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Year 2026, Volume: 7 Issue: 3, 55 - 59, 10.01.2026
https://doi.org/10.51262/ejtox.1840225

Abstract

References

  • Nekoukar Z, Zakariaei Z, Taghizadeh F, et al. Methanol poisoning as a new world challenge: A review. Ann Med Surg (Lond). 2021;66:102445. doi:10.1016/j.amsu.2021.102445
  • Karacabey S, Korgan MB, Efeoğlu Saçak M, Sanrı E, Denizbaşı A. Alkol Zehirlenmeleri Olgularının İncelenmesi: Retrospektif Demografik Analiz. Anatolian J Emerg Med. Eylül 2023;6(3):117-120. doi:10.54996/anatolianjem.1256632
  • Satar S, Güneysel Ö, Türedi S, Yürümez Y, Akıcı A. Klinik Toksikoloji Tanı ve Tedavi. Alkoller ve Glikoller. Antalya. Çukurova Nobel Tıp Kitabevi, 2020. ISBN: 9786052369227
  • Tian M, He H, Liu Y, et al. Fatal methanol poisoning with different clinical and autopsy findings: Case report and literature review. Leg Med. 2022;54:101995. Accessed December 9, 2025. https://www.sciencedirect.com/science/article/pii/S1344622321001590
  • Ross JA, Borek HA, Holstege CP, King JD. Toxic alcohol poisoning. Emerg Med Clin North Am. 2022;40(2):327-341. Accessed December 9, 2025. https://pubmed.ncbi.nlm.nih.gov/35461626/
  • Taşkın Ö, Açıkalın Akpınar A, Dişel R. Metil alkol zehirlenmeleri. Anatolian Journal of Emergency Medicine. 2022;5(1):37-42. Accessed December 9, 2025. https://dergipark.org.tr/tr/pub/anatolianjem/issue/68820/1080055
  • Pohanka M. Toxicology and the biological role of methanol and ethanol: Current view. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2016;160(1):54-63. Accessed December 9, 2025. https://pubmed.ncbi.nlm.nih.gov/26006090/
  • Baj J, Forma A, Kobak J, et al. Toxic and nutritional optic neuropathies—an updated mini-review. Int J Environ Res Public Health. 2022;19(5):3092. https://pmc.ncbi.nlm.nih.gov/articles/PMC8910489/
  • Gezen MC, Bingöl N. Methanol intoxication and therapeutic approach. Uskudar University, Institute of Health Sciences, Occupational Health and Safety Program; Istanbul, Türkiye.
  • Levine BS, Caplan YH, Jones AW. Alcohol. In: Principles of Forensic Toxicology. 5th ed. 2020:287-316.
  • Liesivuori J, Savolainen H. Methanol and formic acid toxicity: biochemical mechanisms. Pharmacol Toxicol. 1991;69:157-163.
  • Sobhi N, Abdollahi M, Arman A, Mahmoodpoor A, Jafarizadeh A. Methanol-induced optic neuropathy: molecular mysteries, public health perspective, clinical insights and treatment strategies. Semin Ophthalmol. 2025;40(1):18-29.
  • Judd D, Bhat GK. Methanol poisoning: A review of treatment options. J Med Toxicol. 2020;16(3):346-355.
  • Kruse JA. Methanol and ethylene glycol intoxication. Crit Care Clin. 2017;33(4):899-923.
  • Reisinger A, Rabensteiner J, Hackl G. Diagnosis of acute intoxications in critically ill patients: focus on biomarkers–part 2: markers for specific intoxications. Biomarkers. 2020;25(2):112-125.
  • Rulisek J, Waldauf P, Belohlavek J, et al. Health-related quality of life determinants in survivors of a mass methanol poisoning outbreak: six-year prospective cohort study. Clin Toxicol (Phila). 2020;58(9):870-880.
  • Yousefinejad V, Moradi B, Baneh AM, Sheikhesmaeili F, Babahajian A. Prognostic factors of outcome in methanol poisoning: An 8-year retrospective cross-sectional study. Arch Acad Emerg Med. 2020;8(1):e69.
  • Rym M, Wijden N, Héla M, et al. Ocular manifestations after acute methanol poisoning. Neuroophthalmology. 2023;47(4):193-198.
  • Woolf AD, et al. Methanol poisoning: A review of clinical features, pathophysiology, and treatment. Clin Toxicol. 2016;54(1):36-54.
  • Zakharov S, Pellinen T. Fomepizole in the management of methanol poisoning. Clin Toxicol (Phila). 2020;58(2):79-91.
  • Cejnar P, Smirnova TA, Kuckova S, et al. Acute and chronic blood serum proteome changes in patients with methanol poisoning. Sci Rep. 2022;12:21379.
  • Zakharov S, et al. Methanol poisoning: What clinical and laboratory findings can predict outcome? Arch Toxicol. 2018;92(8):2603-2615.
  • Gedik MS, Hakkoymaz H, Kilci Aİ, Küçük ÖF. General approach to cases of drug intoxication. Eurasian J Crit Care. 2023;5(1):17-21.
  • Yapar et al. Eurasian J Tox. 2025;6(3): 55-59 Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches
  • Hassanian-Moghaddam H, Zamani N, Roberts DM, et al. Consensus statements on the approach to patients in a methanol poisoning outbreak. Clin Toxicol (Phila). 2019;57:1129-1136.
  • Kurtas O, Imre KY, Ozer E, et al. The evaluation of deaths due to methyl alcohol intoxication. Biomed Res. 2017;28(8):3680-3687.
  • Robledo C, Saracho R. Methanol poisoning caused by inhalation of solvent. Nefrologia. 2018;38(6):679-680.
  • Vural S. Transdermal methanol intoxication via folk medicine. J Emerg Med Case Rep. 2019;10(2):50-52.
  • Gummin DD, Mowry JB, Beuhler MC, et al. 2023 Annual Report of the National Poison Data System (NPDS). Clin Toxicol (Phila). 2024;62(12):793-1027.
  • Kraut JA, Mullins ME. Toxic alcohols. N Engl J Med. 2018;378(3):270-280.
  • Holt NR, Nickson CP. Severe methanol poisoning with neurological sequelae: implications for diagnosis and management. Intern Med J. 2018;48(3):335-340.
  • McMartin K, Jacobsen D, Hovda KE. Antidotes against poisonings producing toxic metabolites. Br J Clin Pharmacol. 2016;81(3):505-515.
  • Extracorporeal Treatments in Poisoning (EXtrIP) Workgroup. Recommendation on the use of extracorporeal treatments in poisoning. Clin Toxicol (Phila). 2015;53(7):643-652

Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches

Year 2026, Volume: 7 Issue: 3, 55 - 59, 10.01.2026
https://doi.org/10.51262/ejtox.1840225

Abstract

Methanol, or methyl alcohol (CH3OH, or MeOH for short), is the simplest alcohol. It is a colorless, volatile liquid with a slight alcohol odor that is completely miscible with water. Despite its functional importance and regulated distribution through established industrial supply chains, methanol remains a significant public health concern due to its high toxicity and potential for misuse, particularly in the context of illicit alcoholic beverage production. This study provides a comprehensive and multidisciplinary evaluation of methanol's chemical properties, legitimate supply routes, and primary industrial use patterns. This study explores the epidemiology and mechanisms of methanol-related toxicities, focusing on the medical process leading to methanol exposure, metabolic acidosis, and visual toxicity, and the societal consequences of accidental-intentional misuse. A detailed analysis of the clinical features of methanol poisoning, including diagnostic features, laboratory and imaging findings, is presented. Evidence-based hospital management strategies, such as supportive care, antivenom therapy, and the role of extracorporeal elimination, have been synthesized in alignment with current international guidelines. This study integrates toxicological, clinical and public health perspectives; It aims to provide an understanding of methanol hazards, prevention strategies, and an updated framework for early diagnosis and treatment.

References

  • Nekoukar Z, Zakariaei Z, Taghizadeh F, et al. Methanol poisoning as a new world challenge: A review. Ann Med Surg (Lond). 2021;66:102445. doi:10.1016/j.amsu.2021.102445
  • Karacabey S, Korgan MB, Efeoğlu Saçak M, Sanrı E, Denizbaşı A. Alkol Zehirlenmeleri Olgularının İncelenmesi: Retrospektif Demografik Analiz. Anatolian J Emerg Med. Eylül 2023;6(3):117-120. doi:10.54996/anatolianjem.1256632
  • Satar S, Güneysel Ö, Türedi S, Yürümez Y, Akıcı A. Klinik Toksikoloji Tanı ve Tedavi. Alkoller ve Glikoller. Antalya. Çukurova Nobel Tıp Kitabevi, 2020. ISBN: 9786052369227
  • Tian M, He H, Liu Y, et al. Fatal methanol poisoning with different clinical and autopsy findings: Case report and literature review. Leg Med. 2022;54:101995. Accessed December 9, 2025. https://www.sciencedirect.com/science/article/pii/S1344622321001590
  • Ross JA, Borek HA, Holstege CP, King JD. Toxic alcohol poisoning. Emerg Med Clin North Am. 2022;40(2):327-341. Accessed December 9, 2025. https://pubmed.ncbi.nlm.nih.gov/35461626/
  • Taşkın Ö, Açıkalın Akpınar A, Dişel R. Metil alkol zehirlenmeleri. Anatolian Journal of Emergency Medicine. 2022;5(1):37-42. Accessed December 9, 2025. https://dergipark.org.tr/tr/pub/anatolianjem/issue/68820/1080055
  • Pohanka M. Toxicology and the biological role of methanol and ethanol: Current view. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2016;160(1):54-63. Accessed December 9, 2025. https://pubmed.ncbi.nlm.nih.gov/26006090/
  • Baj J, Forma A, Kobak J, et al. Toxic and nutritional optic neuropathies—an updated mini-review. Int J Environ Res Public Health. 2022;19(5):3092. https://pmc.ncbi.nlm.nih.gov/articles/PMC8910489/
  • Gezen MC, Bingöl N. Methanol intoxication and therapeutic approach. Uskudar University, Institute of Health Sciences, Occupational Health and Safety Program; Istanbul, Türkiye.
  • Levine BS, Caplan YH, Jones AW. Alcohol. In: Principles of Forensic Toxicology. 5th ed. 2020:287-316.
  • Liesivuori J, Savolainen H. Methanol and formic acid toxicity: biochemical mechanisms. Pharmacol Toxicol. 1991;69:157-163.
  • Sobhi N, Abdollahi M, Arman A, Mahmoodpoor A, Jafarizadeh A. Methanol-induced optic neuropathy: molecular mysteries, public health perspective, clinical insights and treatment strategies. Semin Ophthalmol. 2025;40(1):18-29.
  • Judd D, Bhat GK. Methanol poisoning: A review of treatment options. J Med Toxicol. 2020;16(3):346-355.
  • Kruse JA. Methanol and ethylene glycol intoxication. Crit Care Clin. 2017;33(4):899-923.
  • Reisinger A, Rabensteiner J, Hackl G. Diagnosis of acute intoxications in critically ill patients: focus on biomarkers–part 2: markers for specific intoxications. Biomarkers. 2020;25(2):112-125.
  • Rulisek J, Waldauf P, Belohlavek J, et al. Health-related quality of life determinants in survivors of a mass methanol poisoning outbreak: six-year prospective cohort study. Clin Toxicol (Phila). 2020;58(9):870-880.
  • Yousefinejad V, Moradi B, Baneh AM, Sheikhesmaeili F, Babahajian A. Prognostic factors of outcome in methanol poisoning: An 8-year retrospective cross-sectional study. Arch Acad Emerg Med. 2020;8(1):e69.
  • Rym M, Wijden N, Héla M, et al. Ocular manifestations after acute methanol poisoning. Neuroophthalmology. 2023;47(4):193-198.
  • Woolf AD, et al. Methanol poisoning: A review of clinical features, pathophysiology, and treatment. Clin Toxicol. 2016;54(1):36-54.
  • Zakharov S, Pellinen T. Fomepizole in the management of methanol poisoning. Clin Toxicol (Phila). 2020;58(2):79-91.
  • Cejnar P, Smirnova TA, Kuckova S, et al. Acute and chronic blood serum proteome changes in patients with methanol poisoning. Sci Rep. 2022;12:21379.
  • Zakharov S, et al. Methanol poisoning: What clinical and laboratory findings can predict outcome? Arch Toxicol. 2018;92(8):2603-2615.
  • Gedik MS, Hakkoymaz H, Kilci Aİ, Küçük ÖF. General approach to cases of drug intoxication. Eurasian J Crit Care. 2023;5(1):17-21.
  • Yapar et al. Eurasian J Tox. 2025;6(3): 55-59 Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches
  • Hassanian-Moghaddam H, Zamani N, Roberts DM, et al. Consensus statements on the approach to patients in a methanol poisoning outbreak. Clin Toxicol (Phila). 2019;57:1129-1136.
  • Kurtas O, Imre KY, Ozer E, et al. The evaluation of deaths due to methyl alcohol intoxication. Biomed Res. 2017;28(8):3680-3687.
  • Robledo C, Saracho R. Methanol poisoning caused by inhalation of solvent. Nefrologia. 2018;38(6):679-680.
  • Vural S. Transdermal methanol intoxication via folk medicine. J Emerg Med Case Rep. 2019;10(2):50-52.
  • Gummin DD, Mowry JB, Beuhler MC, et al. 2023 Annual Report of the National Poison Data System (NPDS). Clin Toxicol (Phila). 2024;62(12):793-1027.
  • Kraut JA, Mullins ME. Toxic alcohols. N Engl J Med. 2018;378(3):270-280.
  • Holt NR, Nickson CP. Severe methanol poisoning with neurological sequelae: implications for diagnosis and management. Intern Med J. 2018;48(3):335-340.
  • McMartin K, Jacobsen D, Hovda KE. Antidotes against poisonings producing toxic metabolites. Br J Clin Pharmacol. 2016;81(3):505-515.
  • Extracorporeal Treatments in Poisoning (EXtrIP) Workgroup. Recommendation on the use of extracorporeal treatments in poisoning. Clin Toxicol (Phila). 2015;53(7):643-652
There are 33 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Review
Authors

Nikola Yapar 0000-0003-3906-9358

Burak Çelik 0000-0002-6746-4083

Muhammed Ali Güler 0000-0003-0375-5268

Muhammed Alkaya 0000-0001-6414-7018

Gamze Sultan Güler 0009-0007-8657-4804

Hilal Hançer 0009-0008-7672-5143

Muhammet Mustafa Yılmaz 0000-0002-8952-6329

Submission Date December 11, 2025
Acceptance Date December 17, 2025
Publication Date January 10, 2026
Published in Issue Year 2026 Volume: 7 Issue: 3

Cite

APA Yapar, N., Çelik, B., Güler, M. A., … Alkaya, M. (2026). Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches. Eurasian Journal of Toxicology, 7(3), 55-59. https://doi.org/10.51262/ejtox.1840225
AMA Yapar N, Çelik B, Güler MA, et al. Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches. Eurasian J Tox. January 2026;7(3):55-59. doi:10.51262/ejtox.1840225
Chicago Yapar, Nikola, Burak Çelik, Muhammed Ali Güler, Muhammed Alkaya, Gamze Sultan Güler, Hilal Hançer, and Muhammet Mustafa Yılmaz. “Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches”. Eurasian Journal of Toxicology 7, no. 3 (January 2026): 55-59. https://doi.org/10.51262/ejtox.1840225.
EndNote Yapar N, Çelik B, Güler MA, Alkaya M, Güler GS, Hançer H, Yılmaz MM (January 1, 2026) Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches. Eurasian Journal of Toxicology 7 3 55–59.
IEEE N. Yapar, B. Çelik, M. A. Güler, M. Alkaya, G. S. Güler, H. Hançer, and M. M. Yılmaz, “Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches”, Eurasian J Tox, vol. 7, no. 3, pp. 55–59, 2026, doi: 10.51262/ejtox.1840225.
ISNAD Yapar, Nikola et al. “Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches”. Eurasian Journal of Toxicology 7/3 (January2026), 55-59. https://doi.org/10.51262/ejtox.1840225.
JAMA Yapar N, Çelik B, Güler MA, Alkaya M, Güler GS, Hançer H, Yılmaz MM. Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches. Eurasian J Tox. 2026;7:55–59.
MLA Yapar, Nikola et al. “Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches”. Eurasian Journal of Toxicology, vol. 7, no. 3, 2026, pp. 55-59, doi:10.51262/ejtox.1840225.
Vancouver Yapar N, Çelik B, Güler MA, Alkaya M, Güler GS, Hançer H, et al. Methanol Intoxication: Pathophysiology, Diagnosis, And Current Treatment Approaches. Eurasian J Tox. 2026;7(3):55-9.