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GMJ News > Ingredients A-Z > Dangerous/banned > Belladonna

Belladonna

GMJ
Last updated: 02/06/2026 19:45
By
Prof. Giorgi Pkhakadze
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8 Min Read
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Medically reviewed by Prof. Giorgi Pkhakadze, MD, MPH, PhD — GMJ Editorial Board

5 min read|976 words

What is Belladonna?

Belladonna, scientifically known as Atropa belladonna, is a highly toxic perennial plant belonging to the nightshade family (Solanaceae). Also called deadly nightshade, this plant contains potent alkaloids including atropine, scopolamine, and hyoscyamine. While historically used in traditional medicine and as a cosmetic to dilate pupils (hence “bella donna” meaning “beautiful woman” in Italian), belladonna is classified as extremely dangerous and is banned for use in dietary supplements in most countries, including the United States.

The plant produces dark purple berries and bell-shaped flowers, with all parts containing toxic compounds. Even small amounts can be lethal, making it one of the most dangerous plants in Europe and North America. Modern medicine has isolated and synthesized its active compounds for specific pharmaceutical applications under strict medical supervision.

Health benefits & uses

Evidence quality: Limited to pharmaceutical applications only

Belladonna has no safe or approved uses as a dietary supplement. However, its purified alkaloids are used in conventional medicine:

  • Atropine: Used in hospitals for treating certain heart rhythm disorders, as an antidote for organophosphate poisoning, and during anesthesia
  • Scopolamine: Employed for motion sickness prevention in controlled pharmaceutical preparations
  • Hyoscyamine: Prescribed for certain gastrointestinal disorders under medical supervision

Historical claims about belladonna treating various ailments lack scientific evidence and are overshadowed by its extreme toxicity. Any potential therapeutic effects are only achievable through purified, standardized pharmaceutical preparations—never through raw plant material or unregulated supplements.

How it works

Belladonna’s alkaloids are anticholinergic compounds that block acetylcholine receptors in the nervous system. This mechanism disrupts normal nerve signal transmission, affecting the parasympathetic nervous system. The alkaloids can cross the blood-brain barrier, affecting both peripheral and central nervous systems.

These compounds interfere with normal bodily functions including heart rate, breathing, digestion, and consciousness. The same mechanism that produces any potential therapeutic effects also causes the plant’s dangerous toxicity, making the therapeutic window extremely narrow or nonexistent for whole plant preparations.

Dosage

No safe dosage exists for belladonna as a supplement. The plant is banned from dietary supplements due to its toxicity. There is no established RDA (Recommended Dietary Allowance) or UL (Tolerable Upper Intake Level) because belladonna is not a nutrient and has no safe consumption level.

Any use of belladonna-derived compounds must be under strict medical supervision using pharmaceutical preparations with precise dosing. The difference between a “therapeutic” dose and a toxic dose is extremely small, and varies significantly between individuals.

Accidental ingestion of even small amounts of belladonna plant material constitutes a medical emergency requiring immediate professional treatment.

Food sources

Belladonna is not found in foods and should never be consumed as food. The plant grows wild in parts of Europe, North Africa, and Asia, and has been introduced to North America. It may occasionally be mistaken for edible berries, leading to accidental poisonings.

Some plants in the same nightshade family, such as tomatoes, potatoes, and eggplants, contain trace amounts of similar alkaloids but in much lower, generally safe concentrations when properly prepared and consumed as food.

Safety & side effects

Belladonna is extremely dangerous and potentially fatal. Symptoms of belladonna poisoning can occur rapidly and include:

  • Dilated pupils and blurred vision
  • Dry mouth and difficulty swallowing
  • Rapid heartbeat and elevated blood pressure
  • Confusion, hallucinations, and delirium
  • Seizures and coma
  • Respiratory depression and cardiac arrest

Children are particularly susceptible to belladonna poisoning. As few as 2-3 berries can be fatal to a child, while 10-15 berries may be lethal to adults. There is no safe amount for consumption outside of medical settings.

Interactions

Belladonna’s anticholinergic effects can dangerously interact with numerous medications and substances:

  • Anticholinergic medications: May amplify toxic effects
  • Antidepressants: Particularly tricyclic antidepressants, can increase anticholinergic toxicity
  • Antihistamines: May compound sedative and anticholinergic effects
  • Heart medications: Can unpredictably affect heart rhythm
  • Alcohol: Increases central nervous system depression

These interactions can be life-threatening and unpredictable due to belladonna’s toxicity profile.

Who should be cautious

Everyone should avoid belladonna completely. It is particularly dangerous for:

  • Children and infants (extremely high risk of fatal poisoning)
  • Pregnant and breastfeeding women
  • Individuals with heart conditions
  • People with glaucoma or urinary retention
  • Those taking anticholinergic medications
  • Elderly individuals (increased sensitivity to anticholinergic effects)

No one should attempt to use belladonna for any health purpose outside of professional medical treatment with pharmaceutical preparations.

Frequently asked questions

Is belladonna legal to purchase?

Belladonna is banned in dietary supplements in most countries. While the plant itself may be legal to grow ornamentally in some areas, selling it for human consumption or medicinal use is prohibited. Pharmaceutical preparations containing its alkaloids require prescriptions.

Are homeopathic belladonna products safe?

Properly prepared homeopathic products should be highly diluted to contain little to no active belladonna alkaloids. However, quality control issues have led to recalls of some homeopathic products containing dangerous levels of belladonna. Consult healthcare providers before using any products claiming to contain belladonna.

What should I do if someone ingests belladonna?

Seek emergency medical attention immediately. Call poison control and emergency services. Do not induce vomiting unless specifically instructed by medical professionals. Time is critical in belladonna poisoning cases.

Can belladonna be used safely in any form?

Only pharmaceutical preparations of purified belladonna alkaloids, prescribed and monitored by qualified healthcare providers, can be considered for specific medical conditions. Raw plant material or unregulated supplements are never safe.

Why was belladonna used historically if it’s so dangerous?

Historical use often lacked understanding of proper dosing and toxicity. Many traditional uses resulted in poisonings and deaths. Modern medicine has replaced crude belladonna preparations with safer, more effective treatments, using only purified compounds when absolutely necessary.

Classification:

Typical dose: — · Studied up to: —

References

Authoritative profile & live regulatory status: Belladonna on SupplementIndex →

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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