Anticholinergic syndrome due to 'Devil's herb': when risks come from the ancient time

Nixing the nightshades: Traditional knowledge of intoxicating members of the Solanaceae among hallucinogenic plant and mushroom users in Slovenia

Anticholinergic plants of the family Solanaceae have a long history of use as medicines, poisons, and recreational drugs. Though they were the intoxicating substances of choice throughout Europe for centuries, their use for these purposes has declined with the globalisation of other recreational drugs. The present study sought to examine the level of knowledge surrounding these plants among individuals who had used other hallucinogenic plants or mushrooms in Slovenia. Participants were questioned in regards to the anticholinergic Solanaceae that are known to grow wild in Slovenia: Atropa belladonna L., Datura stramonium L., Hyoscyamus niger L., and Scopolia carniolica L. As expected, only a small number of individuals had any substantial knowledge of these plants, and fewer still had used them; some were even unfamiliar with any of these plants. Knowledge of toxicity generally arose from family members, while books and the internet played prominent roles in regards to use knowledge. Knowledge of the plants was vastly varied, with many individuals confusing the plants for others, especially other members of the Solanaceae. Ultimately, a small group of individuals had the largest body of knowledge of these plants, though this was linked with university studies rather than traditional uses. Knowledge of the intoxicating Solanaceae has been largely lost in Slovenia among users of other botanical hallucinogens, likely due to the various dangers their use poses and the undesirable effects they often cause.

A two cases clinical report of mandragora poisoning in primary care in Crete, Greece: two case report

INTRODUCTION

People in Greece, especially those living in rural areas, frequently consume various plants and herbs as a vegetable meal or as a herbal remedy, which can lead to a number of adverse reactions. These two case reports resulted in a prolonged hospitalisation due to severe and persistent supraventricular tachycardia caused by a vegetable meal.

CASES PRESENTATION

These case reports describe two cases of accidentally use of Mandragora Officinarum identified within the same Greek family, which resulted in hospitalisation. A 47-year-old Greek Caucasian woman and a 48-year-old Greek Caucasian male presented to the local primary care centre with nausea, dizziness, blurred vision, headache and dryness of mouth. Due to serious supraventricular tachycardia, the two patients were hospitalised in the intensive care unit of a nearby hospital for a week.

CONCLUSION

These case reports highlight the importance of ensuring that primary care physicians are aware of the possible effects of mandragora use, for cases when they are involved in the treatment of patients presenting with similar symptoms as those discussed below.