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My 4 kg, 12-week-old puppy ate three macadamia nuts an hour ago — is he at higher risk because he's so small?

Dogs · Toxicity calculator

Last reviewed: 2026-09-05 · Reference ranges: ASPCA, Pet Poison Helpline & Merck Veterinary Manual

Short answer

Yes, his small size puts him at higher risk. The toxic dose is roughly 2.4 grams of nuts per kilogram of body weight, so just a few nuts can overwhelm a puppy's system. Watch for weakness in his hind legs, wobbliness, vomiting, or a fever starting within the next 12 hours. Call your vet now — they may want to see him for supportive care even if signs are mild. Keep him warm and quiet, and do not induce vomiting unless your vet tells you to. Also check if the nuts were chocolate-covered, which adds another layer of danger.

Why are macadamia nuts toxic to dogs?

The mechanism is unknown, but macadamia nuts trigger a temporary, non-fatal toxicosis in dogs: weakness, wobbliness, tremors and fever typically starting within 12 hours and lasting 12–48 hours. Cases are rarely fatal, and recovery is usually complete with supportive care.

Clinical cases are reported from as little as ~2.4 g of nuts per kg (about one nut for a 10 kg dog can sometimes cause mild signs).

About the dose levels
Most reported cases fall between ~2.4 and 63 g/kg. Below ~0.5 g/kg symptoms are unlikely; above ~7 g/kg symptoms are likely. This is a published-range estimate.

Signs to watch for

  • Weakness in the hind legs, wobbliness
  • Vomiting, lethargy
  • Tremors, fever, panting
  • Difficulty standing or walking

What to do right now

  1. Contact your vet for any significant amount; mild cases may only need observation.
  2. Do not induce vomiting without instruction.
  3. Keep your dog warm and quiet and let them rest.
  4. Check for chocolate co-ingestion — chocolate-covered nuts need chocolate triage too.
If your pet shows any of the signs above, go to the nearest emergency vet now and call ahead.

For a dose worked out against your pet's weight, use the Macadamia Nut Toxicity Calculator.

Open the full calculator: Macadamia Nut Toxicity Calculator →