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Chapter 3 Challenges encountered in growing medicinal and aromatic plants 153
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Nuraniye Eruygur✶ and Sanem Hoşbaş Coşkun
Chapter 4 Medicinal and aromatic plants that are toxic
Abstract: Toxic plants and the compounds they produce pose a significant health threat
to both humans and animals. Many plants contain naturally occurring toxins that, while offering survival advantages to the plants, can lead to a range of harmful effects in humans when ingested, touched, or inhaled. These toxins can vary widely in their potency and the severity of their effects, ranging from mild symptoms such as nausea, vomiting, and skin irritation, to life-threatening conditions such as organ failure, respi­ratory distress, and even death. This chapter provides an in-depth exploration of some of the most notorious toxic plants, including oleander, castor bean, aconite, deadly nightshade, and tobacco, detailing the specific toxic compounds they contain and their effects on human health. For example, oleander contains cardiac glycosides that can cause fatal arrhythmias, while castor bean produces ricin, one of the most potent toxins known, capable of causing organ failure even with minimal exposure.
In addition to examining these plants, the chapter highlights the importance of rec­ognizing toxic species in the environment and understanding the risks they pose. Effec­tive prevention begins with education on plant identification and the implementation of safe practices for handling these plants. It discusses practical precautions such as wear­ing protective clothing, including gloves and long sleeves, when handling or gardening near potentially toxic species, and ensuring that toxic plants are stored and disposed of safely, out of reach of children and pets. Additionally, the chapter addresses the need for prompt medical intervention in cases of poisoning, emphasizing the importance of quick response, such as administering activated charcoal or using specific antidotes when available. The chapter further explores the role of awareness in reducing risks, stressing the need for community education on the identification of toxic plants in local environ­ments and gardens. Public awareness campaigns can help prevent accidental exposure, which is especially important for households with children or pets. Finally, the chapter underscores the necessity of first aid knowledge, including recognizing the symptoms of poisoning and the immediate steps to take until professional medical help arrives.
In conclusion, the chapter emphasizes that while toxic plants are a natural part of the environment, with the right precautions, education, and preparedness, the risks they present can be significantly minimized. By fostering a deeper understand­ing of these plants and their harmful effects, we can create safer spaces for people and animals to coexist with the natural world. The balance between enjoying the
Corresponding author: Nuraniye Eruygur, Department of Pharmacognosy, Faculty of Pharmacy, Selcuk University, 42250 Konya, Turkey, e-mail: nuraniye.eruygur@selcuk.edu.tr, https://orcid.org/0000­0002-4674-7009
Sanem Hoşbaş Coşkun, Kelly Government Solutions, Bethesda, ABD
156 Nuraniye Eruygur and Sanem Hoşbaş Coşkun
beauty and benefits of plants and protecting oneself from their toxic effects is critical for maintaining public health and safety.
Keywords: Secondary metabolites, natural toxins, alkaloids, phytotoxins

4.1 Introduction

Plants have been used for both medicinal and aromatic purposes throughout human history. However, some plants, in addition to their healing effects, can be dangerous if not handled with care due to the toxic compounds they contain. In this section, the properties, uses and potential risks of some medicinal and aromatic plants known to be toxic will be examined.

4.2 Toxic compounds and their effects

Poisonous plants are characterized by substances such as alkaloids, glycosides, and essential oils. These substances can cause various biochemical reactions in the body, resulting in both beneficial and harmful effects (Table 4.1). For example, while digi­talis (foxglove) is used in the manufacture of medicines for heart disease, it can be fatal in the wrong dosage. While medicinal and aromatic plants offer a range of thera­peutic benefits, their toxic compounds must be handled with care. These bioactive chemicals, such as alkaloids, glycosides, essential oils, saponins, and coumarins, can provide healing effects in controlled doses but become dangerous when misused. Therefore, proper dosing, professional guidance, and awareness of potential side ef­fects are essential in the safe use of these plants.
4.2.1 Alkaloids
Alkaloids are nitrogen-containing compounds that can have strong physiological ef­fects on humans. Many medicinal plants contain alkaloids that, in controlled doses, can have therapeutic effects, but in higher concentrations, they may become toxic. At­ropine (from Atropa belladonna): used in medicine to dilate pupils and treat bradycar­dia (slow heart rate). However, excessive intake can cause hallucinations, seizures, coma and even death [1]. Nicotine (from Nicotiana tabacum): a stimulant found in to­bacco that can cause addiction. In large doses, nicotine poisoning can lead to nausea, increased heart rate, paralysis or respiratory failure, and death [2]. Morphine (from Papaver somniferum): apowerful pain reliever derived from the opium poppy, but ad­diction and overdose can lead to respiratory depression and death [3].
Chapter 4 Medicinal and aromatic plants that are toxic 157
Table 4.1: Toxic phytochemicals according to their secondary metabolite groups, showing their plant origin and toxic effects.
Secondary metabolite group
Alkaloids Atropine Atropa belladonna
Glycosides Digoxin Digitalis purpurea
Proteins (toxins) Ricin Ricinus communis (castor
Terpenoids Aconitine Aconitum spp.
Phenolic compounds Cicutoxin Cicuta spp. (water
Saponins Ginsenosides Panax spp. (ginseng) High doses can cause vomiting,
Cyanogenic glycosides
Phytochemical compound
Strychnine Strychnos nux-vomica
Coniine Conium maculatum
Amandin Prunus spp. (bitter
Abrin Abrus precatorius (rosary
Amygdalin Prunus spp. (bitter
Plant origin Toxic effects
(deadly nightshade)
(nux vomica)
(hemlock)
(foxglove)
almonds)
bean)
pea)
(monkshood, wolfsbane)
hemlock)
almond and cherry)
Dry mouth, blurred vision, hallucinations, and death in high doses
Muscle spasms, convulsions, and death from respiratory failure
Respiratory paralysis and death
Cardiac arrhythmias, heart failure, and death
Cyanide poisoning causing respiratory distress and coma
Inhibits protein synthesis, organ failure, and death
Similar to ricin, inhibits protein synthesis, and fatal in small doses
Nausea, vomiting, cardiac arrest, and death
Seizures, vomiting, respiratory failure, death
diarrhea, and toxicity
Cyanide release, respiratory failure, and death
4.2.2 Glycosides
Glycosides are molecules that consist of a sugar and another functional group, often a toxic compound. They are often found in medicinal plants, particularly those used for heart conditions. Digitalis glycosides (from Digitalis purpurea): used to treat heart con­ditions like atrial fibrillation. While therapeutic in low doses, an overdose can lead to life-threatening cardiac toxicity, arrhythmias, and cardiac arrest. Digitalis glycosides strengthen the heart muscle but can be lethal in overdose [4]. Cyanogenic glycosides (from Prunus species like cherry and apricot): release cyanide when metabolized,
158 Nuraniye Eruygur and Sanem Hoşbaş Coşkun
which can inhibit cellular respiration and lead to poisoning [5]. The toxic effects of cyanogenic glycosides are rapid breathing, seizures, and death. Fresh, cyanophoric plant materials have higher amounts of glycosides than processed foods that are often fed to pigs and poultry. Certain plants have the ability to collect high amounts of cya­nogenic glycosides, which when consumed, turn into prussic acid. When stressed, stunted plants start to develop after drought breaks the danger of prussic acid toxicity in animals is significantly elevated. A powerful toxin, prussic acid enters an animal’s circulation and travels throughout its body after consumption. The animal then dies from hypoxia as a result of the disruption of the mitochondria’s electron transport chain (ETC), which prevents the use of oxygen [6].
4.2.3 Essential oils
Essential oils of some plants are used in aromatherapy but can be toxic in large quan­tities. Essential oils are highly concentrated plant extracts that contain volatile com­pounds. While they are used for therapeutic purposes such as in aromatherapy, some can be toxic if ingested or used improperly. Thujone (from Artemisia absinthium – wormwood): Known for its presence in absinthe. In large amounts, thujone can cause convulsions, seizures, neurological damage, hallucinations, and even brain damage [7]. Eugenol (from Syzygium aromaticum – cloves): commonly used for dental pain re­lief. However, eugenol in high doses can cause liver toxicity [8]. The essential oils like cinnamon oil or clove oil have effects of skin irritation and allergic reactions.
4.2.4 Saponins
Saponins are naturally occurring glycosides found in many plants. They have a soap­like property when mixed with water, and some can be toxic when ingested. Solanine (from Solanum species like potatoes and tomatoes): Solanine is a toxic glycoalkaloid found in green potatoes and can cause gastrointestinal irritation, diarrhea nausea, vomiting, and even death if consumed in large amounts. It can also lead to hemolysis (destruction of red blood cells) in extreme cases [9].
4.2.5 Coumarins
Coumarins are plant-derived chemicals that have anticoagulant properties, while some are used in medicine (like warfarin). Toilet soap and detergents, toothpaste, to­bacco products, and some alcoholic drinks all contain coumarin, which is utilized as a fixative and enhancing factor in fragrances [10]. They can be toxic in large quantities. Dicoumarol (from Melilotus species): Found in spoiled sweet clover, it can lead to ex-
Chapter 4 Medicinal and aromatic plants that are toxic 159
cessive bleeding and internal hemorrhage when ingested in large amounts. Primary lymphedema and lymphedema brought on by radiation therapy or surgery for breast cancer can both be effectively treated with coumarin. However, because of the poten­tial for hepatotoxicity, which primarily manifests as mild to moderate transaminase increase, its clinical usage is restricted in a number of countries [11].

4.3 Poisonous medicinal plants

Throughout history, many poisonous plants have also been utilized for their medici­nal properties. While they can provide significant health benefits when used correctly and in controlled doses, their toxic nature makes them potentially dangerous when misused. Poisonous medicinal plants such as Digitalis, Atropa belladonna, Aconitum, Conium, and Nerium oleander serve as a reminder that many plants hold both healing and dangerous properties (Table 4.2). While their toxic components can be beneficial in controlled medical use, their potential to cause harm, even in small amounts, ne­cessitates careful handling, professional oversight, and clear public awareness. This section explores some of the most well-known poisonous medicinal plants, their uses, and their potential risks.
Table 4.2: Some common medicinal and aromatic plants that are known to be toxic, along with their potential toxic compounds and symptoms of toxicity.
Plant name Toxic
compounds
Atropa belladonna Tropane alkaloids
(e.g., atropine and scopolamine)
Aconitum (monkshood) Aconitine
alkaloids
Digitalis purpurea Cardiac
glycosides (e.g., digoxin)
Nerium oleander Oleandrin
(cardiac glycoside)
Symptoms of toxicity Notes
Dilated pupils, blurred vision, tachycardia, dry mouth, urinary retention, seizures, and death in extreme cases
Nausea, vomiting, abdominal pain, dizziness, arrhythmia, respiratory failure, and death
Vomiting, diarrhea, heart arrhythmias, confusion, dizziness, and death
Vomiting, diarrhea, bradycardia, arrhythmia, heart block, and death
Highly toxic, especially when consumed in large quantities; historically used as a poison and in medicine for certain conditions
Used in traditional medicine, but highly toxic; even small doses can be fatal
Widely used in heart treatment, but overdose can cause severe cardiac toxicity
All parts of the plant are highly toxic, especially when ingested
160 Nuraniye Eruygur and Sanem Hoşbaş Coşkun
Table 4.2 (continued)
Plant name Toxic
compounds
Ricinus communis Ricin, a highly
toxic protein
Conium maculatum Coniine, an
alkaloid
Taxus baccata (yew) Taxine alkaloids Nausea, vomiting, dizziness,
Hyoscyamus niger Tropane alkaloids
(e.g., hyoscyamine)
Cicuta virosa
(water hemlock)
Silybum marianum
(milk thistle)
Lavandula stoechas Camphor and
Ruta graveolens
(rue)
Toxicodendron radicans
(poison ivy)
Cicutoxin Seizures, respiratory
Silymarin (in large doses)
thujone
Furanocoumarins (e.g., rutin)
Urushiol (a resin) Skin irritation, rashes,
Symptoms of toxicity Notes
Abdominal pain, vomiting, diarrhea, organ failure, and death
Drooping eyelids, dilated pupils, weakness, respiratory failure, and death
difficulty breathing, and death
Dilated pupils, tachycardia, dry mouth, confusion, hallucinations, and seizures
distress, vomiting, convulsions, and death
Gastrointestinal distress, nausea, vomiting, and allergic reactions
Dizziness, seizures, confusion, respiratory issues, dermatitis, and neurotoxicity in excessive use
Skin irritation, photosensitivity, nausea, vomiting, and liver damage
itching, and blisters
Castor bean plant, highly toxic when seeds are ingested; ricin is one of the strongest known poisons
Also known as poison hemlock; historically used as a poison in executions
Extremely toxic; every part of the plant is poisonous, with the exception of the red arils, which comprise the fruit’s fleshy portion
Known as henbane; used in folk medicine, but toxic at higher doses
Ingestion of any part of the plant can be fatal
Typically used for liver health; large doses can cause adverse effects
Camphor is toxic in high amounts, especially when ingested or applied topically in large doses
Toxic when ingested in large quantities or applied directly to the skin
Causes contact dermatitis upon exposure to the resin found in the plant
4.3.1 Digitalis purpurea (foxglove)
Foxglove contains cardiac glycosides, primarily digitoxin and digoxin. These com­pounds affect the sodium-potassium balance in heart cells, leading to stronger heart
Chapter 4 Medicinal and aromatic plants that are toxic 161
contractions. Foxglove has been used for centuries as a heart tonic in folk medicine. Digoxin, derived from foxglove, is used to treat certain heart conditions, such as heart failure and atrial fibrillation. It increases the force of heart contractions and slows down the heart rate [12].
Symptoms of poisoning include nausea, vomiting, diarrhea, confusion, visual dis­turbances (seeing halos or blurred vision), and potentially fatal heart arrhythmias. In­gesting a small amount of the plant can be lethal if not treated immediately [4]. Car­diac glycosides have been a key component in the therapy of congestive heart failure since William Withering’s dissertation on the efficacy of the leaves of the common foxglove plant (Digitalis purpurea) in the late eighteenth century codified its use. The effectiveness and safety of this class of medications are still up for the question, de­spite their broad adoption into medical practice during the next 200 years. Further­more, although the molecular target for the cardiac glycosides – the α-subunit of sar­colemmal Na membranes – has been known for several decades, it is still unclear whether the sym­patholytic or positive inotropic effects of these agents are the mechanisms most rele­vant to alleviating heart failure symptoms [13].
+-K+
-ATPase (or sodium pump) found on most eukaryotic cell
4.3.2 Atropa belladonna (deadly nightshade)
Atropa belladonna contains tropane alkaloids, mainly atropine, scopolamine, and hyo­scyamine. These alkaloids act as anticholinergics, blocking acetylcholine receptors in the nervous system. Historically, belladonna was used in Italy to dilate women’s pupils (hence the name “beautiful lady” or “belladonna”). Atropine, extracted from bella- donna, is used in medicine as a muscle relaxant, to treat bradycardia (slow heart rate), and as an antidote for certain types of poisonings (such as organophosphates). Scopolamine is used for motion sickness and postoperative nausea. Toxic effect symp­toms include dry mouth, blurred vision, difficulty swallowing, confusion, hallucina­tions, seizures, and respiratory failure. Death can occur if large quantities are in­gested. As little as 10–20 berries can be fatal for adults, while even fewer are deadly for children [14].
4.3.3 Aconitum napellus (monkshood, aconite)
Aconitine and related alkaloids are found in the Aconitum species, a potent neuro­toxin and cardiotoxin. Aconitine interferes with sodium channels in nerves and muscles, leading to abnormal electrical activity. The wild plant is highly hazardous, particularly the roots and root tubers. Accidental eating of the wild plant or ingestion of a herbal decoction prepared from aconite roots can result in severe aconite poison­ing. Aconite roots are only utilized in traditional Chinese medicine after being proc-
162 Nuraniye Eruygur and Sanem Hoşbaş Coşkun
essed to lessen their harmful alkaloid content. Aconite alkaloids will be hydrolyzed into less toxic and nontoxic derivatives by soaking and boiling during processing or decoction production. However, the danger of poisoning is increased by using a dose that is higher than is advised and by improper processing [15]. Historically, aconite was used in traditional Chinese medicine for its analgesic and anti-inflammatory properties. It was also applied topically to treat joint pain and rheumatism. Some components of aconite are still used in modern Chinese herbal medicine in highly reg­ulated, detoxified forms for pain relief and inflammation [16]. The toxic effect symp­toms of aconitine poisoning include tingling or numbness of the face and limbs, vom­iting, diarrhea, difficulty breathing, irregular heartbeats, paralysis, and death due to respiratory or cardiac arrest. Even a small amount of the raw plant (as little as 2 mg of aconitine) can be fatal.
4.3.4 Conium maculatum (hemlock)
Hemlock contains coniine, a neurotoxin that disrupts communication between the central nervous system and muscles by blocking nicotinic acetylcholine receptors. In ancient Greece, hemlock was infamously used as a method of execution, most notably in the case of the philosopher Socrates [17]. Despite its toxic nature, small amounts were used in the past to treat muscle spasms and arthritis. Due to its extreme toxicity, hemlock is no longer used in modern medicine. Toxic effect symptoms include muscle weakness, paralysis, respiratory failure, and death. The paralysis caused by hemlock moves from the extremities toward the core, ultimately leading to respiratory failure as the diaphragm is paralyzed. A very small dose, around 0.5 g of the plant, can be fatal [18].
4.3.5 Nerium oleander (oleander)
Oleander contains cardiac glycosides, primarily oleandrin and neriine, which have ef­fects similar to those of digitalis. These compounds interfere with the electrolyte bal­ance of heart cells, potentially leading to fatal arrhythmias. Oleander was used in folk medicine as a treatment for a variety of ailments, including heart conditions and skin diseases. Some research has explored the use of oleandrin in cancer treatment, though its extreme toxicity makes this highly experimental. Toxic effects of oleander poisoning include nausea, vomiting, abdominal pain, dizziness, arrhythmias, and po­tentially cardiac arrest [19]. Both ingestion and inhalation of oleander smoke can be fatal. Ingesting one leaf is potentially lethal for an adult, and even small amounts can kill a child [20].