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Emergency
Cats
Critical toxicity

Paracetamol Poisoning
in Cats

Substance: Paracetamol (acetaminophen/Calpol/Panadol). Symptoms appear within 1-4 hours. Treatment costs £500–£3,000.

Do not wait for symptoms. Call your vet now.

If you suspect your pet has been exposed to paracetamol (acetaminophen/calpol/panadol), contact your vet or the Animal PoisonLine on 01202 509000 immediately. The PoisonLine is available 24/7 and run by the Veterinary Poisons Information Service (VPIS).

01202 509000
Severity Critical
Affects Cats
Onset 1-4 hours
Treatment Cost £500–£3,000
Symptoms

What to Look For

Symptoms of paracetamol poisoning typically appear within 1-4 hours of exposure. You may not see all of these — even one or two should prompt an immediate call to your vet.

Swollen face and paws
Brown or blue-tinged gums (methemoglobinaemia — the blood cannot carry oxygen)
Difficulty breathing
Vomiting
Drooling
Lethargy and depression
Dark, chocolate-coloured urine
Liver failure (24-72 hours)
Urgent action

What to Do Right Now

If you suspect your pet has been exposed to paracetamol (acetaminophen/calpol/panadol), follow these steps.

1

Call your vet IMMEDIATELY — a single standard paracetamol tablet (500mg) can kill a cat

2

This is one of the most common accidental poisonings in cats

3

Well-meaning owners sometimes give paracetamol thinking it is safe — it is NOT safe for cats, ever

4

Note the strength and quantity given or eaten

5

Do NOT wait for symptoms — they may not appear for hours, but the damage starts immediately

Veterinary treatment

What the Vet Will Do

Treatment depends on how much was ingested and how quickly you seek help. Here is what to expect.

N-acetylcysteine (NAC) — the specific antidote; most effective within 8 hours
IV fluids
Activated charcoal (if ingestion was recent)
Vitamin C to help treat methemoglobinaemia
Liver protectant medications
Oxygen therapy if breathing is affected
Blood transfusion in severe cases
Hospitalisation for 48-72 hours
Treatment costs

How Much It Costs

Estimated UK vet costs for treating paracetamol poisoning in cats. Total treatment typically costs £500–£3,000.

Emergency consultation £80-£250
N-acetylcysteine (NAC) antidote £100-£300
IV fluids & medication £150-£400
Blood tests £100-£250
Oxygen therapy £100-£300
Hospitalisation (2-3 nights) £400-£1,500
Blood transfusion (if needed) £300-£800
Total range £500–£3,000

Prices are estimates based on UK veterinary averages. Out-of-hours emergencies typically cost 1.5–3x more than standard hours. Individual cases vary.

Recovery

Recovery Outlook

With early treatment (within 2-4 hours) and the NAC antidote, many cats survive. Half a standard tablet can be lethal. Liver failure may develop 1-3 days after ingestion and carries a poor prognosis if treatment was delayed. Cats lack the liver enzyme (glucuronyl transferase) needed to break down paracetamol, which is why it is so much more dangerous to them than to dogs or humans.

Prevention

How to Prevent This

The best treatment is prevention. Keep your pet safe with these steps.

NEVER give paracetamol to a cat — it is a common and deadly mistake
Store all human medication securely in closed cupboards
Warn everyone in the household that paracetamol is lethal to cats
If your cat is in pain, contact your vet for cat-safe pain relief (e.g. meloxicam)
Be aware that some cold/flu remedies contain paracetamol — keep these away from cats too

Does Pet Insurance Cover Poisoning?

Yes — most pet insurance policies cover accidental poisoning as an emergency, including out-of-hours care, hospitalisation, and specialist referral.

With paracetamol poisoning treatment costing £500–£3,000, insurance can prevent a medical emergency becoming a financial one too. Check your policy covers emergency treatment with no sub-limit on poisoning.

Compare pet insurance

Find a Vet Near You

Compare vet practices in your area. Check opening hours, emergency availability, and prices before you need them.