Jun 1, 2005 Table of Contents

Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site.

Information from Your Family Doctor

Heat Exhaustion and Heatstroke: What You Should Know

Am Fam Physician. 2005 Jun 1;71(11):2141-2142.

See related article on heatstroke and heat exhaustion

What is heat exhaustion?

Heat exhaustion happens when your body gets too hot. It can be caused by exercise or hot weather. You may feel weak, dizzy, or worried. You also may have a headache or a fast heartbeat. You may get dehydrated and have very little urine.

What should I do if I think I have heat exhaustion?

If you think you may have heat exhaustion, get out of the heat quickly. Rest in a cool, shady place and drink plenty of water or other fluids. Do NOT drink alcohol. Alcohol can make heat exhaustion worse. If you do not feel better within 30 minutes, you should see your doctor. If heat exhaustion is not treated, you can get heatstroke.

What is heatstroke?

Heatstroke is much more serious than heat exhaustion and can kill you. People with heatstroke may seem confused. They may have seizures or go into a coma. Most people with heatstroke also have a fever. Heatstroke can happen when your body gets too hot, or it can happen after heat exhaustion.

What should I do if I think someone has heatstroke?

If you think someone might have heatstroke, you should take him or her to a cool, shady place quickly, and call a doctor. Removing the person’s unnecessary clothing and bathing or spraying the person’s skin with cool water can help cool him or her down. Try to fan warm air over the person while wetting the skin with lukewarm water. The evaporation of the water will speed cooling (see the figure below).

ILLUSTRATION BY KATHRYN BORN

How can I keep from getting heat exhaustion and heatstroke?

Do not exercise outside when it is hot and humid. If you have traveled to a place that is hotter than where you live, do not exercise for at least a week. In hot weather, wear cool, light clothing and drink plenty of nonalcoholic fluids. If a heat wave happens, stay in an air-conditioned place. Get medical help immediately if you think you might have heat exhaustion or heatstroke.

How do medicines affect heatstroke?

Some medicines can put you in danger of heatstroke. Tell your doctor what medications you are taking. Some medicines that may affect heatstroke are:

  • Allergy medicines (antihistamines)

  • Cough and cold medicines (anticholinergics)

  • Blood pressure and heart medicines

    Alpha andrenergics such as midodrine (one brand: ProAmatine) or pseudoephedrine (one brand: Sudafed)

    Beta blockers

    Calcium channel blockers

  • Diet pills (amphetamines)

  • Irritable bladder and irritable bowel medicines (anticholinergics)

  • Laxatives

  • Mental health medicines

    Benzodiazepines such as clonazepam (one brand: Klonopin), diazepam (one brand: Valium), chlordiazepoxide (one brand: Librium)

    Neuroleptics

    Tricyclic antidepressants

  • Seizure medicines (anticonvulsants)

  • Thyroid pills

  • Water pills

Your doctor can tell you if your medicine puts you in danger of heatstroke.

What should I do after having heat exhaustion or heatstroke?

Having heat exhaustion or heatstroke makes you more vulnerable to hot conditions for about a week afterwards. Be especially careful not to exercise too hard, and avoid hot weather. Ask your doctor to tell you when it is safe to return to your normal activities.


This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org.

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

Copyright © 2005 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

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