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November 2, 2021

Question of the Day – Tuesday November 2, 2021

What is Blue Lotus?

Blue Lotus (Nymphea nouchali) is an aquatic plant naturally found in parts of eastern Africa and the Middle East. It has been used as a sleep aid and anxiolytic. With larger doses a variety of effects were described in this case series of military enlistees. These included sedation, depressed LOC, delusions, hypomania, agitation and chest pain. The route of exposure was by vape device in 4 and infused wine in the fifth. The implicated alkaloids are apomorphine and nuciferine. Both have effects at serotonergic and dopaminergic receptors.

Schimpf M, Ulmer T, Hiller H, Barbuto AF. Toxicity From Blue Lotus (Nymphaea caerulea) After Ingestion or Inhalation: A Case Series. Mil Med. 2021 Aug 4:usab328. doi: 10.1093/milmed/usab328. Online ahead of print.

Submitted by: Michael Hodgman, MD

Posted in Question Of The Day
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  • Education & Groups
    • American Board of Applied Toxicology (ABAT)
      • ABAT Exceptional Service Award
      • ABAT Newsletter
      • Sitting for the American Board of Applied Toxicology Exam
        • ABAT Examination Study Guide
      • Certification Renewal Documents
      • Life Long Learning Articles (LLSA)
      • ABAT Member Directory
        • Diplomate Verification
      • ABAT Board of Directors Contact Information
    • E-Learning
      • Advanced Hazmat Life Support Training
      • MMTI Fundamentals for Front-Line Practitioners Training
      • TOXISMO Society for the Discussion of Scientific Literature
      • ToxNow
      • Webinars
        • ABAT Journal Club Webinars
        • COVID Webinar Series
    • Toxicology Residency & Fellowship Training Programs
    • Clinical Toxicology Guidelines Collaborative
      • Recommendations
    • Fellows of AACT
    • ToxCoach Mentorship Program
    • Committees
    • Sections
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