The Nightshade Family: A Source of Anticholinergics
The majority of plants with significant anticholinergic properties belong to the nightshade family, known scientifically as Solanaceae. This diverse family includes both familiar food staples, such as tomatoes and potatoes, and highly toxic ornamental and wild species. The danger lies in the concentration and type of alkaloids, which can vary dramatically between species and even different parts of the same plant. The primary compounds responsible for the anticholinergic effects are tropane alkaloids, including atropine, scopolamine, and hyoscyamine. These compounds competitively block muscarinic acetylcholine receptors, which regulate numerous involuntary bodily functions.
Prominent Anticholinergic Plants
Many of these toxic plants are found worldwide, and their potent effects have been recognized for centuries. Identifying them is the first step in prevention.
Deadly Nightshade (Atropa belladonna)
Arguably one of the most famous poisonous plants, deadly nightshade is native to Europe and Western Asia and has been introduced to parts of North America. All parts of the plant are extremely toxic, particularly the sweet-tasting, black berries, which pose a significant risk to children. The foliage contains high levels of the alkaloids atropine, scopolamine, and hyoscyamine. Historically, the berries' juice was used by women to dilate their pupils, a practice that inspired the plant's Latin name, 'beautiful lady'.
Jimson Weed (Datura stramonium)
Also known as thorn apple, devil's weed, or stinkweed, jimson weed is an aggressive invasive plant found in temperate and tropical regions globally. All parts of the plant contain high levels of tropane alkaloids, with the leaves and seeds having the highest concentrations. Ingestion, smoking, or brewing of the plant can cause severe anticholinergic syndrome, often including profound disorientation, amnesia, and terrifying hallucinations. Recreational use has led to numerous hospitalizations and, in some cases, death.
Henbane (Hyoscyamus niger)
Black henbane is a foul-smelling plant native to Eurasia but now widely distributed. It produces scopolamine and atropine, which have historically been used for both medicinal purposes and as a poison. The anticholinergic effects cause sedation, hallucinations, and delirium. In ancient times, extracts of henbane and other nightshades were absorbed transdermally via ointments, reportedly leading to feelings of flying.
Angel's Trumpet (Brugmansia species)
These large, ornamental shrubs are recognizable by their distinctive trumpet-shaped, drooping flowers. All parts of the plant are poisonous, particularly the seeds and leaves, and contain high levels of scopolamine and atropine. Intentional ingestion for hallucinogenic effects has resulted in severe anticholinergic toxicity, with some users reporting unpleasant, terrifying hallucinations.
Mandrake (Mandragora officinarum)
Native to the Mediterranean, mandrake is a solanaceous plant with a thick, often forked root that has long been associated with folklore and magic. It contains anticholinergic tropane alkaloids and can cause severe atropine-like poisoning. Accidental intoxication has occurred when the plant was mistaken for edible vegetables like chard or spinach.
The Mechanism of Anticholinergic Action
Anticholinergic plants exert their effects by blocking the action of acetylcholine, a key neurotransmitter in both the central and peripheral nervous systems. The tropane alkaloids act as competitive antagonists at muscarinic acetylcholine receptors. This blockade disrupts the parasympathetic nervous system's ability to regulate involuntary activities, leading to the characteristic constellation of symptoms known as the anticholinergic toxidrome. Since the alkaloids (especially scopolamine) can cross the blood-brain barrier, they also cause central nervous system effects like hallucinations and delirium.
Anticholinergic Toxidrome Symptoms
Ingestion of anticholinergic plants can result in a predictable set of symptoms. The classic mnemonic for anticholinergic syndrome is "blind as a bat, dry as a bone, red as a beet, mad as a hatter, and hot as a hare".
Common symptoms include:
- Blind as a bat: Dilated pupils (mydriasis) leading to blurred vision and sensitivity to light.
- Dry as a bone: Extremely dry mouth and throat, decreased sweating.
- Red as a beet: Flushed, hot, and dry skin.
- Mad as a hatter: Confusion, delirium, agitation, and hallucinations.
- Hot as a hare: High body temperature (hyperthermia) due to lack of sweating.
- Other effects: Rapid heart rate (tachycardia), urinary retention, and constipation or ileus.
Comparison of Key Anticholinergic Plants
Feature | Deadly Nightshade | Jimson Weed | Henbane | Angel's Trumpet |
---|---|---|---|---|
Botanical Name | Atropa belladonna | Datura stramonium | Hyoscyamus niger | Brugmansia species |
Key Alkaloids | Atropine, Scopolamine, Hyoscyamine | Atropine, Scopolamine, Hyoscyamine | Scopolamine, Hyoscyamine | Scopolamine, Atropine |
Toxic Parts | All parts, especially berries and roots | All parts, seeds and leaves highly toxic | All parts, including leaves and seeds | All parts, seeds and leaves particularly dangerous |
Distinguishing Feature | Glossy, purple-black berries | Large, spiny fruit (thorn apple) | Sticky, hairy leaves and unpleasant odor | Large, pendulous, trumpet-shaped flowers |
Primary Effect | Delirium, hallucinations, risk to children | Intense hallucinations, amnesia, delirium | Sedation, delirium, sometimes used historically for rituals | Terrifying hallucinations, severe anticholinergic toxidrome |
Geographic Range | Native to Europe, parts of Asia; naturalized elsewhere | Found worldwide in temperate and tropical areas | Native to Eurasia; widely distributed | Native to South America; cultivated as an ornamental |
Other Anticholinergic and Related Plants
While the nightshade family is the most notorious source, trace amounts of anticholinergic compounds have been noted in other plants. It is important to note that most food crops in the nightshade family, such as tomatoes, potatoes, and eggplants, contain only trace amounts of alkaloids in their unripe stages and are not considered a significant risk. Other related genera, including Duboisia and Solandra, also contain tropane alkaloids.
Precautions and Dangers
The most significant risk associated with anticholinergic plants comes from accidental ingestion, often by children mistaking berries for edible fruit, or deliberate misuse by adolescents seeking hallucinogenic effects. Symptoms can begin within 30 to 60 minutes after ingestion and can last for 24 to 48 hours, or even longer in severe cases. Treatment typically involves supportive care and, in severe cases, the administration of an antidote like physostigmine, which reverses both the central and peripheral effects. For comprehensive information on plant poisoning, resources like the California Poison Control System offer valuable guidance.
Conclusion
In summary, a variety of plants, predominantly from the nightshade family, are anticholinergic due to their tropane alkaloid content. Species like deadly nightshade, jimson weed, henbane, and angel's trumpet pose a significant toxic risk and should be recognized and avoided. The potent effects of these plants on the nervous system underscore the importance of public awareness and proper identification to prevent dangerous, and potentially fatal, poisonings. If ingestion is suspected, immediate medical attention is necessary due to the severity of the anticholinergic toxidrome.