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Ethnopharmacological Relevance: Rhododendron honey, locally known as "mad honey", contains gryanotoksin (GTX) and thus induces toxic effects when consumed in large amounts. But, it is still popularly used for treating medical conditions such as high blood pressure or gastro-intestinal disorders. The aim of this study was to evaluate the effect of GTX on antioxidant parameters measured from rats fed with Rhododendron honey.
Material And Methods: A total of sixty Sprague-Dawley female rats were divided into five groups of 12 rats each, one being the control group (Group 1) and the others being the experimental groups (Groups 2 to 5). Group 2 was treated with 0.015 mg/kg/bw of Grayanotoxin-III (GTX-III) standard preparation via intraperitoneal injection. Groups 3, 4 and 5 were respectively given Rhododendron honey (RH) at doses of 0.1, 0.5, and 2.5 g/kg/bw via oral gavage. After one hour, blood samples were collected from the rats. Glutathione peroxidase (GSh-Px), superoxide dismutase (SOD), catalase (CAT) activities and malondialdehyde (MDA) contents were examined in blood, heart, lungs, liver, kidney, testicles, epididiymis, spleen and brain specimens.
Results: The data from the rats in Groups 2 (GTX) and 5 (RH at 2.5 g/kg/bw) showed negative effect on the antioxidants parameters in blood and all tissue samples examined at the specified doses and time period. Administration of GTX to rats at dose of 0.015 mg/kg/bw resulted in lipid peroxidation. (This part needs to be enhanced more).
Conclusion: It has been observed that both Grayanotoxin and high dose Rhododendron honey treatments showed oxidant effect on blood plasma and organ tissues investigated.
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http://dx.doi.org/10.1016/j.jep.2014.08.027 | DOI Listing |
Wild honey poisoning can cause serious cardiovascular complications, including bradycardia and hypotension, even with small amounts (1-2 teaspoons) consumed. Symptoms typically emerge within 30-45 min of ingestion. Early intervention with IV fluids and atropine is effective in most cases, but severe cases may require vasopressors, particularly when presentation is delayed.
View Article and Find Full Text PDFJ Appl Toxicol
July 2025
Department of Chemistry, Tribhuvan University, Tri-Chandra Campus, Kathmandu, Nepal.
Mad honey, primarily derived from the nectar of Rhododendron species, has been used for centuries in traditional medicine due to benefits in managing hypertension, diabetes, and gastrointestinal disorders. However, its consumption carries health risks, including dizziness, hypotension, bradycardia, and, in severe cases, life-threatening cardiac complications. This review synthesizes research on the chemical composition and toxicological effects of mad honey, with a focus on grayanotoxins (GRAYs), key bioactive compounds responsible for its dual therapeutic and toxic effects.
View Article and Find Full Text PDFCase Rep Med
June 2025
Department of Medicine, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar.
Mad honey disease is caused by consuming honey containing grayanotoxanes-neurotoxins found in certain species of plants. Mad honey, derived from the nectar of these plants, can cause significant cardiovascular and neurological symptoms. While most cases are reported in regions where it is produced, extensive travel among diverse expatriate communities in various global regions is one of the factors that may contribute to cases occurring in nonendemic areas.
View Article and Find Full Text PDFAnn Med Surg (Lond)
March 2025
Maharajgunj Medical Campus, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.
Introduction And Importance: Wild honey from Nepal's Himalayas contains grayanotoxin, derived from rhododendron flowers, and is used in alternative medicine. However, it can cause severe side effects like vomiting, hypotension, and bradycardia.
Case Presentation: A 52-year-old baker from Chame, Manang, Nepal experienced dizziness, vomiting, sweating, and hypersalivation 30 minutes after consuming a teaspoon of wild honey for mild abdominal pain.
Toxicon
March 2025
Department of Chemistry, Faculty of Sciences, Karadeniz Technical University, Trabzon, 61080, Türkiye. Electronic address:
Grayanotoxins (GTXs) are naturally occurring toxins with diterpenoid structures, predominantly found in species of Rhododendron, and are responsible for food poisoning associated with honey, commonly referred to as mad honey. The Black Sea region, known for its rich Rhododendron species, is also the geographical area with the highest incidence of honey poisoning cases globally. In this study, the concentration of GTX-III was quantified in the honey and Rhododendron flower samples collected from the Black Sea region.
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