Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk

toxicity was observed to cause nausea, vomiting, hypotension, bradycardia, abdominal pain, light-headedness, blurred vision, and tingling in the arms. Patients experiencing mild symptoms improved with supportive care, IV fluids, and antiemetics, but hemodynamically unstable patients required atropine and vasopressors. This study demonstrated that more lipophilic alkaloids can be passed along in breast milk, which suggests additional precautions may be critical to limit further poisonings.