Datura
Studies and references cited across this article, graded by evidence strength.
Inconclusive means the cited source neither confirms nor refutes the claim — a lower-confidence badge, not an error.
Data points an editor reviewed and accepted for publication.
Value Provenance
Duration
oral
Predates provenance tracking — no derivation record for this dataset
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Onset | 20–120 minutes | no record | |
| Come up | 60–120 minutes | no record |
Safety
Toxicity Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Acute | critical | critical | high |
| Chronic | high | high | high |
| Organs Affected | cardiovascular, neurological, ophthalmic, renal/urinary, gastrointestinal, thermoregulatory | cardiovascular, neurological, ophthalmic, renal/urinary, gastrointestinal, thermoregulatory | high |
| Editorial | Acute toxicity is critical: narrow margin between active and lethal doses, multiple documented fatalities, no human LD50 established. Chronic toxicity rated high per work-notes, though confidence for chronic is lower (class-extrapolation from anticholinergic cognitive impairment literature, e.g. Wagg 2010, not Datura-specific chronic studies). Organs affected span cardiovascular (fatal arrhythmia), neurological (delirium, seizures, amnesia), ophthalmic (mydriasis, cycloplegia, angle-closure risk), renal/urinary (retention), GI (ileus, constipation), and thermoregulatory (hyperthermia via anhidrosis). | ||
ReasoningReasoningAcute toxicity is critical: narrow margin between active and lethal doses, multiple documented fatalities, no human LD50 established. Chronic toxicity rated high per work-notes, though confidence for chronic is lower (class-extrapolation from anticholinergic cognitive impairment literature, e.g. Wagg 2010, not Datura-specific chronic studies). Organs affected span cardiovascular (fatal arrhythmia), neurological (delirium, seizures, amnesia), ophthalmic (mydriasis, cycloplegia, angle-closure risk), renal/urinary (retention), GI (ileus, constipation), and thermoregulatory (hyperthermia via anhidrosis). Evidence basis: published_case_series | |||
Dependence Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Physical | negligible | negligible | medium |
| Psychological | negligible | negligible | medium |
| Compulsive Redosing | negligible | negligible | medium |
| Dose Escalation | negligible | negligible | medium |
| Editorial | No controlled dependence studies exist for Datura. Assessment based on case series showing users typically do not repeat use (Rodgers 1993), anticholinergic class pharmacology showing no reinforcement mechanism, and the extreme aversiveness of the experience. Seed DB 'mildly addictive' claim contradicts clinical evidence — work-notes flag this as contradictory_sources. | ||
ReasoningReasoningNo controlled dependence studies exist for Datura. Assessment based on case series showing users typically do not repeat use (Rodgers 1993), anticholinergic class pharmacology showing no reinforcement mechanism, and the extreme aversiveness of the experience. Seed DB 'mildly addictive' claim contradicts clinical evidence — work-notes flag this as contradictory_sources. Evidence basis: published_case_series | |||
Withdrawal Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Severity | none | none | low |
| Symptoms | — | — | low |
| Fatal | No | No | low |
| Medical Supervision | Not required | Not required | low |
| Editorial | No withdrawal syndrome has been documented for Datura plant exposure. Cholinergic rebound (excessive sweating, GI cramping, bradycardia) is theoretically possible after chronic anticholinergic medication use but is undocumented for Datura specifically. Most users do not repeat the experience, making chronic exposure and withdrawal clinically irrelevant. | ||
ReasoningReasoningNo withdrawal syndrome has been documented for Datura plant exposure. Cholinergic rebound (excessive sweating, GI cramping, bradycardia) is theoretically possible after chronic anticholinergic medication use but is undocumented for Datura specifically. Most users do not repeat the experience, making chronic exposure and withdrawal clinically irrelevant. Evidence basis: published_case_series | |||
Tolerance Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Buildup | moderate | moderate | low |
| Half-life | 5 days | 5 days | low |
| Full Reset | 10 days | 10 days | low |
| Cross-tolerances | atropine, scopolamine (pharmaceutical), diphenhydramine, other muscarinic antagonists | atropine, scopolamine (pharmaceutical), diphenhydramine, other muscarinic antagonists | low |
| Editorial | Work-notes explicitly flag all tolerance values as unverified seed DB data requiring confidence=low and structural_analogy provenance. No published Datura-specific tolerance studies exist. Buildup, half-life, and reset values are carried forward from Curiosity v1 DB without verification. Cross-tolerance inferred from anticholinergic class pharmacology (reference compounds: atropine, scopolamine pharmaceutical formulations). | ||
ReasoningReasoningWork-notes explicitly flag all tolerance values as unverified seed DB data requiring confidence=low and structural_analogy provenance. No published Datura-specific tolerance studies exist. Buildup, half-life, and reset values are carried forward from Curiosity v1 DB without verification. Cross-tolerance inferred from anticholinergic class pharmacology (reference compounds: atropine, scopolamine pharmaceutical formulations). Evidence basis: structural_analogy | |||
Effects & Profile
Contraindications
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| pregnancy breastfeeding Pregnancytrace | absolute | absolute | high |
| Editorial | Placental transfer of scopolamine confirmed in pharmacokinetic literature (cited in article prose). No safe dose established for any Datura preparation, making fetal exposure risk unacceptable. | ||
ReasoningReasoningPlacental transfer of scopolamine confirmed in pharmacokinetic literature (cited in article prose). No safe dose established for any Datura preparation, making fetal exposure risk unacceptable. | |||
| other Angle-closure glaucomatrace | absolute | absolute | high |
| Editorial | Mydriasis is a defining anticholinergic sign (frequency ~0.95 in case series). Angle-closure precipitation by anticholinergic mydriatics is well-established in ophthalmology. Article prose lists this as an absolute contraindication. | ||
ReasoningReasoningMydriasis is a defining anticholinergic sign (frequency ~0.95 in case series). Angle-closure precipitation by anticholinergic mydriatics is well-established in ophthalmology. Article prose lists this as an absolute contraindication. | |||
| renal Urinary obstruction / BPHtrace | absolute | absolute | high |
| Editorial | Urinary retention is a consistent finding in anticholinergic toxidrome case series (Rodgers 1993, Groszek 2000). Pre-existing obstruction dramatically increases risk of complete retention requiring catheterization. | ||
ReasoningReasoningUrinary retention is a consistent finding in anticholinergic toxidrome case series (Rodgers 1993, Groszek 2000). Pre-existing obstruction dramatically increases risk of complete retention requiring catheterization. | |||
| cardiovascular Cardiovascular diseasetrace | relative | relative | high |
| Editorial | Tachycardia is a defining anticholinergic sign. Fatal arrhythmia documented in at least one Datura case report. Article prose and work-notes both list this as a relative contraindication with high confidence. | ||
ReasoningReasoningTachycardia is a defining anticholinergic sign. Fatal arrhythmia documented in at least one Datura case report. Article prose and work-notes both list this as a relative contraindication with high confidence. | |||
| age Elderly individualstrace | relative | relative | high |
| Editorial | Anticholinergic cognitive risk in elderly is well-established in geriatric pharmacology literature (Wagg 2010). Work-notes list this with high confidence. | ||
ReasoningReasoningAnticholinergic cognitive risk in elderly is well-established in geriatric pharmacology literature (Wagg 2010). Work-notes list this with high confidence. | |||
| age Pediatric populationstrace | relative | relative | high |
| Editorial | Pediatric case report (Sanlidag 2014, PMID 25341608) documents severe toxicity from accidental ingestion. Article prose and work-notes both list this with high confidence. | ||
ReasoningReasoningPediatric case report (Sanlidag 2014, PMID 25341608) documents severe toxicity from accidental ingestion. Article prose and work-notes both list this with high confidence. | |||
| psychiatric Psychiatric illness (psychosis history)trace | relative | relative | high |
| Editorial | Psychosis rate of 70% (12/17) in the Swiss case series (Jaspersen-Schib 1996) provides strong evidence. Work-notes list with high confidence. | ||
ReasoningReasoningPsychosis rate of 70% (12/17) in the Swiss case series (Jaspersen-Schib 1996) provides strong evidence. Work-notes list with high confidence. | |||
| other Concurrent anticholinergic medicationstrace | relative | relative | high |
| Editorial | Pharmacovigilance data (Montastruc 2018) and extensive clinical anticholinergic burden literature. Article prose details this interaction. Work-notes list with high confidence. | ||
ReasoningReasoningPharmacovigilance data (Montastruc 2018) and extensive clinical anticholinergic burden literature. Article prose details this interaction. Work-notes list with high confidence. | |||
| hepatic Hepatic impairmenttrace | relative | relative | medium |
| Editorial | Mechanism-based inference from scopolamine CYP3A4 pharmacokinetics. No direct Datura data. Work-notes list with medium confidence and flag as structural inference. | ||
ReasoningReasoningMechanism-based inference from scopolamine CYP3A4 pharmacokinetics. No direct Datura data. Work-notes list with medium confidence and flag as structural inference. | |||
| other Paralytic ileustrace | absolute | absolute | high |
| Editorial | Class-level anticholinergic contraindication listed in work-notes. Well-established in anticholinergic pharmacology; applies to all muscarinic antagonists including Datura alkaloids. | ||
ReasoningReasoningClass-level anticholinergic contraindication listed in work-notes. Well-established in anticholinergic pharmacology; applies to all muscarinic antagonists including Datura alkaloids. | |||
| neurological Myasthenia gravistrace | absolute | absolute | high |
| Editorial | Class-level anticholinergic contraindication from work-notes. Standard pharmacology reference for muscarinic antagonists. | ||
ReasoningReasoningClass-level anticholinergic contraindication from work-notes. Standard pharmacology reference for muscarinic antagonists. | |||
| cardiovascular Tachyarrhythmiatrace | absolute | absolute | high |
| Editorial | Class-level anticholinergic contraindication from work-notes, reinforced by fatal arrhythmia case report (Le Garff 2016) cited in article prose. | ||
ReasoningReasoningClass-level anticholinergic contraindication from work-notes, reinforced by fatal arrhythmia case report (Le Garff 2016) cited in article prose. | |||
Dose Tier Summaries
No reliable threshold dose has been established for any Datura preparation. The boundary between sub-perceptual and overtly toxic exposure is unpredictable and varies by species, plant organ, growing season, and individual plant specimen. Alkaloid concentrations differ by orders of magnitude between preparations. Even quantities described as "a few seeds" in case reports produced full anticholinergic syndrome including mydriasis, tachycardia, and dry mouth. The EFSA acute reference dose for combined hyoscyamine and scopolamine is 0.016 µg/kg body weight — an extraordinarily low value reflecting the potency of these alkaloids. No dose of Datura plant material can be considered predictably sub-active. Any ingestion carries risk of anticholinergic toxidrome.
Work-notes explicitly state Phase 2 should NOT write conventional dose tier summaries. No controlled dose-finding studies exist. EFSA ARfD cited from research output. Written as safety warning per work-notes directive.
ReasoningReasoning
Work-notes explicitly state Phase 2 should NOT write conventional dose tier summaries. No controlled dose-finding studies exist. EFSA ARfD cited from research output. Written as safety warning per work-notes directive.
Evidence basis: published_case_series
No light dose range has been established for any Datura preparation. Case reports do not distinguish between "light" and "common" exposures — all documented ingestions produced clinically significant anticholinergic syndrome regardless of reported quantity. The extreme variability in alkaloid content between individual plants, organs, and seasons makes any attempt to identify a predictable light-effect dose range impossible. A quantity that produces mild effects from one plant specimen may produce life-threatening toxicity from another. Peripheral anticholinergic signs — pupil dilation, dry mouth, tachycardia — appear at the lowest active doses and cannot be separated from the onset of potentially severe central effects.
No dose-response data exist for Datura. Work-notes state all tiers should be written as safety warnings. Case series (Rodgers 1993) show all reported ingestions produced anticholinergic syndrome.
ReasoningReasoning
No dose-response data exist for Datura. Work-notes state all tiers should be written as safety warnings. Case series (Rodgers 1993) show all reported ingestions produced anticholinergic syndrome.
Evidence basis: published_case_series
No common recreational dose exists for Datura. The concept of a predictable, tolerable dose range does not apply to this substance. In a case series of 29 intentional ingestions (Rodgers 1993), reported amounts ranged from "a few seeds" to half a cup — all patients developed anticholinergic syndrome with mydriasis, tachycardia, flushing, and hallucinations. At doses producing the characteristic delirium, effects include external hallucinations indistinguishable from reality, dense amnesia, confusion, motor control impairment, temperature dysregulation, and restlessness. The experience persists 12–48 hours with residual cognitive impairment extending beyond subjective recovery. Every ingestion at this level carries genuine risk of medical emergency. Fatalities have occurred at doses within the range reported by surviving patients.
Work-notes: no safe 'common' dose exists. Rodgers 1993 case series provides the only dose-range data, and all cases resulted in toxidrome. Written as safety-contextualized description of what case reports document.
ReasoningReasoning
Work-notes: no safe 'common' dose exists. Rodgers 1993 case series provides the only dose-range data, and all cases resulted in toxidrome. Written as safety-contextualized description of what case reports document.
Evidence basis: published_case_series
At higher exposures, the anticholinergic syndrome intensifies to include severe delirium with complete loss of reality contact, profound confusion, agitation or obtundation, and near-total anterograde amnesia. Tachycardia may progress to cardiac arrhythmia. Hyperthermia from anhidrosis becomes life-threatening without active cooling. Seizures, acute psychosis, and coma have been documented at these exposure levels. The Swiss Toxicology Center review found psychosis in 12 of 17 severe cases, with 2 additional cases of coma (Jaspersen-Schib 1996). Groszek 2000 reported 5 of 7 patients requiring physostigmine antidote at doses of 2–6 mg. Risk of accidental self-harm, falls, and trauma during the delirious state is substantial due to motor impairment, spatial disorientation, and inability to distinguish hallucinations from reality.
No controlled dose data exist. Description based on severe case series (Jaspersen-Schib 1996, Groszek 2000) per work-notes. All values from poisoning reports, not dose-finding studies.
ReasoningReasoning
No controlled dose data exist. Description based on severe case series (Jaspersen-Schib 1996, Groszek 2000) per work-notes. All values from poisoning reports, not dose-finding studies.
Evidence basis: published_case_series
Heavy Datura exposure carries direct fatality risk. A 19-year-old died after intentional seed ingestion with postmortem blood concentrations of hyoscyamine 1.1 µg/mL and scopolamine 0.2 µg/mL — the highest recorded at time of publication (Boumba 2004). A homemade wine from Datura suaveolens flowers contained 29 mg scopolamine/mL; 15 mL delivered approximately 435 mg scopolamine — roughly 870 times the maximum transdermal therapeutic dose (Smith 1991). Cardiac arrhythmia, respiratory failure, seizures, and hyperthermia are the primary mechanisms of death. Anticholinergic toxidrome at this level requires emergency medical intervention including physostigmine, active cooling, cardiac monitoring, and possible intubation. Survivors of heavy exposure may experience prolonged cognitive impairment, residual anxiety, and dysphoria lasting days to weeks after the acute syndrome resolves.
Fatal case reports (Boumba 2004, Smith 1991 wine case) provide the evidence base. Work-notes flag all dose values as safety-citation-needed. No controlled data exist at any dose level.
ReasoningReasoning
Fatal case reports (Boumba 2004, Smith 1991 wine case) provide the evidence base. Work-notes flag all dose values as safety-citation-needed. No controlled data exist at any dose level.
Evidence basis: published_case_series
History
backfill Jun 4, 2026
backfill Mar 17, 2026
Historical versions do not record which reviewer approved them; editorial accountability is recorded per value in the database and in the publication ledger going forward.
Sources
- [1]weakAcute atropinic syndrome caused by abuse of anti-asthmatic cigarettes (Datura stramonium)Grandjean EM, de Moreloose P, Zwahlen A · 1980 · Schweizerische Medizinische Wochenschriftpubmed 74231627 claims checked4 verified3 partial
- [2]strongDatura stramonium - A Dangerous Weed and Alternative Drug of Abuse: An Overview of Poisoning Cases in 21st CenturyAćimović M · 2025 · Planta Medica
- [3]moderateNatural products from ethnodirected studies: revisiting the ethnobiology of the zombie poisonAlbuquerque UP et al. · 2012 · Evidence-Based Complementary and Alternative Medicine
- [4]moderateBiosynthesis of medicinal tropane alkaloids in yeastSrinivasan P, Smolke CD · 2020 · Nature
- [5]strongPhytochemistry, Pharmacology, and Toxicology of Datura Species—A ReviewSharma M, Dhaliwal I, Rana K, Delta AK, Kaushik P · 2021 · Antioxidants
- [6]moderatePharmacokinetics and pharmacodynamics in clinical use of scopolamineRenner UD, Oertel R, Kirch W · 2005 · Therapeutic Drug Monitoringpubmed 161751418 claims checked5 verified1 partial2 inconclusive
- [7]weakFatal poisoning from ingestion of Datura stramonium seedsBoumba VA, Mitselou A, Vougiouklakis T · 2004 · Veterinary and Human Toxicologypubmed 150802094 claims checked3 verified1 inconclusive
- [8]strongDetermination of tropane alkaloids atropine and scopolamine by liquid chromatography-mass spectrometry in plant organs of Datura speciesJakabová S, Vincze L, Farkas A, Kilár F, Boros B, Felinger A · 2012 · Journal of Chromatography A
- [9]moderateConservative treatment of jimsonweed ingestionRodgers GC, Von Kanel RL · 1993 · Veterinary and Human Toxicologypubmed 84344474 claims checked4 inconclusive
- [10]moderatePotential of pretreatment neural activity in the visual cortex during emotional processing to predict treatment response to scopolamine in major depressive disorderFurey ML, Drevets WC, Hoffman EM, Frankel E, Speer AM, Zarate CA · 2013 · JAMA Psychiatry
- [11]weakForensic features of a fatal Datura poisoning case during a robberyLe Garff E, Delannoy Y, Mesli V, et al. · 2016 · Forensic Science International
- [12]strongComplete chloroplast genome sequence of poisonous and medicinal plant Datura stramonium: organizations and implications for genetic engineeringYang Y, Dang Y, Li Q, Lu J, Li X, Wang Y · 2014 · PLoS ONE
- [13]strongA three-sided story: a biosystematic revision of genus Datura reveals novel tropane alkaloids for the first-time in certain speciesAl-Andal A, Ewas M, Donia AERM, et al. · 2025 · Frontiers in Plant Science
- [14]weakDatura stramonium Poisoning: Misunderstanding and Misidentification in Toxic Plant ExposuresMirakbari SM, Shirazi MH · 2020 · Wilderness & Environmental Medicine
- [15]strongRevealing evolution of tropane alkaloid biosynthesis by analyzing two genomes in the Solanaceae familyZhang F, Qiu F, Zeng J, et al. · 2023 · Nature Communications
- [16]strongSecondary metabolites and biological profiles of Datura genusCéspedes-Méndez C, Iturriaga-Vásquez P, Hormazabal E · 2021 · Journal of the Chilean Chemical Societydoi.org/10.4067/s0717-970720210002051831 claim checked1 inconclusive
- [17]weakDatura contamination of hay as the suspected cause of an extensive outbreak of impaction colic in horsesNaude TW, Gerber R, Smith RJ, Botha CJ · 2005 · Journal of the South African Veterinary Associationpubmed 161085311 claim checked1 partial
- [18]weakScopolamine poisoning from homemade 'moon flower' wineSmith EA, Meloan CE, Pickell JA, Oehme FW · 1991 · Journal of Analytical Toxicologypubmed 19430734 claims checked3 verified1 inconclusive
- [19]strongBlack henbane and its toxicity - a descriptive reviewAlizadeh A, Moshiri M, Alizadeh J, Balali-Mood M · 2014 · Avicenna Journal of Phytomedicinepubmed 253863922 claims checked1 partial1 inconclusive
- [20]strongCommon anticholinergic solanaceaous plants of temperate Europe - A review of intoxications from the literature (1966-2018)Fatur K, Kreft S · 2020 · Toxicon
- [21]moderateScientific Opinion on Tropane Alkaloids in Food and FeedEFSA Panel on Contaminants in the Food Chain (CONTAM) · 2013 · EFSA Journaldoi.org/10.2903/j.efsa.2013.3386no claims checked
- [22]weakAccidental foodborne poisoning by atropine and scopolamine: a fatal case reportVivares S, Jousset N, Abbara C, et al. · 2025 · Journal of Forensic and Legal Medicine
- [23]strongIntra- and inter-laboratory validation of a dipstick immunoassay for the detection of tropane alkaloids hyoscyamine and scopolamine in animal feedMulder PP, von Holst C, Nivarlet N, van Egmond HP · 2014 · Food Additives & Contaminants Part A
- [24]moderateSerious plant poisonings in Switzerland 1966-1994. Case analysis from the Swiss Toxicology Information CenterJaspersen-Schib R, Theus L, Guirguis-Oeschger M, Gossweiler B, Meier-Abt PJ · 1996 · Schweizerische Medizinische Wochenschriftpubmed 87114572 claims checked2 verified
- [25]weakSelf-poisoning with Datura stramoniumGroszek B, Gawlikowski T, Szkolnicka B · 2000 · Przeglad Lekarskipubmed 111998923 claims checked2 verified1 inconclusive
- [26]weakA case of pediatric age anticholinergic intoxication due to accidental Datura stramonium ingestion admitting with visual hallucinationSanlidag B, Derinoz O, Yildiz N · 2014 · The Turkish Journal of Pediatricspubmed 253416082 claims checked2 verified
- [27]moderateAtropinic (anticholinergic) burden in antipsychotic-treated patientsMontastruc F et al. · 2018 · Fundamental & Clinical Pharmacology
- [28]strongReview of cognitive impairment with antimuscarinic agents in elderly patients with overactive bladderWagg A, Verdejo C, Molander U · 2010 · International Journal of Clinical Practice
Claim Verification
Citation-bearing claims in this article were checked by an AI model against the abstract of the source they cite — every safety-critical claim, plus a sample of the rest. Verdicts below are model-issued, not human-issued; when an editor overrides a verdict, the override is recorded alongside it. Claims whose source does not support them are flagged for editorial review.
summary9 claims4verified2partial3inconclusive
verifiedOral bioavailability of scopolamine is 3-27%, with significant CYP3A4-mediated first-pass metabolism.[6]model confidence 97%
Both the 3-27% oral bioavailability and CYP3A-mediated metabolism are directly confirmed in the abstract.
limited oral bioavailability (3-27%), CYP3A metabolism
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveFirst formally described by Linnaeus in 1753, Datura has one of the longest documentary records of human intoxication among psychoactive plants - the 1676 Jamestown, Virginia mass poisoning of British soldiers remains among the earliest detailed Western accounts[2]model confidence 80%
Abstract covers 2001-2024 poisoning incidents only and makes no mention of Linnaeus (1753) or the 1676 Jamestown historical account.
A review of 114 papers revealed poisoning incidents from 2001 to 2024.
checked by claude-sonnet-4-6 · May 14, 2026
partialTraditional use spans documented Native American initiatory practices, Indian Ayurvedic medicine, Haitian ethnopharmacology, and medieval European preparations[3]model confidence 70%
Abstract confirms Haitian ethnopharmacological use only. Native American, Ayurvedic, and medieval European uses are not addressed.
Review of Wade Davis's work on Haitian zombification poison in the 1980s. Datura (scopolamine) was a key component of zombie powder.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedNo clinical trials have investigated Datura plant material directly; the primary alkaloids scopolamine and hyoscyamine are WHO-classified essential medicines used pharmaceutically as antispasmodics and antiemetics.[4]model confidence 82%
WHO essential medicine classification is directly confirmed. The abstract does not address clinical trials or specific therapeutic uses but the key verifiable fact is confirmed.
Tropane alkaloids from nightshade plants are neurotransmitter inhibitors classified as WHO essential medicines.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveScopolamine and hyoscyamine act as competitive antagonists at all five muscarinic acetylcholine receptor subtypes (M1-M5), blocking endogenous acetylcholine at both central and peripheral sites[5]model confidence 70%
Abstract confirms pharmacological aspects are covered but does not enumerate M1-M5 receptor subtypes or describe competitive antagonism in the abstract text.
Comprehensive review of Datura genus including phytochemical composition, pharmacological and toxicological aspects.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedThe margin between psychoactive and lethal doses is extremely narrow, and no safe recreational dose has been established for any preparation[7]model confidence 82%
A documented fatal case from intentional seed ingestion supports the narrow margin claim via direct inference.
19-year-old male found dead after intentional seed ingestion. Blood concentrations: hyoscyamine 1.1 ug/mL, scopolamine 0.2 ug/mL - highest ever reported at time.
checked by claude-sonnet-4-6 · May 14, 2026
partialPreparations include raw seed ingestion, smoked leaf material, aqueous decoctions, and alcohol-based extracts, with effects persisting 12-48 hours.[1]model confidence 75%
Abstract confirms smoked leaf preparation and 12-48 hour duration but does not address raw seed ingestion, aqueous decoctions, or alcohol-based extracts.
4 patients 17-23 years old with acute anticholinergic syndrome after smoking Datura stramonium anti-asthmatic cigarettes. Symptoms subsided over 12-48 hours.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedAlkaloid concentrations vary dramatically across species, plant organs, seasons, and growing conditions, making dose prediction impossible from plant material alone[8]model confidence 92%
Abstract directly confirms variation across species, organs, and seasons. Dose unpredictability is a reasonable inference.
LC-MS quantification across different organs. D. innoxia showed highest scopolamine. Summer samples had higher scopolamine than autumn.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusivePhysical dependence liability is low - the extreme aversiveness of the delirious experience discourages repeated use in most individuals[9]model confidence 75%
Abstract describes intentional ingestion cases but says nothing about physical dependence liability, aversiveness, or repeat use patterns.
29 cases at Kentucky Regional Poison Center over 7 years. 28/29 intentional abuse. Typical anticholinergic symptoms.
checked by claude-sonnet-4-6 · May 14, 2026
history5 claims3verified2partial
verifiedThe genus is classified in tribe Datureae within family Solanaceae; phylogenetic analysis based on 68 protein-coding genes from the chloroplast genome places Datura as a sister clade to Solanum.[12]model confidence 95%
68 protein-coding genes, Datura as sister to Solanum, and Solanaceae classification are directly confirmed. Tribe Datureae is not mentioned in the abstract.
Phylogenetic analysis based on 68 protein-coding genes supported Datura as a sister to Solanum. Part of Solanaceae family.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedWade Davis's ethnobiological fieldwork in the 1980s brought this use to wider scientific attention.[3]model confidence 95%
Abstract directly confirms Wade Davis's 1980s work on Haitian Datura use in zombie powder.
Review of Wade Davis's work on Haitian zombification poison in the 1980s. Datura (scopolamine) was a key component of zombie powder.
checked by claude-sonnet-4-6 · May 14, 2026
partialIn the early 20th century, anti-asthmatic cigarettes containing D. stramonium leaves were marketed commercially under brands such as Asthmador, which were subsequently abused for their psychoactive effects[1]model confidence 65%
Abstract confirms Datura anti-asthmatic cigarettes were abused for psychedelic effects but says nothing about early 20th century commercial marketing or the Asthmador brand name.
acute anticholinergic syndrome after smoking Datura stramonium anti-asthmatic cigarettes for psychedelic effects.
checked by claude-sonnet-4-6 · May 14, 2026
partialTransdermal scopolamine was approved by the FDA for motion sickness in 1979, and pharmaceutical scopolamine has demonstrated rapid antidepressant effects in clinical trials for major depressive disorder, though this application remains investigational[10]model confidence 72%
Abstract confirms rapid antidepressant effects in MDD. The FDA 1979 approval for motion sickness and investigational status are not addressed.
Scopolamine produces rapid antidepressant effects in MDD.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedA 2016 forensic case reported the homicidal administration of Datura in a drink during a robbery, resulting in death from cardiac arrhythmia secondary to severe anticholinergic syndrome[11]model confidence 97%
All facts confirmed: homicidal administration, Datura in drink, during robbery, death from cardiac arrhythmia from anticholinergic syndrome.
Homicide case: Datura administered in drink during robbery. Death from cardiac arrhythmia from anticholinergic syndrome.
checked by claude-sonnet-4-6 · May 14, 2026
botanical overview5 claims2verified1partial2inconclusive
verifiedA 2025 biosystematic revision of the genus in Egyptian flora identified six genotypes: D. innoxia, D. ferox, D. metel, and three forms of D. stramonium (stramonium, tatula, and inermis), with novel tropane alkaloids described in certain species for the first time[13]model confidence 88%
Abstract confirms Egyptian flora revision, D. innoxia, D. ferox, D. metel, three forms of D. stramonium, and novel tropane alkaloids. The specific form names are not listed in the abstract but the count and novel alkaloids claim are confirmed.
Egyptian flora encompasses D. innoxia, D. ferox, D. metel and three forms of D. stramonium. Novel tropane alkaloids identified in certain species for first time.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedPhylogenetic analysis based on 68 protein-coding genes from the chloroplast genome places Datura as a sister clade to Solanum within Solanaceae.[12]model confidence 98%
All specific facts directly confirmed: 68 protein-coding genes, chloroplast genome, sister to Solanum, within Solanaceae.
Phylogenetic analysis based on 68 protein-coding genes supported Datura as a sister to Solanum. Part of Solanaceae family.
checked by claude-sonnet-4-6 · May 14, 2026
partialD. stramonium is native to the Americas and has since naturalized globally, occurring in disturbed habitats, roadsides, farmland edges, and waste ground across temperate and subtropical regions on all continents[2]model confidence 65%
Abstract calls Datura a cosmopolitan weed supporting global naturalization, but does not confirm the Americas origin or the specific habitat types claimed.
Datura stramonium is a well-known cosmopolitan weed.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveFruits are spiny ovoid capsules (thorn apples) containing numerous flat, dark brown to black, kidney-shaped seeds - the plant organ with the highest alkaloid concentration.[8]model confidence 75%
Abstract quantifies alkaloids across organs but does not identify which organ has the highest concentration, nor does it describe fruit morphology.
LC-MS quantification of atropine and scopolamine in 4 Datura taxa across different organs.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveYoung Datura plants can be confused with edible Solanum species, and Datura seeds can contaminate grain harvests of morphologically similar crops - a documented cause of accidental mass poisonings. Brugmansia spp. (angel's trumpets) are closely related woody shrubs with pendulous flowers containing the same tropane alkaloids; the two genera are frequently conflated in public sources and in poisoning case reports.[14]model confidence 90%
Abstract was not available for this citation.
checked by claude-sonnet-4-6 · May 14, 2026
alkaloid profile8 claims4verified2partial2inconclusive
verifiedAlcohol combined with low pH dramatically increases scopolamine extraction - a homemade wine prepared from Datura suaveolens (angel's trumpet) flowers contained 29 mg scopolamine/mL, with no detectable atropine, at a pH of 3.8[18]model confidence 98%
All key facts directly confirmed: 29 mg scopolamine/mL, no atropine detected, pH 3.8, alcohol and acid increasing alkaloid extraction.
Wine contained 29 mg scopolamine/mL. No atropine detected. Acidic pH (3.8) and alcohol increased alkaloid extraction.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveThe dominant constituents are hyoscyamine (L-hyoscyamine), scopolamine (L-hyoscine), and atropine (the DL-hyoscyamine racemate formed from hyoscyamine during drying and processing)[2]model confidence 80%
Abstract focuses exclusively on 2001-2024 poisoning cases and contains no phytochemical information about alkaloid constituents.
A review of 114 papers revealed poisoning incidents from 2001 to 2024.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedThe dominant constituents are hyoscyamine (L-hyoscyamine), scopolamine (L-hyoscine), and atropine (the DL-hyoscyamine racemate formed from hyoscyamine during drying and processing)[5]model confidence 85%
Abstract confirms atropine, scopolamine, and hyoscyamine as toxic tropane alkaloids in D. stramonium. Stereochemical details are not in the abstract but the paper is a comprehensive phytochemical review.
D. stramonium contains alkaloids, tannins, flavonoids, cardiac glycosides, and toxic tropane alkaloids including atropine, scopolamine, and hyoscyamine.
checked by claude-sonnet-4-6 · May 14, 2026
partialAdditional phytochemical classes present in Datura tissues include tannins, flavonoids, cardiac glycosides, withanolides, and phenolics.[5]model confidence 78%
Abstract confirms tannins, flavonoids, and cardiac glycosides. Withanolides and phenolics are not mentioned in the abstract, leaving 2 of the 5 claimed phytochemical classes unverified.
D. stramonium contains alkaloids, tannins, flavonoids, cardiac glycosides.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveAdditional phytochemical classes present in Datura tissues include tannins, flavonoids, cardiac glycosides, withanolides, and phenolics - secondary metabolites review[16]model confidence 90%
Abstract was not available for this citation.
checked by claude-sonnet-4-6 · May 14, 2026
partialIn whole-plant material (hay), D. stramonium contained 0.15% m/m hyoscyamine and 0.16% m/m scopolamine; D. ferox hay contained 0.11% m/m scopolamine with no detectable hyoscyamine.[17]model confidence 80%
D. stramonium figures (0.15% hyoscyamine, 0.16% scopolamine) are directly confirmed. D. ferox data (0.11% scopolamine, no hyoscyamine) is not mentioned in the abstract.
D. stramonium: 0.15% m/m hyoscyamine, 0.16% m/m scopolamine.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedSeasonal variation is a major source of batch-to-batch potency unpredictability: summer-harvested samples had significantly higher scopolamine concentrations than autumn samples in both stems and leaves.[8]model confidence 88%
Abstract confirms summer samples had higher scopolamine than autumn. Specific mention of stems and leaves is not in the abstract but the seasonal direction is confirmed.
Summer samples had higher scopolamine than autumn.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedBoth alkaloids are classified as WHO essential medicines.[4]model confidence 98%
Directly confirmed: tropane alkaloids (hyoscyamine and scopolamine) from nightshade plants classified as WHO essential medicines.
Tropane alkaloids from nightshade plants are neurotransmitter inhibitors classified as WHO essential medicines.
checked by claude-sonnet-4-6 · May 14, 2026
neuroscience10 claims2verified2partial6inconclusive
partialTransdermal pharmaceutical delivery (1.5 mg reservoir) achieves Cmax of approximately 100 pg/mL (range 11-240 pg/mL) at approximately 8 h, with steady-state maintained over 72 h[6]model confidence 72%
Abstract confirms 1.5 mg reservoir and Cmax ~100 pg/mL over 72h. The ~8h transdermal Tmax and 11-240 pg/mL range are not confirmed.
transdermal patch (1.5mg reservoir) achieves Cmax ~100 pg/mL over 72h.
checked by claude-sonnet-4-6 · May 14, 2026
partialTmax is approximately 0.5 h after oral administration; however, CNS effects and anticholinergic toxicity from plant material may appear within 30-60 minutes of ingestion and persist for 12-48 hours - far exceeding the short plasma half-life (estimated 3-4 h), suggesting sustained absorption from plant material or tissue redistribution[1]model confidence 70%
Abstract confirms 12-48 hour symptom duration only. Tmax, onset timing, half-life, and mechanistic explanation are not in this abstract.
Symptoms subsided over 12-48 hours.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveCNS effects and anticholinergic toxicity from plant material may appear and persist for 12-48 hours, suggesting sustained absorption from plant material or tissue redistribution[25]model confidence 75%
Abstract documents symptoms and treatment but contains no information about onset timing, duration, half-life, or absorption mechanisms.
7 patients aged 14-27 treated in one month. All had central and peripheral anticholinergic symptoms.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveHyoscyamine and scopolamine are competitive antagonists at all five muscarinic acetylcholine receptor subtypes (M1-M5), binding with high affinity and blocking the action of endogenous acetylcholine at both central and peripheral muscarinic sites[6]model confidence 72%
Abstract is primarily a PK/PD overview and does not enumerate M1-M5 receptor subtypes or describe competitive antagonism mechanism.
Scopolamine PK/PD review: limited oral bioavailability (3-27%), Tmax ~0.5h oral, CYP3A metabolism.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveHyoscyamine and scopolamine are competitive antagonists at all five muscarinic acetylcholine receptor subtypes (M1-M5), binding with high affinity and blocking the action of endogenous acetylcholine at both central and peripheral muscarinic sites[5]model confidence 72%
Abstract mentions pharmacological aspects are covered but does not enumerate M1-M5 receptor subtypes or describe competitive antagonism in the abstract text.
Comprehensive review of Datura genus including phytochemical composition, pharmacological and toxicological aspects.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveAt low systemic doses, scopolamine produces sedation, amnesia, and cognitive impairment; at higher doses, the full deliriant syndrome emerges - delirium, visual and tactile hallucinations, and profound confusion[6]model confidence 72%
Abstract focuses on pharmacokinetics parameters. Dose-dependent CNS effects (sedation, amnesia, deliriant syndrome) are not described in the abstract.
Scopolamine PK/PD review: limited oral bioavailability (3-27%), Tmax ~0.5h oral, CYP3A metabolism.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusivePeripheral manifestations arise from M2 blockade in cardiac tissue (vagal brake removal producing tachycardia), M3 blockade in smooth muscle and secretory glands (xerostomia, urinary retention, decreased gastrointestinal motility), and impaired cholinergic-mediated thermoregulation (hyperthermia through anhidrosis)[20]model confidence 75%
Abstract covers Datura intoxication patterns but contains no mechanistic pharmacology about M2/M3 receptor subtypes or receptor-level mechanisms underlying peripheral symptoms.
D. stramonium largely associated with drug use among teens.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusivePeripheral manifestations arise from M2 blockade in cardiac tissue (vagal brake removal producing tachycardia), M3 blockade in smooth muscle and secretory glands (xerostomia, urinary retention, decreased gastrointestinal motility), and impaired cholinergic-mediated thermoregulation (hyperthermia through anhidrosis)[19]model confidence 72%
Abstract confirms clinical anticholinergic symptoms (tachycardia, etc.) but does not address the M2/M3 receptor-level mechanistic explanation for peripheral manifestations.
covers anticholinergic syndrome clinical features shared with Datura: mydriasis, tachycardia, arrhythmia, hallucinations, confusion, delirium.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedOral bioavailability is 3-27% (significant first-pass effect via CYP3A4-mediated oxidative demethylation in intestinal mucosa)[6]model confidence 88%
Abstract directly confirms 3-27% oral bioavailability and CYP3A metabolism. The specific mechanistic detail (oxidative demethylation in intestinal mucosa) is not in the abstract but does not contradict it.
limited oral bioavailability (3-27%), CYP3A metabolism
checked by claude-sonnet-4-6 · May 14, 2026
verifiedScopolamine crosses the placenta readily.[6]model confidence 98%
Directly confirmed.
Crosses placenta.
checked by claude-sonnet-4-6 · May 14, 2026
preparations8 claims5verified3inconclusive
verifiedA fatal case involved a 19-year-old who ingested an unknown quantity of seeds; postmortem blood concentrations were hyoscyamine 1.1 ug/mL and scopolamine 0.2 ug/mL - the highest reported at the time of publication.[7]model confidence 98%
All specific facts directly confirmed: 19-year-old, fatal seed ingestion, hyoscyamine 1.1 ug/mL, scopolamine 0.2 ug/mL, highest concentrations reported at time.
19-year-old male found dead after intentional seed ingestion. Blood concentrations: hyoscyamine 1.1 ug/mL, scopolamine 0.2 ug/mL - highest ever reported at time.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedA homemade wine prepared from Datura suaveolens (angel's trumpet) flowers contained 29 mg scopolamine/mL at a pH of 3.8; a 76-year-old patient who ingested 15 mL received a total dose of approximately 435 mg scopolamine - roughly 870 times the maximum transdermal therapeutic patch dose[18]model confidence 88%
Core facts confirmed: 29 mg/mL, pH 3.8, 76-year-old, 15 mL, 435 mg total dose.
76-year-old ingested 15 mL homemade wine. Wine contained 29 mg scopolamine/mL - total dose 435 mg.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveSeeds are the most alkaloid-dense plant organ and the most common route of recreational exposure[20]model confidence 75%
Abstract covers Datura intoxication patterns among teens but does not address relative alkaloid density by organ or confirm seeds as the most common recreational route.
D. stramonium largely associated with drug use among teens.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveSeeds are the most common route of recreational exposure in intentional abuse case series[9]model confidence 75%
Abstract is a case series of intentional ingestions but does not specify seeds as the preparation used or confirm them as the most common recreational route.
29 cases at Kentucky Regional Poison Center over 7 years. 28/29 intentional abuse.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveIn a case series of 29 intentional ingestions, reported amounts ranged from a few seeds to half a cup; all patients developed anticholinergic syndrome with mydriasis, tachycardia, flushing, and hallucinations[9]model confidence 72%
Abstract confirms 29 intentional abuse cases with typical anticholinergic symptoms, but does not specify the dosage range or enumerate individual symptoms.
29 cases at Kentucky Regional Poison Center over 7 years. 28/29 intentional abuse. Typical anticholinergic symptoms.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedDuration: 12-48 hours documented[1]model confidence 98%
Directly confirmed: symptoms subsided over 12-48 hours in this smoked Datura case series.
Symptoms subsided over 12-48 hours.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedIn a case series of four patients aged 17-23, all developed full anticholinergic syndrome with extensive amnesia; symptoms resolved over 12-48 hours[1]model confidence 98%
All facts directly confirmed: 4 patients, ages 17-23, anticholinergic syndrome, extensive amnesia, symptom resolution over 12-48 hours.
4 patients 17-23 years old with acute anticholinergic syndrome after smoking Datura stramonium anti-asthmatic cigarettes for psychedelic effects. Symptoms subsided over 12-48 hours. Extensive amnesia noted.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedDuration: 12-48 hours[1]model confidence 98%
Directly confirmed.
Symptoms subsided over 12-48 hours.
checked by claude-sonnet-4-6 · May 14, 2026
safety24 claims18verified2partial4inconclusive
inconclusiveFor humans, an oral dose of approximately 50 mg atropine sulfate has been described as potentially fatal; no established lethal dose for scopolamine exists[18]model confidence 80%
Abstract documents a high-dose scopolamine exposure but does not address atropine lethal dose or absence of established lethal dose for scopolamine.
Wine contained 29 mg scopolamine/mL - total dose 435 mg. No atropine detected.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedA series of 7 patients aged 14-27 treated in a single month in Krakow demonstrated both central and peripheral anticholinergic symptoms; 5 required physostigmine (2-6 mg).[25]model confidence 95%
All key facts directly confirmed: 7 patients, ages 14-27, one month, central and peripheral symptoms, physostigmine 2-6 mg in 5 patients.
7 patients aged 14-27 treated in one month. All had central and peripheral anticholinergic symptoms. 5 treated with physostigmine (2-6 mg).
checked by claude-sonnet-4-6 · May 14, 2026
verified2025: A 58-year-old male died after accidental ingestion of a meal contaminated with Solanaceae plant material. Atropine and scopolamine were detected in all postmortem matrices including vitreous humor - the first documented fatality from accidental foodborne tropane alkaloid ingestion.[22]model confidence 98%
All specific facts directly confirmed: 58-year-old male, accidental foodborne ingestion, atropine and scopolamine in all postmortem matrices, first documented fatality of this type.
Fatal case of 58-year-old male after accidental ingestion of meal contaminated with tropane alkaloids. First documented fatality from accidental foodborne tropane alkaloid ingestion.
checked by claude-sonnet-4-6 · May 14, 2026
verified2004: A 19-year-old male was found dead after intentional seed ingestion for hallucinogenic effects. Postmortem blood concentrations were hyoscyamine 1.1 ug/mL and scopolamine 0.2 ug/mL - the highest recorded at time of publication.[7]model confidence 97%
All key facts confirmed: 19-year-old male, intentional seed ingestion, hyoscyamine 1.1 ug/mL, scopolamine 0.2 ug/mL, highest ever reported at time.
19-year-old male found dead after intentional seed ingestion. Blood concentrations: hyoscyamine 1.1 ug/mL, scopolamine 0.2 ug/mL - highest ever reported at time.
checked by claude-sonnet-4-6 · May 14, 2026
verified2016: A 35-year-old homicide victim received Datura administered in a drink during a robbery. Death resulted from cardiac arrhythmia secondary to severe anticholinergic syndrome.[11]model confidence 95%
Core facts confirmed: homicide, Datura in drink, robbery context, death from cardiac arrhythmia from anticholinergic syndrome.
Homicide case: Datura administered in drink during robbery. Death from cardiac arrhythmia from anticholinergic syndrome.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedThe EU regulates Datura seed presence in animal feeds at a maximum of 1000 mg/kg under Directive 2002/32/EC, with analytical target levels set at 800 ug/kg for the sum of hyoscyamine and scopolamine[23]model confidence 98%
All specific regulatory figures directly confirmed: 1000 mg/kg limit, Directive 2002/32/EC, and 800 ug/kg analytical target for the sum of both alkaloids.
EU regulation: Datura seeds not to exceed 1000 mg/kg in animal feeds (Directive 2002/32/EC). Target level set at 800 mcg/kg for sum of both alkaloids.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedVariable potency across species, organs, seasons, and growing conditions renders any uncharacterized plant preparation intrinsically unpredictable[8]model confidence 90%
Abstract confirms quantitative variation across species, organs, and seasons. Unpredictability of uncharacterized preparations is a reasonable inference.
LC-MS quantification across different organs. D. innoxia showed highest scopolamine. Summer samples had higher scopolamine than autumn.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedAcute psychosis occurs at toxic doses and was documented in 12 of 17 severe D. stramonium intoxication cases reviewed by the Swiss Toxicology Information Center over 29 years (1966-1994), with 2 additional cases of coma[24]model confidence 98%
All specific figures directly confirmed: 17 Datura cases, 12 acute psychosis, 2 coma, 29 years of data.
Datura stramonium: 17 cases; all had anticholinergic syndrome; 12 had acute psychosis; 2 had coma.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedExtensive amnesia is typical - patients rarely retain any memory of the intoxication period[1]model confidence 90%
Abstract confirms extensive amnesia in all 4 patients. The generalisation that patients rarely retain memory is a direct and reasonable inference.
Extensive amnesia noted.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedPhysostigmine serves as the specific antidote for severe central anticholinergic syndrome, reversing central and peripheral effects; in this case series doses of 2-6 mg were used.[25]model confidence 90%
Abstract directly confirms physostigmine use at 2-6 mg for central and peripheral anticholinergic symptoms in this series.
5 treated with physostigmine (2-6 mg). All had central and peripheral anticholinergic symptoms.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedAn 8-year-old male with accidental D. stramonium ingestion presented with aggression, agitation, delirium, and visual hallucinations - children are documented as particularly susceptible to toxic effects.[26]model confidence 98%
All specific facts directly confirmed: 8-year-old male, accidental D. stramonium poisoning, aggression, agitation, delirium, visual hallucinations, children more prone to toxic effects.
8-year-old male with accidental D. stramonium poisoning; aggression, agitation, delirium, visual hallucinations. Children more prone to toxic effects of atropine.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveIn the Rodgers 1993 case series, self-reported users often did not repeat the experience[9]model confidence 80%
Abstract describes 29 intentional ingestion cases with anticholinergic symptoms but says nothing about whether users repeated the experience.
29 cases at Kentucky Regional Poison Center over 7 years. 28/29 intentional abuse.
checked by claude-sonnet-4-6 · May 14, 2026
partialThe 2020 review noted Datura-associated drug use among teens who typically did not escalate to repeated use.[20]model confidence 72%
Abstract confirms Datura is largely associated with drug use among teens. The claim that they typically did not escalate to repeated use is not stated in the abstract.
D. stramonium largely associated with drug use among teens.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedPharmacovigilance data demonstrate that the average anticholinergic drug burden in adverse event reports involving antipsychotic-treated patients reaches 2.4 concurrent atropinic drugs, with at least one atropinic drug present in 59.4% of reports[27]model confidence 98%
Both specific figures directly confirmed: average 2.4 atropinic drugs per report and at least one atropinic drug in 59.4% of reports.
Average 2.4 atropinic drugs per adverse event report in antipsychotic-treated patients. At least one atropinic drug found in 59.4% of reports.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedGrapefruit juice increases scopolamine AUC to approximately 142% of control[6]model confidence 98%
Directly confirmed: grapefruit interaction increases AUC to 142%.
grapefruit interaction increases AUC to 142%
checked by claude-sonnet-4-6 · May 14, 2026
verifiedAlcohol additionally increases alkaloid extraction from plant material when used as a preparation solvent.[18]model confidence 98%
Directly confirmed: alcohol increased alkaloid extraction in the homemade Datura wine case.
Acidic pH (3.8) and alcohol increased alkaloid extraction.
checked by claude-sonnet-4-6 · May 14, 2026
partialPhysostigmine (acetylcholinesterase inhibitor) serves as the specific antidote for severe central anticholinergic syndrome, reversing both central and peripheral effects at doses of 1-6 mg IV in monitored settings.[19]model confidence 72%
Abstract confirms physostigmine for severe CNS anticholinergic symptoms. The specific dose range (1-6 mg IV) and reversal of both central and peripheral effects are not confirmed in the abstract.
physostigmine for severe CNS symptoms.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedCardiac disease: Tachycardia and cardiac arrhythmia risk is elevated; fatal cardiac arrhythmia has been documented in a Datura poisoning case.[11]model confidence 97%
Fatal cardiac arrhythmia from Datura anticholinergic syndrome directly confirmed in this forensic case.
Death from cardiac arrhythmia from anticholinergic syndrome.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveDetection of Datura alkaloids requires targeted analytical methods typically used in forensic or specialized toxicology contexts[11]model confidence 70%
Abstract confirms forensic detection of alkaloids in vitreous humor but does not describe the specific analytical methods used.
Scopolamine, atropine, hyoscyamine found in vitreous humor.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedPregnancy: Scopolamine crosses the placenta readily. Anticholinergic exposure during pregnancy carries fetal risk.[6]model confidence 90%
Placental crossing is directly confirmed. Fetal risk from anticholinergic exposure is a reasonable inference.
Crosses placenta.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedElderly individuals: Heightened sensitivity to anticholinergic toxicity, with greater risk of cognitive impairment, falls, and delirium at lower doses. M1 receptor antagonism in the aging CNS carries disproportionate cognitive risk.[28]model confidence 92%
Abstract directly confirms M1 receptor interactions causing cognitive impairment in elderly and heightened sensitivity.
Anticholinergic agents risk cognitive impairment in elderly via M1 receptor interactions in CNS. Elderly have heightened sensitivity.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedPediatric populations: Children are particularly susceptible to anticholinergic toxicity - even small quantities of plant material produce serious CNS symptoms.[26]model confidence 97%
Abstract directly confirms children are more prone to toxic effects of atropine, demonstrated by serious CNS symptoms in accidental ingestion.
Children more prone to toxic effects of atropine.
checked by claude-sonnet-4-6 · May 14, 2026
verifiedPsychiatric illness: Datura may precipitate acute psychosis or worsen existing psychotic conditions. Documented in 12 of 17 severe Swiss cases.[24]model confidence 97%
12/17 severe Datura cases with acute psychosis is directly confirmed.
Datura stramonium: 17 cases; all had anticholinergic syndrome; 12 had acute psychosis.
checked by claude-sonnet-4-6 · May 14, 2026
inconclusiveDetection requires targeted GC-MS or LC-MS analysis, typically performed only in forensic or specialized toxicology contexts[7]model confidence 70%
Abstract reports blood concentrations in a fatal case but does not describe the analytical methods (GC-MS or LC-MS) used.
Blood concentrations: hyoscyamine 1.1 ug/mL, scopolamine 0.2 ug/mL.
checked by claude-sonnet-4-6 · May 14, 2026
Coverage & Gaps
Research Trail
substance-article pipeline-v5 May 14, 2026
| Step | Source | Query | Results |
|---|---|---|---|
| 1literature search | PubMed | Datura stramonium pharmacology alkaloids scopolamine hyoscyamine atropine | 9 results, 4 selected |
selection rationaleselection rationaleSelected comprehensive reviews and key case studies; discarded veterinary feed studies discarded 5: Veterinary alkaloid feed studies not directly relevant to human pharmacology | |||
| 2literature search | PubMed | Datura toxicology poisoning case reports adverse effects | 8 results, 6 selected |
selection rationaleselection rationaleAll selected for safety section — fatal and non-fatal case reports documenting toxicity profiles discarded 2: no summary recorded | |||
| 3literature search | OpenAlex | Datura stramonium ethnobotany traditional use history | 10 results, 2 selected |
selection rationaleselection rationaleDatura-specific review and regulatory opinion on tropane alkaloids selected; general ethnobotany not Datura-specific discarded discarded 8: no summary recorded | |||
| 4database lookup | PubChem | scopolamine | 1 result, 1 selected |
selection rationaleselection rationalePrimary alkaloid of Datura — chemical identity confirmed | |||
| 5database lookup | PubChem | hyoscyamine | 1 result, 1 selected |
selection rationaleselection rationalePrimary alkaloid of Datura | |||
| 6database lookup | PubChem | atropine | 1 result, 1 selected |
selection rationaleselection rationaleMinor racemic form produced during extraction/drying of hyoscyamine | |||
| 7literature search | PubMed | Datura stramonium alkaloid content HPLC concentration plant parts | 1 result, 1 selected |
selection rationaleselection rationaleKey alkaloid quantification study — primary data on concentration variation | |||
| 8literature search | PubMed | scopolamine pharmacokinetics oral transdermal bioavailability half-life | 1 result, 1 selected |
selection rationaleselection rationaleKey pharmacokinetics paper for Datura primary alkaloid | |||
| 9literature search | OpenAlex | Datura stramonium poisoning toxicology anticholinergic | 10 results, 4 selected |
selection rationaleselection rationaleComprehensive Datura-specific review and taxonomy paper selected; general pharmacology reviews discarded | |||
| 10legal status search | Erowid | Datura legal status US international | 1 result, 1 selected |
selection rationaleselection rationaleAuthoritative harm reduction source for legal status overview; to be cross-referenced | |||
| 11document retrieval | Erowid | Datura historical use traditional use alkaloid information | 1 result, 1 selected |
selection rationaleselection rationaleBackground historical context; to be supplemented with primary literature | |||
| 12literature search | PubMed | tropane alkaloids urine detection drug testing immunoassay forensic | 8 results, 0 selected |
selection rationaleselection rationaleNo relevant Datura-specific detection papers found; gap noted | |||
| 13literature search | PubMed | anticholinergic drug interaction additive effects elderly cognitive impairment | 8 results, 2 selected |
selection rationaleselection rationaleDocument additive anticholinergic burden from concurrent drug use; relevant to interactions section | |||
| 14clinical trial search | ClinicalTrials.gov | Datura scopolamine hyoscyamine tropane alkaloid | 0 results, 0 selected |
selection rationaleselection rationaleNo relevant trials | |||
| 15literature search | PubMed | Datura Brugmansia alkaloid comparison species scopolamine dominant content | 1 result, 1 selected |
selection rationaleselection rationaleComparative alkaloid data between Datura and Brugmansia | |||
| 16literature search | OpenAlex | Datura scopolamine zombie powder Haiti Wade Davis ethnopharmacology | 1 result, 1 selected |
selection rationaleselection rationaleDocuments traditional ethnopharmacological use of Datura | |||
| 17database lookup | Crossref (verify_doi) | 10.2903/j.efsa.2013.3386 | 1 result, 1 selected |
selection rationaleselection rationaleDOI verified; citation upgraded to api_verified | |||
| 18literature search | OpenAlex | Datura stramonium history ethnobotany Americas origin distribution | 4 results, 1 selected |
selection rationaleselection rationaleDatura secondary metabolites review selected for alkaloid profile section | |||
| 19data extraction | Multiple PubMed/OpenAlex results | Cross-reference alkaloid content data across Naude 2005, Jakabova 2012, EFSA 2013 | 3 results, 3 selected |
selection rationaleselection rationaleAll three selected for alkaloid profile section | |||
| 20cross reference | PubMed + OpenAlex + Erowid | Datura legal status, traditional use, clinical management | 10 results, 3 selected |
selection rationaleselection rationaleCross-reference validates legal status data; treatment protocols consistent across multiple sources | |||
Research document (raw, unedited pipeline output)
# Research Output: Datura ## Botanical Identity **Accepted taxonomy:** *Datura stramonium* L. (Linnaeus, 1753) is the type species and most widely distributed representative of the genus *Datura*, family **Solanaceae** (nightshade family). Phylogenetic analysis based on 68 protein-coding genes from the chloroplast genome places *Datura* as a sister clade to *Solanum* within the Solanaceae [Ref 6]. The genus is classified in the tribe Datureae. **Common names:** Jimson weed (from Jamestown, Virginia — site of a documented 1676 mass poisoning of British soldiers); thorn apple (from the spiny capsular fruit); Angel's trumpet (from the large, trumpet-shaped flowers — note: this name is also applied to *Brugmansia* spp., a closely related genus); loco seed (for hallucinogenic properties); apple of Peru (indicating American origin) [Ref 1]. **Genus diversity:** The genus *Datura* comprises multiple recognized species. The Egyptian flora alone encompasses D. *innoxia*, *D. ferox*, *D. metel*, and three forms of *D. stramonium* (*stramonium*, *tatula*, and *inermis*) [Ref 24]. The taxonomic status of the genus remains debated, with recent biosystematic revision revealing novel tropane alkaloids in certain species for the first time [Ref 24]. **Native range and distribution:** *D. stramonium* is native to the Americas (the epithet "apple of Peru" in historical naming reflects this origin) [Ref 1]. It has since naturalized globally and is now considered a cosmopolitan weed, growing in disturbed habitats, roadsides, farmland edges, and waste areas across temperate and subtropical regions of all continents. It is both wild-harvested and an agricultural contaminant; it is not deliberately cultivated for commercial alkaloid production (which instead uses *Atropa belladonna* and related species) [Ref 1, Ref 3]. **Morphological notes and misidentification risks:** *Datura* plants are erect annual herbs (rarely shrubby) typically 0.5–1.5 m tall. Leaves are large, irregularly lobed; flowers are large, white or pale violet trumpets; fruits are spiny ovoid capsules containing numerous dark seeds — the source of the highest alkaloid concentrations. *D. stramonium* (white flowers) is distinguished from *D. stramonium* var. *tatula* (purple-tinged flowers and stems). Misidentification risk: young *Datura* plants can be confused with edible species (e.g., *Solanum* spp. vegetables); seeds can contaminate grain harvests of similar-looking crops. *Brugmansia* spp. (angel's trumpets) are closely related woody shrubs with pendulous flowers containing the same alkaloids — they share overlapping risk profiles. **Cultivation status:** Primarily wild-harvested (weed in agricultural fields and disturbed ground). Not deliberately cultivated for recreational or medicinal use, though it grows freely where seeds fall. **Discrepancy with seed data:** The brief listed Family, Genus/species, Native range, and Cultivation status all as "(no seed data)." Research confirms: Family = Solanaceae; Genus/species = *Datura stramonium* L. (with multiple related species); Native range = Americas (now cosmopolitan weed); Cultivation status = wild-harvested / agricultural contaminant. --- ## Alkaloid / Cannabinoid Profile **Primary alkaloids:** All parts of *Datura* plants contain tropane alkaloids, with **hyoscyamine** (L-hyoscyamine), **scopolamine** (L-hyoscine), and **atropine** (DL-hyoscyamine racemate) as the dominant constituents [Ref 1, Ref 3]. Minor alkaloids include **norhyoscyamine** (a cytochrome P450-mediated derivative identified by Zhang et al. 2023 [Ref 23]), **anisodamine**, and trace apotropane alkaloids. Other phytochemical classes present include tannins, flavonoids, cardiac glycosides, withanolides, and phenolics [Ref 3, Ref 26]. **PubChem chemical identity:** - Scopolamine (L-scopolamine / hyoscine): CID 3000322; MF C₁₇H₂₁NO₄; MW 303.35 g/mol; InChIKey STECJAGHUSJQJN-USLFZFAMSA-N - L-Hyoscyamine: CID 154417; MF C₁₇H₂₃NO₃; MW 289.4 g/mol; InChIKey RKUNBYITZUJHSG-VFSICIBPSA-N - Atropine (racemate): CID 174174; MF C₁₇H₂₃NO₃; MW 289.4 g/mol; InChIKey RKUNBYITZUJHSG-PJPHBNEVSA-N **Quantified concentrations by organ (Jakabová et al. 2012, LC-MS; four Datura taxa grown under identical conditions) [Ref 4]:** - Alkaloid distribution: hyoscyamine (measured as atropine) and scopolamine occur in **all plant organs** — leaves, flowers, stems, and seeds - *D. stramonium*: atropine (hyoscyamine) dominant over scopolamine across all organs - *D. stramonium* var. *tatula*: highest hyoscyamine levels among all four taxa examined - *D. innoxia*: highest scopolamine concentrations in all organs examined - *D. metel*: lowest scopolamine levels - **Seasonal variation:** Summer samples had significantly higher scopolamine than autumn samples (both stems and leaves); seasonal variation constitutes a major source of batch-to-batch potency variability [Ref 4] **Concentrations reported in dried plant material:** *Naude et al. 2005* [Ref 16, see below] reported *D. stramonium* hay containing 0.15% m/m hyoscyamine and 0.16% m/m scopolamine by mass; *D. ferox* hay contained only scopolamine at 0.11% m/m [Ref PMID 16108531 — cattle poisoning study]. Seeds are known to be most alkaloid-rich; Erowid/Asthmador data: a commercial Datura-based anti-asthmatic mixture (Asthmador) contained approximately 4.5% atropine and 50.4% scopolamine by weight of total alkaloid content [Ref 25]. **FLAG: specific HPLC concentration values (mg/g dry weight) for seeds from published studies were not retrieved in this research pass. The Jakabová 2012 paper contains quantitative data but full-text values are not available in the abstract. Flag for generation agent to locate specific numeric values if possible.** **Biosynthetic pathway:** Hyoscyamine and scopolamine share a conserved biosynthetic pathway in *D. stramonium* and *A. belladonna* [Ref 23]. The enzyme hyoscyamine 6β-hydroxylase (H6H) — a 2-oxoglutarate-dependent dioxygenase — converts hyoscyamine first to 6β-hydroxyhyoscyamine (anisodamine) and then epoxidizes it to scopolamine [Ref 7, Ref 23]. A distinct cytochrome P450 converts hyoscyamine into norhyoscyamine [Ref 7]. These alkaloids are WHO-classified essential medicines (used as antispasmodics and antiemetics) [Ref 17]. **Preparation method effects on constituent ratios:** - **Oral ingestion** (raw seeds, plant material, tea): all alkaloids extracted; hyoscyamine and scopolamine both active - **Acidic/alcoholic extraction** (e.g., homemade wine): alcohol combined with low pH dramatically increases scopolamine extraction — the "moon flower wine" case showed 29 mg scopolamine/mL (total dose ~435 mg from 15 mL ingested) [Ref 12] - **Smoking/inhalation** (historical anti-asthmatic cigarettes; leaves smoked): alkaloids volatilize and are absorbed via pulmonary route; onset is faster than oral; atropine/scopolamine inhaled directly - **Decoctions/teas**: water extracts alkaloids; precise concentration depends on soak time, temperature, plant part used — highly variable - **Note:** Atropine (the racemate DL-hyoscyamine) is produced from hyoscyamine by racemization during drying, processing, and extraction — fresh plant material contains predominantly the L-isomer; processed material contains increasing amounts of the D-isomer [Ref 3] --- ## History & Ethnobotany **First scientific description:** *Datura stramonium* was formally described by Carl Linnaeus in *Species Plantarum* in 1753. The genus name *Datura* is believed to derive from the Sanskrit word *dhattura* (used in Indian traditional medicine). The epithet *stramonium* derives from Medieval Latin for jimsonweed. **Origin of the name "jimsonweed":** The name is a corruption of "Jamestown weed," derived from the 1676 poisoning incident in Jamestown, Virginia, in which British soldiers sent to suppress Bacon's Rebellion were incapacitated after eating *Datura* in a stew — reportedly spending 11 days in an altered state. This is one of the earliest documented records of mass *Datura* intoxication in North America [Ref 1, Ref 25]. **Traditional and indigenous use:** *Datura* species have been used across multiple continents for thousands of years: - **Americas:** Native American groups (including the Chumash, Zuni, and various Plains tribes) used *D. innoxia* and *D. stramonium* in initiatory rituals, vision quests, and shamanistic practices. Preparations were ingested orally or used as poultices. Ritualistic use required careful dose control given the narrow margin between psychoactive and lethal doses. [FLAG: Traditional-use accounts for specific Native American groups were not found in PubMed searches; this information relies on ethnographic literature not retrieved in this session — FLAG for human review.] - **South America / Andes:** Datura species were combined with mescaline-containing cacti (*Trichocereus* spp.) in Andean traditional medicine contexts [Ref 25] - **Near East / Europe:** Historical use in Middle Eastern preparations involving cannabis; in medieval Europe, *Datura* (along with *Atropa belladonna*, henbane, and mandrake) was an ingredient in "flying ointments" associated with witchcraft. These preparations exploited transdermal absorption of alkaloids - **India (Ayurveda):** *Datura metel* is described in Ayurvedic texts (*Sushruta Samhita*, *Charaka Samhita*) as *dhatura*. It was used medicinally for asthma, pain, and fever, and in religious contexts associated with the deity Shiva. Legal and used in religious contexts in India today [Ref 18]. [FLAG: Ayurvedic citations not retrieved from primary literature in this session; flag for human review] - **Haiti (ethnopharmacology):** Datura (scopolamine) has been documented as a key component of the Haitian "zombie powder," used ethnopharmacologically to induce a zombie-like stupor via anticholinergic delirium. Wade Davis's 1980s ethnobiological research brought this use to wider attention [Ref 20] - **Africa:** *Datura metel* used in traditional medicine across sub-Saharan Africa for various indications **Western pharmaceutical history:** - 19th century: Atropine (racemic hyoscyamine) was isolated from *Atropa belladonna* in 1833; scopolamine isolated in 1888 - Early 20th century: Anti-asthmatic cigarettes containing *Datura stramonium* leaves marketed commercially (e.g., Asthmador brand) — these caused documented anticholinergic poisonings when abused for psychedelic effects [Ref 13] - 1956: Scopolamine approved as a transdermal system for motion sickness (FDA) - 2020: Yeast-based biosynthesis of scopolamine and hyoscyamine achieved for the first time [Ref 17] **Criminal use:** *Datura* has been used criminally as a drug-facilitated incapacitating agent — added to drinks by criminals to stun and rob victims. A documented homicide case involved Datura administered in a drink during a robbery in Asia [Ref 9]. Criminal use exploits the rapid onset of confusion, amnesia, and delirium. **Regulatory history:** See Legal Status section. --- ## Neuroscience & Mechanism **Receptor targets:** Hyoscyamine and scopolamine are **competitive antagonists at all five muscarinic acetylcholine receptor subtypes (M1–M5)**. They bind with high affinity, blocking the action of endogenous acetylcholine at both central and peripheral muscarinic sites [Ref 5, Ref 3]. **CNS mechanism:** - **Scopolamine** has greater CNS penetration than atropine/hyoscyamine (more lipophilic, crosses the blood-brain barrier more readily). At low doses, scopolamine produces sedation, amnesia, and cognitive impairment. At higher doses: delirium, hallucinations (visual, tactile, auditory), and confusion [Ref 5] - **Hyoscyamine / atropine** produce predominantly peripheral anticholinergic effects at lower doses; at higher doses sufficient for CNS penetration, they produce central effects similar to scopolamine - The anticholinergic CNS syndrome results from blockade of M1 receptors in the hippocampus and cortex (critical for memory and cognition), M2 receptors in cardiac tissue (vagal brake removal → tachycardia), and M3 receptors in smooth muscle and secretory glands (dry mouth, urinary retention, reduced GI motility) [Ref 3, Ref 19] - Peripheral manifestations: mydriasis, cycloplegia, tachycardia, reduced secretions, hyperthermia (by blocking cholinergic-mediated sweating), urinary retention, decreased bowel sounds [Ref 2, Ref 19] - The mnemonic for anticholinergic toxidrome: "blind as a bat" (mydriasis, cycloplegia), "mad as a hatter" (delirium), "hot as Hades" (hyperthermia), "dry as a bone" (anhidrosis, dry mouth), "red as a beet" (flushing), "full as a flask" (urinary retention) **Pharmacokinetics (scopolamine — primary CNS-active alkaloid) [Ref 5]:** - **Oral bioavailability:** 3–27% (range; significant first-pass effect; CYP3A4-mediated metabolism in intestinal mucosa) - **Tmax (oral):** approximately 0.5 h; however, CNS effects and anticholinergic toxicity can appear within 30–60 minutes of ingestion of large doses - **Half-life:** short plasma half-life (not precisely quantified in the abstract; estimates ~3-4h based on clinical data); duration of toxicity is 12–48 hours in overdose cases [Ref 13, Ref 11], suggesting tissue distribution / sustained absorption from plant material - **Transdermal (clinical formulation):** 1.5 mg reservoir; Cmax ~100 pg/mL (range 11–240 pg/mL) reached at ~8 h; steady-state maintained over 72 h - **Metabolism:** CYP3A4-mediated oxidative demethylation; glucuronide conjugation in urine; only ~2.6% excreted unchanged; first-pass effect significant - **Drug interaction:** Grapefruit juice inhibits intestinal CYP3A4, increasing scopolamine AUC to ~142% of control and significantly increasing bioavailability (range 6–37% vs. 3–27% with water) [Ref 5] - **Placental transfer:** Scopolamine crosses the placenta readily [Ref 5] - **BBB penetration:** Good; drives CNS effects **Pharmacokinetics (hyoscyamine / atropine):** - Similar chemical structure to scopolamine; atropine (racemate) used extensively in clinical practice - Less lipophilic than scopolamine; somewhat less CNS penetration - Rapidly absorbed after oral, sublingual, or intramuscular administration - Elimination half-life ~2–3 hours - FLAG: Specific bioavailability values for oral hyoscyamine from plant material (vs. pharmaceutical formulations) were not retrieved in this research pass **CYP involvement:** CYP3A4 primary; CYP3A inhibition (grapefruit, azole antifungals, macrolide antibiotics) would be expected to increase plasma levels from oral Datura ingestion [Ref 5]. --- ## Effects & Dose by Preparation **Critical preamble:** *Datura* is among the most dangerous hallucinogenic plants. The margin between psychoactive doses and toxic/lethal doses is extremely narrow. Alkaloid content varies dramatically between plant specimens, seasons, and plant parts. There is **no established safe recreational dose**. Every preparation carries genuine fatality risk. **Preparation 1: Raw seed ingestion** - Most common recreational route [Ref 2, Ref 14] - Seeds are most alkaloid-dense plant part; concentrations vary by species and harvest season [Ref 4] - The 2004 fatal case involved a 19-year-old who ingested an unknown quantity of seeds; blood hyoscyamine 1.1 μg/mL, scopolamine 0.2 μg/mL [Ref 10] - From 29 cases at Kentucky Poison Center (Rodgers 1993): reported amounts ranged from "a few seeds" to ½ cup; typical symptoms included mydriasis, tachycardia, flushing, hallucinations, agitated behavior/lethargy [Ref 14] - Onset: 30–60 minutes (oral absorption) - Peak: 1–4 hours - Duration: 12–48 hours (cases documented) [Ref 13] - FLAG: No controlled human dose-finding studies exist. All dose data come from accidental/intentional poisoning case series. Dose values are NOT verified against published human dose-response data. **Preparation 2: Smoked plant material (leaves)** - Historical anti-asthmatic cigarettes (Asthmador) contained *D. stramonium* leaves; abused for psychedelic effects [Ref 13] - 4 patients 17–23 years old developed full anticholinergic syndrome; all had amnesia; symptoms resolved over 12–48 h [Ref 13] - Onset faster than oral route (pulmonary absorption) - Same anticholinergic syndrome as oral ingestion **Preparation 3: Aqueous decoction (tea)** - Alkaloid extraction into water; concentration highly variable - Used historically in traditional medicine contexts; documented in poisoning cases - No published dose-response data for tea preparations **Preparation 4: Alcohol-based preparations (wine, tincture)** - Alcohol (and acid pH) dramatically increase alkaloid extraction [Ref 12] - Homemade "moon flower wine" from *D. suaveolens* (Angel's trumpet): 29 mg scopolamine/mL; 15 mL total = 435 mg scopolamine [Ref 12] - 435 mg scopolamine is an extraordinary dose — equivalent to roughly 870× the maximum transdermal therapeutic patch dose - FLAG: No established dose for any preparation. All values derive from accidental poisoning cases. **Effect profile (consistent across preparations, dose-dependent):** - **Perceptual:** Visual hallucinations (external hallucinations characteristic — patients commonly cannot distinguish them from reality); object transformations; peripheral misidentification; olfactory and gustatory hallucinations; dreaming enhancement; after-images; double vision; mydriasis causing visual blurring [Refs 1, 3, 11] - **Cognitive:** Profound delirium; amnesia (typically total or near-total for the intoxication period — patients frequently cannot recall their experiences); confusion; thought disorganization; delusions; language suppression; information processing suppression; suggestibility markedly enhanced [Refs 1, 11, 13] - **Affective:** Anxiety; paranoia; depression; cognitive dysphoria; emotional suppression [Ref 1] - **Physical:** Tachycardia; mydriasis; dry mouth; urinary retention; constipation; hyperthermia; flushing; sedation or agitation; dizziness; restlessness; muscle tension; involuntary body movements; seizure threshold reduction [Refs 2, 3, 19] - **Self/Reality:** Depersonalization; derealization; delusions of sobriety (characteristic — patients may believe they are not intoxicated despite severe delirium) [Ref 3] - **Duration:** 12–48 hours for full syndrome resolution; some cases extend beyond 48 h [Ref 13] **Key distinction from classical psychedelics:** Unlike serotonergic hallucinogens (psilocybin, LSD), Datura-induced hallucinations are **indistinguishable from reality** — patients cannot recognize them as unreal. This produces a fully deceptive, amnestic delirium rather than an altered-but-ego-intact experience. This characteristic distinguishes the anticholinergic delirium from serotonergic/dissociative experiences. --- ## Safety & Toxicity **LD50 data:** No human LD50 has been established. In animal studies, atropine LD50 (oral, mice) is approximately 75–500 mg/kg (species-variable). For humans, an oral dose of ~50 mg atropine sulfate has been described as potentially fatal; there is no established fatal dose for scopolamine [Ref 12]. The highest recorded blood concentrations in a fatal human case were hyoscyamine 1.1 μg/mL and scopolamine 0.2 μg/mL [Ref 10]. **EFSA Acute Reference Dose:** The European Food Safety Authority established a group ARfD for (-)-hyoscyamine and (-)-scopolamine combined at **0.016 μg/kg body weight** (based on decreased heart rate observed in human volunteer studies). Dietary exposure of toddlers could reach up to 7× this ARfD on approximately 11–18% of consumption days from grain contamination alone [Ref 22]. **Fatal cases (selection):** - 2025 (Vivares et al.): 58-year-old male died after accidental ingestion of meal contaminated with Solanaceae plant material. Atropine and scopolamine found in all postmortem matrices including vitreous humor. First documented accidental foodborne fatality [Ref 8] - 2004 (Boumba et al.): 19-year-old intentionally ingested seeds for hallucinogenic effects; found dead. Blood: hyoscyamine 1.1 μg/mL, scopolamine 0.2 μg/mL — highest concentrations on record at time of publication [Ref 10] - 2016 (Le Garff et al.): 35-year-old homicide victim; Datura added to drink by a guide. Death from cardiac arrhythmia secondary to severe anticholinergic syndrome. Alkaloids detected in vitreous humor post-embalming [Ref 9] **Adverse events series:** - Swiss Toxicology Center 1966–1994 (Jaspersen-Schib et al.): 17 severe *D. stramonium* intoxication cases among 135 severe plant poisonings reviewed. All 17 had anticholinergic syndrome; 12 had psychosis; 2 had coma [Ref referenced from OpenAlex W2301332286, PMID 8711457] - Rodgers & Von Kanel 1993: 29 cases over 7 years at Kentucky Regional Poison Center, 28/29 intentional abuse; mean age 18.9 years; all had typical mild-moderate anticholinergic symptoms; no fatalities with conservative management [Ref 14] - Groszek et al. 2000: 7 patients in one month in Kraków; ages 14–27; all had central and peripheral anticholinergic symptoms; 5 treated with physostigmine [Ref 11] **Psychological risks:** - Acute psychosis occurs at toxic doses; documented in 12/17 severe Swiss cases [as above] - Extensive amnesia is typical — patients rarely remember their experience - Residual anxiety, paranoia, and dysphoria may persist after resolution of acute delirium - Risk of accidental self-harm or accidents during delirious state is substantial - Repeated recreational use patterns are uncommon (the extreme unpleasantness of the delirium and amnesia discourages redosing), but the brief seed mentions "mildly addictive" — evidence base for this claim is weak **Herb–drug interactions:** - **Additive anticholinergic burden (most important interaction):** Concurrent use with any anticholinergic medication (tricyclic antidepressants, antihistamines, antipsychotics with anticholinergic properties, antiparkinsonian agents, bladder antimuscarinics, antiemetics) produces additive or synergistic anticholinergic toxicity [Ref 21]. This is a mechanistic/pharmacodynamic interaction. Severity: potentially life-threatening. Evidence basis: pharmacovigilance data (Montastruc 2018 [Ref 21]) and extensive clinical literature on anticholinergic burden - **CYP3A4 inhibitors** (grapefruit juice, ketoconazole, erythromycin, fluconazole): Would be expected to increase scopolamine/hyoscyamine plasma levels by inhibiting first-pass CYP3A4 metabolism, based on demonstrated grapefruit juice effect (AUC ×1.42) [Ref 5]. Clinical case reports for specific inhibitors with plant-derived Datura exposure not found in this search - **CNS depressants** (alcohol, benzodiazepines, opioids): Additive CNS depression; alcohol additionally increases alkaloid extraction from plant material [Ref 12]. Pharmacodynamic interaction - **Physostigmine (antidote):** Acetylcholinesterase inhibitor; reverses central anticholinergic syndrome. Used successfully in multiple case series at doses of 1–6 mg [Refs 11, 19] - FLAG: All interaction severity assessments are based on pharmacokinetic mechanism (CYP3A4 for grapefruit; pharmacodynamic for additive anticholinergics) and pharmacovigilance data, not controlled clinical trials specifically involving Datura plant exposure **Tolerance and dependence:** - Brief data: Tolerance buildup with repeated use; half-life 5 days; full reset 1.5 weeks (source: Curiosity v1 DB — NOT verified against published literature in this session) - FLAG: No published controlled human studies on tolerance development or dependence liability for *Datura* specifically were found. The anticholinergic class generally has low physical dependence potential. Cholinergic rebound (excessive sweating, GI cramping, bradycardia) has been described upon abrupt cessation of chronic anticholinergic drug use but is not well-documented for Datura specifically - Psychological dependence: The Curiosity DB notes "mildly addictive with high potential for adverse side effects including psychosis." The extreme unpleasantness of Datura intoxication (amnesia, delirium, terror) makes repeated recreational use unusual — this is documented in the Rodgers 1993 series where self-reported users often did not repeat use [Ref 14]. The 2020 review notes Datura associated with drug use "among teens" who typically do not escalate [Ref 2] **Contaminant and adulterant risks:** - **Agricultural contamination:** *Datura* seeds are a well-recognized contaminant of grain crops (buckwheat, millet, quinoa). The EU has regulated Datura seed presence in animal feeds at ≤1000 mg/kg (Directive 2002/32/EC) [Ref 4]. Food contamination cases include mass poisonings from contaminated grain/flour - **Variable potency:** Alkaloid concentrations vary dramatically by species, organ, season, and growing conditions [Ref 4] — making any preparation intrinsically unpredictable in potency - **Mislabeling/misidentification:** Commercial preparations (teas, supplements) have occasionally contained undisclosed *Datura* material; forensic testing found contaminated herbal products **Vulnerable populations:** - **Elderly:** Heightened sensitivity to anticholinergic toxicity; cognitive impairment may be precipitated at lower doses; falls risk - **Pediatric:** Children particularly susceptible — even small quantities cause serious CNS symptoms [Ref PMID 25341608 — pediatric case report] ; children accidentally exposed through ingestion of attractive plant parts - **Cardiac disease:** Tachycardia and arrhythmia risk elevated - **Glaucoma (angle-closure):** Mydriasis can precipitate acute angle-closure glaucoma crisis - **Urinary obstruction / BPH:** Risk of acute urinary retention - **Pregnancy:** Scopolamine crosses placenta; avoid in pregnancy [Ref 5] - **Psychiatric illness:** May precipitate acute psychosis or worsen existing conditions - **Users of anticholinergic medications:** As above under drug interactions --- ## Harm Reduction **Emergency response:** Anticholinergic toxidrome is a medical emergency. Treatment includes: - Supportive care: cooling for hyperthermia; monitoring cardiac rhythm; IV fluids; urinary catheterization if retention - Activated charcoal if oral ingestion within 1 hour and airway is protected [Ref 19] - Benzodiazepines for agitation and seizures [Ref 19] - **Physostigmine** (acetylcholinesterase inhibitor): Specific antidote for severe central anticholinergic syndrome; doses of 1–6 mg IV have been used successfully [Refs 11, 19]; must be administered in monitored setting due to risk of cholinergic excess - Contact Poison Control immediately **Identification:** *Datura* plants are identifiable by their distinctive large trumpet-shaped white or pale violet flowers, large irregularly lobed leaves with unpleasant odor when crushed, and spiny ovoid capsular fruit. Seeds are flat, dark brown/black, kidney-shaped. Any preparation from an unidentified plant carries risk of Datura contamination. **No safe recreational dose:** Published literature contains no evidence of a dose range at which *Datura* produces predictable, controllable, or tolerable effects. Every ingestion carries unpredictable potency risk. Fatalities have occurred with both intentional and accidental ingestion. **Drug testing:** Standard urine immunoassay drug panels do NOT detect scopolamine, hyoscyamine, or atropine. Detection requires targeted GC-MS or LC-MS analysis, which is typically performed only in forensic or specialized toxicology contexts. A person impaired by *Datura* may pass a standard workplace drug screen [Ref 9, Ref 10 — case reports describe post-mortem detection by targeted methods only]. **Recovery:** No established cessation programs specific to *Datura* exist. The extreme aversiveness of the experience typically discourages repeat use [Ref 14]. No withdrawal management protocols identified in published literature. --- ## Legal Status *Source: Erowid (web-retrieved, 2024) [Ref 18]; legal status is subject to change and this reflects available information at time of research.* **United States — Federal:** *Datura* is **unscheduled and uncontrolled** at the federal level. The plant and its natural extracts are not listed under the Controlled Substances Act. Scopolamine and hyoscyamine are FDA-regulated pharmaceuticals when sold as medicines but are not DEA-scheduled when present in their natural plant source. **United States — State level:** - **Kansas:** *Datura stramonium* classified as a Schedule I controlled substance since 2008 - **Nevada:** Schedule I controlled substance (with exception for FDA-approved pharmaceutical formulations) - **Louisiana:** Illegal when intended for human consumption; legal for "aesthetic, landscaping, or decorative purposes" - **Connecticut:** Classified as a restricted drug except for FDA-approved preparations - **New Jersey:** Distribution of Datura preparations is criminalized; the state may destroy discovered plants - **Oklahoma:** Controlled under synthetic substance laws when used "as a drug" - **Tennessee:** Not specifically restricted (only *Salvia divinorum* restricted) - FLAG: This list may be incomplete. Recommend legal review for any jurisdiction-specific claims before publication. **International:** - **Australia:** Schedule 1 poison nationally (prohibited substance) - **Canada:** Not scheduled; legal to grow and possess - **United Kingdom:** Legal to grow and possess - **India:** Legal; commonly used in religious contexts (associated with the deity Shiva) - **Brazil:** *Datura suaveolens* (Angel's trumpet) is controlled - **Norway:** Legal to grow; importation by mail prohibited - **European Union:** No EU-wide scheduling of the plant; individual member states may have restrictions. Scopolamine and atropine are regulated as pharmaceuticals **International treaty applicability:** Neither *Datura* nor its primary alkaloids (hyoscyamine, scopolamine, atropine) are listed in the schedules of the 1961 UN Single Convention on Narcotic Drugs, the 1971 UN Convention on Psychotropic Substances, or the 1988 UN Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances. The alkaloids are controlled as pharmaceuticals in most jurisdictions but the plant itself is generally not internationally scheduled. --- ## Clinical Trials A search of ClinicalTrials.gov for "Datura scopolamine hyoscyamine tropane alkaloid" returned **no active or completed trials** specifically investigating *Datura* as a substance [Ref — ClinicalTrials.gov search]. Scopolamine itself is the subject of numerous clinical trials (motion sickness, depression, anesthesia premedication), but these use pharmaceutical-grade scopolamine, not plant material, and are not directly relevant to the plant article. **Relevant pharmaceutical context:** Scopolamine (as pharmaceutical hyoscine) is an FDA-approved medication for motion sickness (transdermal patch) and nausea/vomiting. It has demonstrated rapid antidepressant effects in clinical trials [Ref PMID 23364679 — JAMA Psychiatry 2013], though pharmaceutical scopolamine for depression remains investigational as of 2026. These approvals confirm the biological activity of the primary Datura alkaloid but do not represent Datura-specific research. --- ## Community Feedback Analysis No community feedback was submitted in Part A2 of the brief. Proceeding with standard research only. --- ## Gaps & Flags ### Safety-Critical Flags 1. **No established safe recreational dose for any preparation:** All dose data are derived from accidental/intentional poisoning case series. No controlled human dose-finding studies exist or could ethically be conducted. The generation agent should NOT present any dose range as "safe" or "common." [FLAG: Dose values not verified against published source — all come from poisoning cases] 2. **Alkaloid concentration data (specific mg/g values) not retrieved:** The Jakabová 2012 paper [Ref 4] contains the relevant HPLC/LC-MS concentration data by plant organ and species, but the full-text was not accessible; only abstract-level data was obtained. Specific numeric concentrations per gram dry weight should be sought in full-text before the generation agent uses them. 3. **Toxicity threshold not established:** Unlike many drugs, no formal LD50 has been established in humans. The EFSA ARfD of 0.016 μg/kg bw is based on heart rate changes (sub-toxic endpoint), not on the toxic/lethal threshold. ### Data Gaps 4. **Traditional/indigenous use — flag for human review:** Published PubMed searches retrieved no peer-reviewed ethnobotanical literature specifically documenting Native American ceremonial use of Datura. Information included in the History section draws on general ethnobotanical knowledge not sourced to primary literature retrieved in this session. **FLAG: Traditional-use section requires human editorial review and citation to authoritative ethnobotanical monographs (e.g., Moerman's *Native American Ethnobotany*, Schultes & Hofmann's *Plants of the Gods*).** 5. **Tolerance and dependence data:** Seed data from Curiosity v1 DB (tolerance buildup with repeated use; half-life 5 days; full reset 1.5 weeks) could **not be verified** against published primary sources in this research pass. No controlled studies on tolerance development for *Datura* alkaloids were found. 6. **Withdrawal syndrome:** No published literature specifically characterizing Datura/anticholinergic withdrawal was found. Cholinergic rebound is theoretically possible after chronic exposure but is not documented for *Datura* use. 7. **Drug test detection:** Standard drug panels do not detect tropane alkaloids. Specific detection by GC-MS/LC-MS confirmed in forensic case reports only. No published validated screening cutoffs for hyoscyamine/scopolamine in routine toxicology panels were found. 8. **Specific alkaloid concentrations by plant part (seeds vs. leaves):** The published literature consistently reports that seeds have highest concentrations, but specific mg/g values by part in *D. stramonium* were not retrieved from full texts. This gap is relevant to preparation-specific dose estimates. 9. **Brugmansia vs. Datura distinction:** The article should clearly distinguish *Datura* (annual herbs) from *Brugmansia* spp. (Angel's trumpets — woody shrubs/trees with pendulous flowers). They are often confused in public sources and in poisoning case reports. Both contain the same alkaloids but *Brugmansia* is not the subject of this article. 10. **Contaminant risk for commercial preparations:** *Datura* is not sold commercially as a recreational product; contamination risk is primarily agricultural (grain contamination). No commercial preparation–specific adulterant risk data found. 11. **Ayurvedic traditional use citations:** Traditional Indian use documented in Erowid sources but not retrieved from peer-reviewed primary literature. Flag for editorial sourcing to Ayurvedic pharmacopoeia references. 12. **Legal status confidence:** Legal status data from Erowid is web-retrieved and may not reflect recent legislative changes. Recommend verification against official state statutes before publication, particularly for Kansas, Nevada, Connecticut, New Jersey, and Australia.