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Food

Xylitol (birch sugar)

A true emergency. Even a single piece of gum can cause dangerous hypoglycaemia in a small dog.

Life-threateningDogsFerretsRabbits
Xylitol (birch sugar) in a home setting, a hazard to keep away from pets

AI-generated editorial illustration of the subject; not a photograph of a specific animal, product or case.

What to do right now

  1. 1.Phone a vet immediately — this cannot wait for symptoms
  2. 2.Bring the packaging so the xylitol content can be calculated
  3. 3.Do not give food or drink unless instructed

Symptoms

  • Weakness and collapse
  • Vomiting
  • Tremors
  • Seizures
  • Jaundice from liver failure

Details

Category
Food
Toxicity
Life-threatening
Species affected
Dogs, Ferrets, Rabbits
Routes of exposure
Eaten in sugar-free gum, sweets, peanut butter, baked goods, some medicines and toothpaste
Urgency
A true emergency. Even a single piece of gum can cause dangerous hypoglycaemia in a small dog.

Veterinary notes and prevention

Xylitol triggers a massive insulin release in dogs and can cause acute liver necrosis. Treatment involves blood glucose monitoring, dextrose infusion and liver support.

Prepare the information your vet needs

  1. For Xylitol (birch sugar), report the exposure route: Eaten in sugar-free gum, sweets, peanut butter, baked goods, some medicines and toothpaste. Tell the clinic the time, possible amount and your pet's species and approximate weight.
  2. Photograph the packaging, ingredient list or plant if safe. Do not handle contaminated material without protection or delay the call to identify it perfectly.
  3. Keep other animals away from the source. An animal may appear normal before signs develop; do not wait for symptoms or calculate a home 'safe dose'.
  4. Follow the clinic's transport instructions. Do not give food, medicines or home remedies unless instructed, and take packaging with you if available.

Educational reference, not an individual diagnosis or a verified professional review. Read our editorial policy.

Guidance libraries and further reading

These organisations publish relevant guidance. Their links are further reading, not evidence that they have reviewed this page.

  • WSAVA — global veterinary guidelines on nutrition, vaccination, pain and dental care
  • AAHA — American Animal Hospital Association guidelines
  • PDSA — veterinary charity pet health advice

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