Herb Poisoning Treatment & Management

Updated: Nov 16, 2019
  • Author: Fermin Barrueto, Jr, MD, FAAEM, FACEP; Chief Editor: Michael A Miller, MD  more...
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Approach Considerations

Prehospital care is supportive. Emergency personnel should do the following, as needed:

  • Stabilize the airway, assess respiration, and initiate respiratory assistance
  • Assess blood pressure and pulse; initiate advanced cardiac life support (ACLS) resuscitation

Emergency department care consists of supportive care, ACLS, and decontamination protocols. Specific treatments depend on the substance or substances ingested but can include agents such as the following:



Consider consultation with the local poison control center and medical toxicologist. They may know of recent similar case presentations in the area and assist with management.

Information on adverse reactions (eg, product recalls because of contamination) can be obtained at the US Food and Drug Administration (FDA) Safety Information and Adverse Event Reporting Program Report (MedWatch). Serious drug interactions or toxicity from herbal preparations should also be reported to MedWatch for further investigation. The telephone number for reporting is 1-800-FDA-1088.