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Herbal remedy warning: Woman in life-threatening state after insomnia cure tea mix-up
A WOMAN who mistakenly used foxglove instead of comfrey leaves to make a herbal tea was rushed to hospital in a life-threatening condition.
Herbal remedy warning: Woman in life-threatening condition after tea mix-up
Writing in the journal BMJ Case Reports, doctors at King’s College Hospital say the case highlights the need to be aware of accidental ingestion of the foxglove plant in patients who use herbal remedies.
The previously well 63-year-old woman arrived at the emergency department with symptoms including vomiting, palpitations, and lightheadedness.
She had no history of heart problems, however, she admitted she had tried a new herbal remedy.
A friend had recommended her the herbal drink comfrey - Symphytum officinale - to help ease her insomnia.
Herbal remedy: The comfrey plant, pictured, resembles the foxglove
Doctors said the woman had purchased a handful of comfrey leaves from a local market and brewed them into a tea. Her symptoms began several hours later.
Heart monitoring showed an irregular heartbeat, but standard blood tests were normal.
The National Poisons Information Service (NPIS) database did not have an entry for comfrey.
However, the entry for foxglove - Digitalis purpurea - states it may be confused with comfrey herbal tea.
Herbal remedy warning: A limited knowledge of plants can be potentially fatal
The report said: “In particular during Spring, it is very difficult to distinguish between the thick leaves of comfrey and foxglove.
“This case illustrates how this subtly can lead to mistaken identity, and near-fatal consequences.
“A quick internet search suggested that the comfrey plant closely resembled the foxglove plant, which contains the organic forms of digoxin and digitoxin - active compounds that are frequently used in the treatment of irregular heart rhythm and heart failure.
Raised digoxin levels confirmed this and the patient was given an antidote.
Comfrey: The remedy is sometimes taken for insomnia
After five days of monitoring, her heart returned to normal rhythm and she was discharged from hospital.
The patient was unable to find the original leaves she had purchased in the market but was advised to contact the seller to inform them of the mistake.
“Homemade herbal remedies on the surface may seem harmless,” write the doctors. “However, this case illustrates how limited knowledge of plants can be potentially fatal.”
They have also contacted the NPIS to recommend including the risk of accidental ingestion of Digitalis under the entry for comfrey.
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Source: Daily Express