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Castor Bean and Jequirity Bean Poisoning Treatment & Management

  • Author: William Gluckman, DO, MBA, FACEP; Chief Editor: Timothy E Corden, MD  more...
Updated: Apr 29, 2015

Medical Care

See the list below:

  • The first priority in treating a patient with castor or jequirity bean poisoning is to establish that the patient's airway is patent and that breathing and circulation are adequate.
  • Supportive care that is based on clinical symptoms is the primary therapy. Replace GI fluid losses with intravenous fluids.
  • Whole bowel irrigation (WBI) has been suggested to ensure rapid and complete decontamination of the GI tract; however, the clinical use of WBI has not been demonstrated. In theory, rapid elimination of the bean before erosion of the outer shell may decrease or prevent the release of potent toxins. Consult the nearest regional poison control center before undertaking WBI.
  • Count beans to assure complete recovery.
  • Patients should remain under observation for at least 4-6 hours. Asymptomatic patients may be discharged safely after this period.
  • Once the patient is symptomatic, supportive care involves attention to fluid, glucose, and electrolyte replacement.


See the list below:

  • Report all exposures to the regional poison control center.
  • The American Association of Poison Control Centers (AAPCC) is the only national organization currently tracking all potentially poisonous ingestions and may be helpful in bean identification.
  • Expert consultation with a trained toxicologist is also recommended and can be obtained at the regional poison control center.
Contributor Information and Disclosures

William Gluckman, DO, MBA, FACEP President and CEO, FastER Urgent Care

William Gluckman, DO, MBA, FACEP is a member of the following medical societies: American College of Emergency Physicians, American Association for Physician Leadership

Disclosure: Nothing to disclose.

Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Jeffrey R Tucker, MD Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Connecticut School of Medicine, Connecticut Children's Medical Center

Disclosure: Received salary from Merck for employment.

Chief Editor

Timothy E Corden, MD Associate Professor of Pediatrics, Co-Director, Policy Core, Injury Research Center, Medical College of Wisconsin; Associate Director, PICU, Children's Hospital of Wisconsin

Timothy E Corden, MD is a member of the following medical societies: American Academy of Pediatrics, Phi Beta Kappa, Society of Critical Care Medicine, Wisconsin Medical Society

Disclosure: Nothing to disclose.

Additional Contributors

Michael E Mullins, MD Assistant Professor, Division of Emergency Medicine, Washington University in St Louis School of Medicine; Attending Physician, Emergency Department, Barnes-Jewish Hospital

Michael E Mullins, MD is a member of the following medical societies: American Academy of Clinical Toxicology, American College of Emergency Physicians

Disclosure: Received stock ownership from Johnson & Johnson for none; Received stock ownership from Savient Pharmaceuticals for none.


Gregory S Sugalski, MD Staff Physician, Department of Emergency Medicine, University of Medicine and Dentistry of New Jersey Hospital

Gregory S Sugalski, MD is a member of the following medical societies: American Medical Association and Emergency Medicine Residents Association

Disclosure: Nothing to disclose.


The authors would like to thank John Kashani, DO, FACEP, for his review and comments.

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Castor bush.
Castor beans.
Jequirity bush.
Jequirity beans.
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