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Warning-sign checks

Hypervitaminosis A: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for:

    • A severe or rapidly worsening headache with vomiting or vision changes
    • Confusion, collapse, a seizure, or difficulty waking
    • Suspected swallowing of a large amount by a child
    • A very large exposure followed by significant symptoms

    Contact a poison information service or emergency service after a suspected large accidental exposure.

    Do not induce vomiting unless specifically instructed.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get urgent medical advice for persistent vomiting, jaundice, dark urine, significant abdominal pain, or a new persistent headache while taking a retinoid medicine.

    Also seek prompt advice if excessive vitamin A or a retinoid may have been used during pregnancy.

  3. 3

    Does any of this apply?

    Book an appointment

    A routine appointment is appropriate for gradual symptoms such as dry skin, hair loss, fatigue, or bone pain when you regularly use vitamin A supplements.

    Bring all supplement and medicine labels for review.

Every sign above is quoted from the sofidex article on Hypervitaminosis A. If you are not sure, err upward — it is always reasonable to be checked.