Dog or cat antifreeze poisoning (ethylene glycol)
Antifreeze is rapidly fatal — phone the vet and Animal PoisonLine (01202 509000) immediately even if the pet seems fine; the antidote works only in a narrow window.
Recognise the signs
- Stage 1 (30 minutes – 12 hours): wobbliness, appearing 'drunk', vomiting, increased thirst and urination
- Stage 2 (12–24 hours): apparent improvement — deceptive
- Stage 3 (24–72 hours): severe kidney failure — vomiting, lethargy, ulcers in mouth, no urine produced
- Cats often skip the wobbly stage and present already in kidney failure
First aid steps
- If you saw the pet drink antifreeze, treat as an emergency immediately — do not wait for symptoms.
- Phone the emergency vet and Animal PoisonLine on 01202 509000.
- Take the antifreeze container with you for the active ingredient.
- Drive to the vet without delay — every hour increases kidney damage.
Do NOT
- Do not wait to see if symptoms develop — apparent improvement at 12–24 hours masks fatal kidney damage.
- Do not induce vomiting at home unless told to by a vet.
- Do not give milk, food, or any 'detox' product.
- Do not assume it must have been a tiny amount — even a teaspoon can kill a cat.
While transporting to the vet
- Bring the container or a clear photo of the label.
- Note the approximate amount and time of ingestion.
- Keep the pet warm and quiet.
When to phone the vet immediately
- Any known or suspected antifreeze ingestion, with or without symptoms
- Wobbliness, vomiting, or excessive drinking after access
- Reduced or absent urine output
- Apparent recovery after early symptoms — still emergency
Common causes
- Spilled or pooled antifreeze on driveways and garage floors
- Topping up car coolant or screenwash with the lid left off
- Coolant leaks under cars and in garages
- Garden water features using antifreeze
- Some screenwashes (read labels — methanol-based versions less acutely toxic but still harmful)
What the vet will need to know
- Brand and active ingredient (ethylene glycol versus propylene glycol matters)
- Approximate amount ingested
- Time of ingestion
- Pet's weight
- Any vomiting or symptoms so far
Aftercare
- Treatment uses fomepizole (dogs) or, where unavailable, ethanol IV — both work only early.
- Hospitalisation 48–72 hours with intensive IV fluids and bloods.
- Repeat kidney bloods over 1–2 weeks.
- Some pets recover fully; others develop chronic kidney disease and need lifelong support.
Prevention
- Switch to propylene glycol-based antifreeze (often sold as 'pet-safe') where possible — still not harmless but far less toxic.
- Clean up any spills immediately with absorbent material then water.
- Store antifreeze in sealed, clearly labelled containers up high.
- Check under cars in winter for coolant drips on driveways.
- Avoid garden water features with antifreeze additives.
Breed-specific notes
- Cats are far more sensitive than dogs by body weight — a teaspoon can be fatal.
- Small dogs need much less than large dogs to reach a fatal dose.
Frequently asked questions
Why does antifreeze attract pets?
Ethylene glycol has a sweet taste, particularly attractive to dogs but cats will also lap it from puddles. Spills on cold driveways are licked up readily.
How little antifreeze is dangerous?
Roughly 1.5 ml/kg in cats and 4–6 ml/kg in dogs is potentially fatal — meaning a teaspoon can kill an average cat and a small dog can be killed by a few tablespoons. Treat any ingestion as urgent.
Is 'pet-safe' antifreeze actually safe?
Propylene glycol-based products are far less toxic than ethylene glycol but not entirely harmless — large amounts still cause illness. Always treat any antifreeze ingestion as a vet emergency until you know the active ingredient and amount.