Why is xylitol so dangerous for dogs?
Xylitol is absorbed rapidly in dogs and triggers a strong insulin release, causing hypoglycaemia (low blood sugar) within 30–60 minutes — even before you notice anything. Higher doses can cause acute liver failure within 1–3 days.
It is found in sugar-free gum, mints, toothpaste, baked goods, vitamins, and increasingly in peanut butter. Cats are far less sensitive, but xylitol products still shouldn’t be given to cats.
Reference bands (dogs): <0.05 g/kg usually no signs · 0.05–0.1 g/kg monitor · 0.1–0.5 g/kg high risk of hypoglycaemia · >0.5 g/kg high risk of liver failure. Any dose above trace amounts deserves a vet call.
Signs to watch for
- Vomiting, weakness, wobbliness (ataxia)
- Extreme lethargy, collapse
- Tremors or seizures (from low blood sugar)
- Within 1–3 days: jaundice, dark urine, liver failure
What to do right now
- Time matters — call your vet immediately and say “xylitol ingestion”.
- Do not wait for symptoms; hypoglycaemia can start within 30 minutes.
- If your dog is weak or collapsing, give sugar (corn syrup or honey on the gums) on the way to the vet — but only if swallowing is safe.
- Expect blood tests and monitoring for 24–72 hours, possibly IV glucose and liver support.