Work

Digoxin-Like Toxicity After Tejocote Root and Yellow Oleander Ingestion: The Hidden Dangers of Herbal Supplements

Year: 2026

Type: article

Abstract: Tejocote root (Crataegus mexicana) is a common herbal supplement used for weight loss and to induce bowel movements. In recent years, there has been an increase in the number of cases of digoxin-like toxicity associated with consumption of tejocote root, and substitution of tejocote root with yellow oleander. We present a case of excess tejocote ingestion to induce a bowel movement that resulted in subsequent gastrointestinal upset and cardiac arrhythmia. This report highlights the potential risks associated with the consumption of tejocote root, particularly due to suspected inclusion of yellow oleander after a Food and Drug Administration–issued warning of several supplements.

Source: Annals of Internal Medicine Clinical Cases

DOI: 10.7326/aimcc.2025.0995

Authors: Ashley Riley, Deepti K. Tantry, Allison W. Peng, Marlene S. Williams, Catherine Kiruthi

Institutions: Johns Hopkins University, Johns Hopkins Medicine, Johns Hopkins Bayview Medical Center

Language: English

Topic: Complementary and Alternative Medicine Studies

Subfield: Complementary and alternative medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7151483085

FWCI:

Cites: 23

Cited by:

Related to: