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    Foxglove poisoning

    Definition

    Foxglove poisoning usually occurs from sucking the flowers or eating the seeds, stems, or leaves of the foxglove plant.

    Poisoning may also result from taking excessive amounts of medicines made from foxglove, including digoxin, a common heart medication.

    Alternative Names

    Willow-Leaved Foxglove poisoning; Revebjelle poisoning

    Poisonous Ingredient

    • Deslanoside
    • Digitoxin
    • Digoxin
    • Digitalis glycosides
    Note: This list may not be all inclusive.

    Where Found

    • Flowers, leaves, stems, and seeds of the foxglove plant
    • Digitalis glycosides (heart medicine)
    Note: This list may not be all inclusive.

    Symptoms

    Eyes, ears, nose, and throat

    Skin

    Gastrointestinal

    • Vomiting or nausea
    • Stomach pain
    • Diarrhea
    • Loss of appetite*

    Heart and blood

    • Irregular or slow heartbeat
    • Low blood pressure
    • Weakness

    Nervous system

    Psychological

    Hallucinations, loss of appetite, and halos are usually only seen in people who have been poisoned over a long period of time ( chronic overdose).

    Before Calling Emergency

    Determine the following information:

    • Patient's age, weight, and condition
    • Name of the plant or medication, if known  
    • Time it was swallowed
    • Amount swallowed

    The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

    This is a free and confidential service. All local poison control centers in the U.S. use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

    Bring the plant with you to the emergency room, if possible.

    See National Poison Control Center.

    What to Expect at the Emergency Room

    The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure.

    The patient may receive:

    • Medicines to treat symptoms
    • EKG
    • Activated charcoal
    • Methods to make the person throw up 
    • A nasogastric (NG) tube thru the nose into the stomach to empty the stomach (gastric lavage
    • Blood tests to determine digitalis, magnesium, and potassium levels
    • Medicine to reverse the effect of the poison
    • Medicines to correct any electrolyte (potassium, magnesium) imbalances

    Outlook (Prognosis)

    If the individual survives the first 24 hours, the chances of survival are very good.


    Review Date: 3/21/2006
    Reviewed By: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-RooseveltHospital Center, New York, NY. Review provided by VeriMed HealthcareNetwork.
    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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