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QuizMaster wrote: My particular horror is foxglove, which grows all around us.

Toxicity

Due to the presence of the cardiac glycoside digitoxin, the leaves, flowers and seeds of this plant are all poisonous to humans and some animals and can be fatal if eaten.

Extracted from the leaves, this same compound, whose clinical use was pioneered as digitalis by William Withering, is used as a medication for heart failure. He recognized that it "reduced dropsy", increased urine flow and had a powerful effect on the heart. Unlike the purified pharmacological forms, extracts of this plant didn't frequently cause intoxication because they induced nausea and vomiting within minutes of ingestion, preventing the patient from consuming more.

The main toxins in Digitalis are the two chemically similar cardiac glycosides: digitoxin and digoxin. Like other cardiac glycosides, the Digitalis toxins exert their effects by inhibiting the ATPase activity of a complex of transmembrane proteins that form the sodium potassium ATPase pump, (Na+/K+-ATPase). Inhibition of the Na+/K+-ATPase in turn causes a rise not only in intracellular Na+, but also in calcium, which in turn results in increased force of myocardial muscle contractions. In other words, at precisely the right dosage, Digitalis toxin can cause the heart to beat more strongly. However, digitoxin, digoxin and several other cardiac glycosides, such as ouabain, are known to have steep dose-response curves, i.e. minute increases in the dosage of these drugs can make the difference between an ineffective dose and a fatal one.

Symptoms of Digitalis poisoning include a low pulse rate, nausea, vomiting, and uncoordinated contractions of different parts of the heart leading to cardiac arrest and finally death.