Europe — EMA
Norit 200 (Charcoal, Activated)
GNH USA supplies Norit 200 (Activated charcoal), a adsorbent for acute poisoning, drug overdose and gastrointestinal decontamination.
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What is Charcoal, Activated?
Activated charcoal, the active ingredient in Norit 200, is an adsorbent presented as a powdered oral preparation for oral use. It is employed to bind toxins and gases in the gastrointestinal tract, limiting systemic absorption in cases of acute poisoning or drug overdose. GNH USA supplies Norit 200 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Charcoal, Activated used for?
Norit 200 is an activated charcoal product used for gastrointestinal decontamination and toxin adsorption. - Acute poisoning: reduces absorption of ingested toxins and lowers systemic exposure. - Drug overdose: binds a broad range of oral medications to limit their bioavailability. - Gastrointestinal decontamination: adsorbs gases and substances in the gut to alleviate symptoms and prevent further complications.
What are the side effects of Charcoal, Activated?
Activated charcoal is generally well tolerated, but adverse reactions can occur.
Common Side Effects: - Constipation: reduced bowel motility leading to hard stools. - Black or tarry stools: discoloration due to charcoal passage. - Nausea: mild stomach discomfort after ingestion. - Vomiting: occasional expulsion of the preparation. - Abdominal discomfort: cramping or bloating.
Serious or Rare Side Effects: - Aspiration pneumonia: inhalation of charcoal particles into the lungs. - Bowel obstruction: blockage from accumulated charcoal mass. - Electrolyte imbalance: rare shifts due to prolonged use. - Allergic reaction: rash, itching, or swelling in sensitive individuals.
What precautions apply to Charcoal, Activated?
Before using Norit 200, consider the following safety measures. - Timing of ingestion: administer as soon as possible after toxin exposure. - Airway protection: ensure a protected airway in patients with reduced consciousness. - Contraindicated substances: avoid use when ingested material includes iron, lithium, or cyanide salts. - Hydration status: monitor for dehydration, especially in children. - Monitoring: observe for signs of bowel obstruction or respiratory compromise. - Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.
What does Charcoal, Activated interact with?
Activated charcoal can affect the absorption of many concomitant medications.
Major Interactions (Avoid): - Oral anticoagulants (e.g., warfarin): may reduce therapeutic effect. - Digoxin: adsorption can lower plasma concentrations. - Antidepressants (tricyclics, SSRIs): decreased absorption. - Antiepileptic drugs (phenytoin, carbamazepine): reduced efficacy. - Certain antibiotics (tetracyclines, quinolones): diminished bioavailability.
Moderate Interactions (Monitor Closely): - Oral contraceptives: possible reduction in hormone levels. - Antacids: may alter charcoal binding capacity. - Statins: potential decrease in absorption. - Vitamin supplements: reduced uptake of fat‑soluble vitamins.



