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Activated Carbon (Charcoal)

Activated Charcoal

Research reviewed: Up until 03/2026

Activated Charcoal (Activated Carbon (Charcoal)) is a dietary supplement with 17 published peer-reviewed studies involving 115 participants, researched for Detoxification & Gastrointestinal, Clinical trials, Systematic reviews.

17
Studies
115
Participants
1989–2025
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Moderate Evidence

Detoxification & Gastrointestinal

Moderate
3 studies 1 of 3 positive 47 participants 2 human

Clinical trials

Moderate
10 studies 0 of 10 positive 68 participants

Systematic reviews

Weak
4 studies 0 of 4 positive 0 participants 0 human

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

12/17
Randomised
10/17
Double-Blind
10/17
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2005)
0
Study 2 (1989)
7
Study 3 (2014)
40
Study 1 (2023)
0
Study 2 (2024)
0
Study 3 (2024)
0
Study 4 (2021)
48
Study 5 (2024)
0

Research Timeline

When the studies were published

1
1989
1
2005
1
2014
1
2021
1
2022
3
2023
7
2024
2
2025

All Studies

Detailed breakdown of each trial. Click to expand.

Detoxification & Gastrointestinal

1

To review activated charcoal for preventing dietary toxin and drug absorption.

2005 ? participants Various Single dose 50-100g (acute) or 4-32g daily (chronic)
Review/Other Positive

Study Type

Systematic review

Purpose

To review activated charcoal for preventing dietary toxin and drug absorption.

Dose

Single dose 50-100g (acute) or 4-32g daily (chronic)

Participants

Multiple RCTs and clinical studies combined

Duration

Various

Results

Activated charcoal significantly reduces absorption of many drugs and toxins when given within 1-2 hours. Standard of care in acute poisoning scenarios in clinical toxicology.

How They Measured It

Drug/toxin absorption, blood toxin levels, clinical outcomes

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2

To assess oral activated charcoal for reducing cholesterol in hypercholesterolaemia.

1989 7 participants 4 weeks Activated charcoal 8g three times daily
Human Study RCT Mixed

Study Type

Randomised controlled trial

Purpose

To assess oral activated charcoal for reducing cholesterol in hypercholesterolaemia.

Dose

Activated charcoal 8g three times daily

Participants

7 patients with familial hypercholesterolaemia

Duration

4 weeks

Results

Activated charcoal reduced total cholesterol by 25% and LDL by 41%. HDL increased 8%. Mechanism involves bile acid binding and reduced cholesterol enterohepatic circulation.

How They Measured It

Total cholesterol, LDL, HDL, triglycerides

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3

To evaluate activated charcoal for reducing uremic toxins in CKD patients.

2014 40 participants 6 months Activated charcoal 6g three times daily
Human Study RCT Positive

Study Type

Randomised controlled trial

Purpose

To evaluate activated charcoal for reducing uremic toxins in CKD patients.

Dose

Activated charcoal 6g three times daily

Participants

40 pre-dialysis CKD patients

Duration

6 months

Results

Significant reduction in serum p-cresol and indoxyl sulfate (gut-derived uremic toxins). Slowed progression to dialysis. GI side effects were primary concern.

How They Measured It

Serum p-cresol, indoxyl sulfate, creatinine, GFR

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Clinical trials

1

To investigate the effects of Activated Charcoal in dental aesthetic perception of patients submitted to activated charcoal-based bleaching agents: a randomized clinical trial.

2023 ? participants Duration not specified Activated Charcoal (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in dental aesthetic perception of patients submitted to activated charcoal-based bleaching agents: a randomized clinical trial.

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

To evaluate the effects of activated charcoal-based products used in two presentation forms (powder or toothpaste), compared to 10 % carbamide peroxide and conventional toothpaste on aesthetic perception and psychosocial impact before and after treatment.

How They Measured It

See study for outcome measures

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2

To investigate the effects of Activated Charcoal in a randomized controlled trial assessing the impact of transcutaneous electrical acupoint stimulation on gastrointestinal motility, nutritional status,

2024 ? participants Duration not specified Activated Charcoal (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in a randomized controlled trial assessing the impact of transcutaneous electrical acupoint stimulation on gastrointestinal motility, nutritional status,

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

cutaneous Electrical Acupoint Stimulation (TEAS) is a technique that involves stimulating specific acupoints on the body with electrical currents. It may regulate nerve excitability and improve nerve function. This study aimed to assess the impact of TEAS on gastrointestinal motility, nutrition, and immune function in patients post cerebrovascular accident surgery in the intensive care unit (ICU).

How They Measured It

See study for outcome measures

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3

To investigate the effects of Activated Charcoal in evaluating the pharmacokinetics of beclometasone dipropionate/formoterol fumarate/glycopyrronium bromide delivered via pressurised metered-dose inhale

2024 ? participants Duration not specified Activated Charcoal (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in evaluating the pharmacokinetics of beclometasone dipropionate/formoterol fumarate/glycopyrronium bromide delivered via pressurised metered-dose inhale

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

on of beclometasone dipropionate/formoterol fumarate/glycopyrronium bromide (BDP/FF/GB) is available for asthma or chronic obstructive pulmonary disease via pMDI using HFA-134a as propellant. This is being reformulated using the low global warming potential propellant HFA-152a. This manuscript reports three studies comparing BDP/FF/GB pharmacokinetics delivered via pMDI using HFA-152a vs HFA-134a.

How They Measured It

See study for outcome measures

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4

To investigate the effects of Activated Charcoal in effect of nigella sativa on general health and immune system in young healthy volunteers; a randomized, placebo-controlled, double-blinded clinical tr

2021 48 participants Duration not specified 1 g
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in effect of nigella sativa on general health and immune system in young healthy volunteers; a randomized, placebo-controlled, double-blinded clinical tr

Dose

1 g

Participants

48 participants

Duration

Duration not specified

Results

1424±114.51 (p=0.009), and CD4+ from 665.6±141.66 to 841±143.36 (p=0.002).  This elevation in T cells was lost by increasing the dose of N. sativa to 2g. The rest of the parameters were not changed significantly in all doses. The results show a promising immunopotentiation effect of N. sativa by elevating helper T cells and the optimum dose for young age group seems to be 1 g.

How They Measured It

See study for outcome measures

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5

To investigate the effects of Activated Charcoal in effect of activated charcoal on mavacamten pharmacokinetics in healthy participants.

2024 ? participants Duration not specified Activated Charcoal (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in effect of activated charcoal on mavacamten pharmacokinetics in healthy participants.

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

To assess the effect of activated charcoal on the single-dose pharmacokinetics of mavacamten when administered 2 h or 6 h after mavacamten dosing.

How They Measured It

See study for outcome measures

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6

To investigate the effects of Activated Charcoal in a non-inferiority randomised controlled trial of a shorter acetylcysteine regimen for paracetamol overdose - the sarpo trial.

2025 ? participants Duration not specified 300 mg
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in a non-inferiority randomised controlled trial of a shorter acetylcysteine regimen for paracetamol overdose - the sarpo trial.

Dose

300 mg

Participants

Participants not specified

Duration

Duration not specified

Results

Paracetamol is a commonly overdosed medication worldwide. Early acetylcysteine treatment can prevent hepatotoxicity. Multiple intravenous acetylcysteine regimens exist; the commonest recommending 300 mg/kg over 20 h. We investigated the effectiveness and safety of a shorter regimen in paracetamol overdoses ≤30 g.

How They Measured It

See study for outcome measures

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7

To investigate the effects of Activated Charcoal in effects of ferric carboxymaltose on pica among pregnant women in malawi: a substudy to a randomized controlled trial.

2025 ? participants Duration not specified Activated Charcoal (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in effects of ferric carboxymaltose on pica among pregnant women in malawi: a substudy to a randomized controlled trial.

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

Pica is the craving and consumption of nonfood items, and includes the ingestion of earth, raw starch, and ice. Pica is common in sub-Saharan Africa, especially during pregnancy. Despite being ubiquitous, its etiology is not well understood.

How They Measured It

See study for outcome measures

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8

To investigate the effects of Activated Charcoal in whitening efficacy of activated charcoal-based products: a single-blind randomized controlled clinical trial.

2024 ? participants Duration not specified Activated Charcoal (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in whitening efficacy of activated charcoal-based products: a single-blind randomized controlled clinical trial.

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

This randomized controlled clinical trial evaluated the whitening efficacy, tooth sensitivity (TS), and volunteers' satisfaction following the use of activated charcoal powder and toothpaste.

How They Measured It

See study for outcome measures

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9

To investigate the effects of Activated Charcoal in effects of increased blood flow rate and oral activated charcoal on the severity of uremic pruritus: a randomized crossover clinical trial.

2023 20 participants Duration not specified 6 g
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in effects of increased blood flow rate and oral activated charcoal on the severity of uremic pruritus: a randomized crossover clinical trial.

Dose

6 g

Participants

20 participants

Duration

Duration not specified

Results

re. The results showed that the mean severity, highest pruritus score, and lowest pruritus score decreased after all three interventions, but the highest decrease was related to the third intervention. Considering the results of this study, simultaneous use of increased pumping speed and oral administration of a charcoal suspension is recommended to reduce uremic pruritus in hemodialysis patients.

How They Measured It

See study for outcome measures

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10

To investigate the effects of Activated Charcoal in activated carbon cloth versus silver-based dressings in a population with diabetic foot ulcer: a randomised controlled trial.

2024 ? participants Duration not specified Activated Charcoal (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Activated Charcoal in activated carbon cloth versus silver-based dressings in a population with diabetic foot ulcer: a randomised controlled trial.

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

Activated carbon cloth (ACC), known as Zorflex dressing, has emerged as an innovative approach in managing bacterial infection in diabetic foot ulcer (DFU) treatment. This pilot study was undertaken to determine the efficacy of Zorflex ACC dressing (Chemviron Carbon Cloth Division, UK) compared to standard silver-based dressing on DFUs.

How They Measured It

See study for outcome measures

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Systematic reviews

1

To investigate the effects of Activated Charcoal in estimated health effects from domestic use of gaseous fuels for cooking and heating in high-income, middle-income, and low-income countries: a systema

2024 ? participants Duration not specified Activated Charcoal (dose not specified)
Review/Other Mixed

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Activated Charcoal in estimated health effects from domestic use of gaseous fuels for cooking and heating in high-income, middle-income, and low-income countries: a systema

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

(solid fuel and kerosene) represents a substantial global public health burden and there is an urgent need for rapid transition to clean domestic fuels. Gas for cooking and heating might possibly affect child asthma, wheezing, and respiratory health. The aim of this review was to synthesise the evidence on the health effects of gaseous fuels to inform policies for scalable clean household energy.

How They Measured It

See study for outcome measures

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2

To investigate the effects of Activated Charcoal in assessing health risks of polycyclic aromatic hydrocarbons (pahs) in cooked fish using monte carlo simulation: a global review and meta-analysis.

2024 ? participants Duration not specified Activated Charcoal (dose not specified)
Review/Other Mixed

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Activated Charcoal in assessing health risks of polycyclic aromatic hydrocarbons (pahs) in cooked fish using monte carlo simulation: a global review and meta-analysis.

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

009;Flu (4.97E - 12 ) > Nap (4.39E - 12 ) > Acy (2.57E - 12 )) from fish consumption were negligible and can be disregarded (LTCR < 10 - 6 ). Based on the analysis of the findings, it can be concluded that the consumption of cooked fish using various methods worldwide does not present a carcinogenic risk linked to PAHs.

How They Measured It

See study for outcome measures

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3

To investigate the effects of Activated Charcoal in effectiveness of biochar as an adsorbent for pesticides: systematic review and meta-analysis.

2023 ? participants Duration not specified Activated Charcoal (dose not specified)
Review/Other Mixed

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Activated Charcoal in effectiveness of biochar as an adsorbent for pesticides: systematic review and meta-analysis.

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

to 88%, which is represented by the meta-analysis diamond that is the final result of the statistical analysis. Biochar is effective in removing impurities, even including features such as low cost. There is a considerable lack of studies on the topic of pesticide adsorption with the use of biochar. The studies approach a very heterogeneous perspective on the subject, exposing different contexts.

How They Measured It

See study for outcome measures

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4

To investigate the effects of Activated Charcoal in unveiling urinary mutagenicity by the ames test for occupational risk assessment: a systematic review.

2022 ? participants Duration not specified Activated Charcoal (dose not specified)
Review/Other Mixed

Study Type

Systematic review

Purpose

To investigate the effects of Activated Charcoal in unveiling urinary mutagenicity by the ames test for occupational risk assessment: a systematic review.

Dose

Activated Charcoal (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

ral strains is highly recommended since individual and/or synergistic effects of complex exposure to xenobiotics can be overlooked. Future studies should improve the methods used to reach a standardized protocol for specific occupational environments to strengthen the applicability of the urinary mutagenicity assay and reduce inter- and intra-individual variability and exposure source confounders.

How They Measured It

See study for outcome measures

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Frequently Asked Questions

Common questions about Activated Charcoal research

What does the research say about Activated Charcoal?

There are currently 17 peer-reviewed studies on Activated Charcoal (Activated Carbon (Charcoal)), involving 115 total participants. Research covers Detoxification & Gastrointestinal, Clinical trials, Systematic reviews. The overall evidence strength is rated as Moderate.

How strong is the evidence for Activated Charcoal?

The evidence is currently rated as "Moderate Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (12 human studies), and reported outcomes.

What health goals has Activated Charcoal been studied for?

Activated Charcoal has been researched for: Detoxification & Gastrointestinal, Clinical trials, Systematic reviews. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Activated Charcoal based on human trials?

Yes, 12 out of 17 studies are human trials. Human trials carry more weight in our evidence scoring system.