROAT

STOMACH AND INTESTINES

HEART AND BLOOD VESSELS

LUNGS AND AIRWAYS

NERVOUS SYSTEM

SKIN

Home Care

Seek medical help right away. Do not make the person throw up unless poison control or a health care provider tells you to. If the oil is on the skin or in the eyes, flush with lots of water for at least 15 minutes.

If the person swallowed the oil, give them water or milk right away, unless a provider tells you not to. 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.

Before Calling Emergency

Have this information ready:

Poison Control

Your local poison control 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 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. Symptoms will be treated.

The person may receive:

Outlook (Prognosis)

How well someone does depends on how much cedar leaf oil they swallowed and how quickly they receive treatment. The faster medical help is given, the better the chance for recovery.

Delayed injury may occur, including a hole forming in the throat, esophagus, or stomach. This can lead to severe bleeding and infection. Surgery may be needed to treat these complications.

References

Graeme KA. Toxic plant ingestions. In: Auerbach PS, Cushing TA, Harris NS, eds. Auerbach's Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 65.

Meehan TJ. Care of the poisoned patient. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 135.

Wang GS, Buchanan JA. Hydrocarbons. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 147.



Review Date: 11/2/2023
Reviewed By: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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