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Green False Hellebore (Veratrum album)

Description

“Pet poisonous” – Toxic parts: roots, leaves, seeds Veratrum Album (commonly known as false helleborine, white hellebore, European white hellebore, or white veratrum; syn. Veratrum lobelianum Bernh) is a poisonous medicinal plant of the Liliaceae or Melanthiaceae. It is native to Europe and parts of western Asia (western Siberia, Turkey, Caucasus). In Persian and Arabic, its name in traditional medicine is خربق ابیض. Veratrum album is a tall perennial herb with alternate, pleated leaves. The flowers are white, marked with green on the top portion of the stalk. The fruit is a small pod containing winged seeds. The stout, simple stems are 50 to 175 cm tall. They are commonly mistaken for Yellow Gentian, Gentiana lutea, which is used in beverages, resulting in poisoning. All part of the plant are poisonous, including its aroma. The plants have an estimated lifespan of several centuries and often achieve dominance in wild areas as they are unpalatable to grazing herbivores. Veratrum Album contains over fifty steroidal alkaloids called 'Veratrum alkaloids', including O-acetyljervine, cevadine, cryptenamine, cyclopamine (11-deoxojervine), cycloposine, germitrine, germidine, jervine, muldamine, protoveratrine (A&B), veratramine, veratridine, and veriloid. Some of the principal toxins have a modified steroid template while others differ in their esterified acid moieties. In general, Veratrum alkaloids act by increasing the permeability of the sodium channels of nerve cells, causing them to fire continuously. Increased stimulation, associated with the vagus nerve, results in the Bezold-Jarisch reflex: hypotension, bradycardia and apnoea. Treatment for Veratrum alkaloid poisoning include supportive care and symptomatic treatments, such as fluid replacement and anti-emetics. Atropine and vasopressors act to combat bradycardia and hypotension. Duration of illness can last up to ten days but full recovery is possible within a few hours depending on dose and treatment.

Taxonomic tree

  • Domain: Eukarya

    • Kingdom: Plantae

      • Phylum: Magnoliophyta

        • Class: Liliopsida

          • Order: Liliales

            • Family: Melanthiaceae

              • Genus: Veratrum