Dr. Novi Tandria

Reviewed by Dr. Novi Tandria
Updated on 03/11/2025
Reading time 4 min.

Overview

Severity: Low

Life stage: All

Xylitol poisoning is one of the most serious emergencies in dogs, particularly as sugar-free and low-sugar products become increasingly common across the world. This artificial sweetener, found in everyday items like chewing gum, mints, toothpaste and diabetic-friendly snacks, can trigger a sudden, dangerous drop in blood sugar (hypoglycaemia) in dogs, and even liver failure, within hours.

To put the risk in perspective, the U.S.-based ‘Pet Poison Helpline’ reported that calls about xylitol poisoning more than doubled between 2015 and 2020, with a dramatic 47% spike in a single year. In 2020, xylitol exposures were second only to chocolate in reported toxicities. While no UAE-specific data exists, Dubai dogs face particular risk due to the wide availability of imported sugar-free products. Awareness and prevention remain the best ways to keep your dog safe.

What is xylitol and why is it harmful to dogs?

Xylitol is a popular sugar substitute that looks and tastes like real sugar but is extremely toxic to dogs. In Dubai, it’s widely available in supermarkets, health food shops, imported sugar-free snacks, and is even sold as a sweetener for baking. Because it’s used in so many everyday products, many owners don’t realise how easily their dogs could be exposed.

Key facts about xylitol:

  • Toxic to dogs at just 0.075-0.1g per kg body weight: that’s roughly 1g for a typical 10kg French Bulldog
  • Contains 40% fewer calories than sugar, making it popular amongst Dubai’s fitness-conscious residents
  • Actually benefits human dental health: Unlike sugar, xylitol prevents bacteria from producing acid, so it’s a favoured ingredient in human toothpaste

Common sources of xylitol in Dubai households:

  • Chewing gum and sweets: A single piece of sugar-free gum can contain up to 1g of xylitol, enough to poison a small dog.
  • Granulated sweeteners: Available in most Dubai supermarkets for use in tea, coffee, or home baking.
  • Baked goods and spreads: Sugar-free cakes, biscuits, peanut butter, jams, and pie fillings, particularly those imported from Europe and North America.
  • Health and hygiene products: Mouthwash, toothpaste, chewable vitamins, sugar-free liquid medicines, pain relievers, allergy medications, and sleeping aids are commonly found in pharmacies.

Why is xylitol poisonous to dogs?

When dogs consume xylitol, their bodies react dramatically differently from humans. The sweetener triggers a massive, sudden spike in insulin levels, causing blood glucose to plummet dangerously low (hypoglycaemia). The larger the amount consumed relative to your dog’s size, the more severe the consequences become.

Dogs consuming substantial quantities risk devastating liver damage alongside hypoglycaemia. Both conditions are life-threatening, and tragically, over 62% of dogs don’t survive liver disease caused by xylitol poisoning.

Symptoms of xylitol poisoning in dogs

Symptoms of hypoglycaemia typically appear within 15 to 30 minutes of ingestion, though slow-release products like chewing gum can delay onset by up to 12 hours. Symptoms can develop even faster in Dubai’s hot climate, as dogs may already be mildly dehydrated.

Symptoms of low blood sugar (0.1g/kg or more):

  • Vomiting
  • Weakness or unsteadiness: difficulty walking or standing
  • Extreme dullness and sleepiness
  • Tremors
  • Seizures
  • Coma and death

Symptoms of liver failure (0.5g/kg or more):

These follow the initial hypoglycaemic symptoms:

  • Yellowing of gums and eye whites (jaundice)
  • Bleeding under the skin: blood spots on gums or bruising
  • Internal bleeding
  • Coma and death

Liver damage symptoms generally develop within 2-3 days of consuming the xylitol.

What are the risks?

The poisoning severity depends entirely on your dog’s size versus the amount consumed. Small breeds face particular danger.

Practical example: Half a packet of sugar-free gum (5 pieces × 1g xylitol each = 5g total):

  • Small dogs, such as French Bulldogs and Dachshunds (up to 10kg): life-threatening liver damage
  • Large dogs, including Labradors and Rottweilers (between 30-40kg): treatable hypoglycaemia
  • Giant dogs, such as Great Danes (60kg+): minimal or no symptoms

Dogs with pre-existing liver conditions will struggle even more to survive xylitol poisoning. And unfortunately, liver damage is common in Dubai due to heat stress and sometimes the water quality.

Contact your veterinarian immediately if your dog consumes anything containing xylitol.

Are other artificial sweeteners dangerous?

Steviol, malitol, sorbitol, sucralose, and saccharin pose no danger to dogs. Very high consumption might cause minor stomach upsets, but nothing more serious.

Risk to other pets and humans

Xylitol isn’t poisonous to humans; quite the opposite. It’s marketed for human health benefits. Cats seem largely unaffected for two reasons: they usually show no interest in sweet foods and xylitol doesn’t trigger the same insulin response in cats as it does in dogs.

How do vets diagnose xylitol poisoning?

Dubai veterinarians typically diagnose xylitol poisoning through owner reports, combined with symptoms of hypoglycaemia. Further tests will include:

  • Blood tests: checking glucose levels, electrolytes and general organ function
  • Continuous monitoring: with glucose checks every 2 hours for the next 12 hours
  • Liver function tests: in severe cases

Veterinary treatment for xylitol poisoning

Unfortunately, there aren’t any antidotes for xylitol poisoning and the body absorbs xylitol very rapidly. Dubai’s veterinary clinics follow internationally recognised treatment protocols:

  • Emergency stomach emptying (emesis): Injections to induce vomiting can help empty the stomach and remove the source of xylitol. But it’s only effective if the injection is given immediately, before symptoms develop.
  • Hospitalisation: Intensive monitoring and treatment as an inpatient in Dubai’s well-equipped veterinary hospitals.
  • Intravenous fluids: Fluids containing dextrose (sugar) are given directly into your dog’s veins to counteract hypoglycaemia.
  • Daily blood monitoring: for at least three days, checking for liver damage.
  • Supportive care for dogs suffering liver damage, including medications to aid blood clotting and prevent internal bleeding.

How to prevent xylitol poisoning

  • Keep all human foods, sweets, and medicines completely out of reach: Dubai’s apartment living often means limited storage space, so awareness and vigilance are essential.
  • Be cautious with dog dental products: Some mouthwashes, rinses and water additives contain xylitol as an active ingredient. These remain safe only when used exactly according to the manufacturer’s directions.
  • Check import purchases carefully: Dubai’s international shopping culture means we often purchase products from countries with different labelling standards.

When to seek urgent veterinary care

If you suspect your dog has eaten something containing xylitol: Call your nearest veterinary clinic immediately. This isn’t a condition for home treatment. Xylitol toxicity is a genuine emergency for dogs.

If your dog shows symptoms of hypoglycaemia:

  • Begin first aid whilst travelling to the vet
  • Give honey, jam or sugary water if your dog can swallow safely: 1 tablespoon of honey for small dogs
  • Smear honey or jam on gums if swallowing seems risky
  • Continue to the vet even if your dog appears to improve: this condition can deteriorate rapidly

Always bring any packaging or a photograph of the ingredients to show your veterinarian.

For emergency veterinary care in Dubai, contact your regular vet or visit the nearest 24-hour animal hospital. Swift action can mean the difference between recovery and tragedy.

Worried your dog may have eaten something containing xylitol? Don’t wait, this is a life-threatening emergency. Book an urgent appointment at Modern Vet Hospital in Dubai. Our experienced veterinary team provides rapid diagnostics, immediate treatment, and ongoing supportive care to give your dog the best chance of recovery. From emergency stabilisation to follow-up monitoring, Modern Vet Hospital is your trusted clinic in Dubai for expert, compassionate care when every minute counts.

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Dr. Novi Tandria

Reviewed by
Dr. Novi Tandria
DVM

Dr. Novi Tandria is a compassionate veterinarian with over 10 years of experience in small animal internal medicine and soft tissue surgery. She graduated from IPB University, Indonesia, in 2012 and has extensive…

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FREQUENTLY ASKED QUESTION
FREQUENTLY ASKED QUESTION
Symptoms typically develop within 15-30 minutes, potentially faster in Dubai’s warm climate, as dogs may already be mildly dehydrated. With some products, like chewing gum, symptoms may be delayed for up to 12 hours.
Most Dubai supermarkets, pharmacies and duty-free shops stock xylitol-containing products. Check labels on sugar-free gum, diabetic foods, imported health products and dental care items.
Yes, dehydration from heat stress can worsen hypoglycaemia and complicate treatment. This makes immediate veterinary care even more critical for dogs in Dubai.
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