Moderately Poisonous Plants

Plant

Symptoms

Treatment

Aconitine (eg, derived from monkshood)

Bradycardia, arrhythmias, paresthesia, weakness

Supportive care

Aloe spp

Gastroenteritis, nephritis, skin irritation

Supportive care and skin irrigation with soap and water

Aristolochia spp (birthworts, pipevines)

Tubulointerstitial nephropathy

Supportive care

Azalea

Cholinergic symptoms

Caladium spp (elephant ear, angel's wings)

Oral mucosal damage due to calcium oxalate crystals in leaves

Supportive care and demulsification (eg, with milk or ice cream)

Capsicum spp (peppers)

Mucous membrane irritation and swelling

Supportive care, irrigation

Delayed gastroenteritis, multiple organ failure

Bone marrow suppression

Cyanogenic glycosides (eg, in Prunus spp [eg, peach, apricot, and wild cherry pits], Malus spp [eg, apple seeds], and other seeds)

Symptoms of cyanide poisoning

Deadly nightshade

Anticholinergic symptoms, hyperthermia, seizures, hallucinations

Supportive care

Dieffenbachia (dumbcane)

Oral mucosal damage due to calcium oxalate crystals in leaves

Supportive care and demulsification (eg, with milk or ice cream)

Fava beans

In patients with G6PD deficiency, gastroenteritis, fever, headache, hemolytic anemia

Supportive care

For severe anemia and poisoning, consideration of exchange transfusion

Green potato and potato sprout

Gastroenteritis, hallucinations, delirium

Supportive care

Holly berries

Gastroenteritis

Supportive care

Jimsonweed

Anticholinergic symptoms, hyperthermia, seizures, hallucinations

Supportive care

Licorice (not the artificially flavored licorice candy)

Hypokalemia, hypertension, and retention of water and sodium (pseudohyperaldosteronism)

Supportive

Lily of the valley

Hyperkalemia, gastroenteritis, confusion, arrhythmias

See Digitalis preparations

Mistletoe

Gastroenteritis

Supportive care

Nettle

Local stinging and burning

Supportive care

Nightshade, common or woody

Gastroenteritis, hallucinations, delirium

Supportive care

Pennyroyal

Hepatotoxicity

N

Philodendron spp

Oral mucosal damage due to calcium oxalate crystals in leaves

Supportive care and demulsification (eg, with milk or ice cream)

Poinsettia

Minor mucous membrane irritation

Unnecessary

Poison ivy

Dermatitis

See Dermatitis

Pokeweed

Mucous membrane irritation, gastroenteritis

Supportive care

Pothos

Oral mucosal damage due to calcium oxalate crystals in leaves

Supportive care and demulsification (eg, with milk or ice cream)

Yew

Gastroenteritis

Rarely, seizures, arrhythmias, coma

Supportive care

* Available only in France.

Fab = fractionated antibodies; sp/spp = species.

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