Activated charcoal is not helpful. Fluoride does not bind to charcoal. Activated charcoal still is recommended for those with intentional ingestions when a polysubstance overdose is possible. Correct calcium deficiencies with IV calcium chloride. Consult a toxicologist or poison control center for acute management recommendations.
Psychiatric consultation is necessary after medical clearance.
Electrolytes - Calcium chloride is administered to correct hypocalcemia that may result from fluoride poisoning. Drug Name Calcium chloride- Manages underlying hypocalcemic effects caused by fluoride poisoning. For systemic hypocalcemia, agent can be given IV initially, and then calcium levels can be maintained with high calcium diet. Some patients will require oral calcium supplementation. For topical pain, agent can be applied as a water-soluble gel mixture.