Water Hilock Cicuta maculata

Cicutoxin, a highly unsaturated higher alcohol, is found in highest concentrations in the root, but all parts contain the poison. Its exact mechanism of action is unknown. One mouthful may be fatal in as soon as 15 min. Initial symptoms include nausea, vomiting, and abdominal pain, followed by delirium, seizures, and death. Seizures may be severe and refractory to conventional anticonvulsant therapy. The mortality rate may be as high as 30 percent. 9 GI decontamination is paramount. Treatment is otherwise supportive, with IV fluids, anticonvulsants, and bicarbonate if necessary for acidosis.

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