If your dog ate xylitol
  1. Call your vet or a poison line immediately.
  2. Don't make your dog vomit unless a vet tells you to — if blood sugar is already falling, it can make things worse.
  3. Expect blood-sugar checks and possibly a few days of liver monitoring.

Call your vet or a 24/7 animal poison line now: ASPCA Animal Poison Control (888) 426-4435 · Pet Poison Helpline (855) 764-7661

What makes it harmful
Xylitol (birch sugar)
Harmful amount
About 0.1 g per kg can cause low blood sugar; about 0.5 g per kg can cause liver failure
Signs appear
Low blood sugar within 10–60 minutes; liver damage over 12–72 hours

Check the xylitol dose

Assumes up to 1 g per piece — the high end, to be safe. Check the label: xylitol may be listed as "birch sugar".
Any amount of xylitol is a reason to call a vet now. Blood sugar can drop within 10–60 minutes. Don't make your dog vomit unless a vet tells you to. ASPCA Animal Poison Control (888) 426-4435 · Pet Poison Helpline (855) 764-7661

Symptoms to watch for

  • Vomiting
  • Weakness, wobbling
  • Collapse
  • Tremors
  • Seizures
  • Yellow gums or eyes (later, liver damage)

Why

In people xylitol hardly changes blood sugar, but in dogs it triggers a flood of insulin. Check labels on sugar-free and "keto" products, chewable vitamins, some toothpastes and baked goods — it may be listed as birch sugar.

Sources

General information checked against published veterinary sources. Every dog is different — ask your vet before changing its diet, and call them if it seems unwell.