Digitalis purpurea is a poisonous plant belonging to scrophulariaceae family. This plant is a native of Europe but now grows in many parts of the world including India.
Active principles of this plant are glycosides like :
Signs and Symptoms
Nausea, Vomiting, Abdominal pain, Burning sensation, diarrhea, Bradycardia, Heart block, Fibrillation, Slow respiration, Drowsiness, Coma, Convulsions, Death.
2 to 3 gm of digitalis
Half an hour to twenty four hours
- Gastric lavage with a solution of tannic acid.
- Atropine 0.6 mg subcutaneously to combat bradycardia.
- Procainamide 100 mg I.V or Lignocaine 50 mg I.V for ventricular tachycardia under continuous E.C.G observation.
- Specific antidotes such as propranolol is injected I.V in the dose of 1 mg/min (max. 5 mg) to combat digitalis induced arrhythmia.
- The rest of the treatment is symptomatic.
- Nothing specific.
- There may be fragments of digitalis leaves or seeds in the stomach, which may be found congested and inflamed.
- Accidental poisoning may occur from an overdose of a medicinal preparation or from eating the leaves by mistake.
- It has occasionally been used for homicidal poisoning.
- Suicidal users are not known.