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AlternativeMed

Psychedelic Therapy · Poisonous plant

Brugmansia (angel's trumpet)

Brugmansia spp. · also called Angel's trumpet, angel's trumpets

Brugmansia, or angel's trumpet, is a garden shrub with large hanging flowers. Every part is poisonous. It contains scopolamine, atropine and hyoscyamine, which can cause delirium, hallucinations, fast heartbeat and injury, and poisoning has been reported in children, teenagers and adults. It is a deliriant, not a classic psychedelic. No human trial shows it treats any condition. If anyone may have eaten or chewed any part, call poison control or emergency services now.

General information, not medical advice. Last substantive update · Not medically reviewed. A named clinician has not signed off on this page. Traditional-context wording has not had Indigenous or cultural review. How this page is made

About Brugmansia (angel's trumpet)

Brugmansia, or angel's trumpet, is a common ornamental shrub in the nightshade family. All parts are poisonous. Its alkaloids scopolamine, atropine and hyoscyamine block acetylcholine and cause an anticholinergic poisoning with delirium. Evidence is case reports and poison-centre series, not trials.

Children, gardens and pets

Angel's trumpet is a popular garden plant, so accidents happen: petals eaten as a garnish, leaves of an unrecognised plant, and eye contact that left a child with one large pupil. A case report notes accidental seed ingestion by children, and a 5-year-old needed a breathing machine for 35 days after ingesting the plant (a published comment questioned the exact diagnosis).

We did not read a veterinary source for pets or livestock. Because the plant is highly toxic in all parts, keep animals and children away from it, wash hands after touching it, and call a vet or poison helpline if an animal may have chewed it.

16 15 8 29 27

What it is

Brugmansia is a genus of about seven or eight species in the nightshade family (Solanaceae) according to a 2021 review. GBIF lists the genus Brugmansia Pers. as accepted. The scientific name used in some older papers is Datura suaveolens for what is now Brugmansia suaveolens.

The name 'angel's trumpet' is used for Datura in some papers, so check which plant a source means. Datura has the same alkaloids. Native range and conservation status could not be verified from a primary source.

10 1 8 31

A deliriant, not a classic psychedelic

Scopolamine, atropine and hyoscyamine block acetylcholine in the brain and body. This is a poisoning that can bring a confused, delirious state with vivid hallucinations that may be frightening and unsafe.

Reports of teenagers using the plant for its hallucinogenic effect describe agitation, psychosis, injury and hospital care, sometimes with sedation and restraint for more than a day.

30 13 9 19

Traditional context

A 2021 review says species of Brugmansia are used in traditional medicine and as a hallucinogen, for protection from evil and in magical rituals. A 2003 lab paper says Brugmansia arborea is used in the northern Peruvian Andes for magic-therapeutic purposes, and a 1969 paper studied the tree datura drugs of the Colombian Sibundoy (title only read).

We describe these traditions only as far as the sources say. Traditional use is not clinical evidence and says nothing about safety. This section needs Indigenous and cultural review before it is final.

1 6 5

Criminal use and 'devil's breath'

Forensic papers document scopolamine used as an incapacitating drug in robberies and sexual crimes. In one Dutch series, one victim died and two survived. A 2017 report from Venezuela describes six patients with toxic psychosis from non-pharmaceutical scopolamine nicknamed 'Devil's Breath'.

We did not find a source proving the popular story that blowing a plant powder in someone's face makes them obey, so those claims are not verified here. If you think someone has been drugged, get emergency help.

18 28 3

How strong is the evidence?

Poisoning evidence is case reports and case series; plant identity is often presumed. Benefit evidence is traditional use plus one mouse study and one in-vitro study. No human trial of any Brugmansia plant or extract was found.

Purified scopolamine, atropine and hyoscyamine are standardised medicines on the WHO essential medicines list (2022 review). The plant is not standardised, and its strength varies by part, plant and damage.

30 2 26 6

At a glance

Traditional uses history, not proof

  • Used in traditional medicine in several regions for pain, inflammation, wounds, asthma and colic, according to a 2021 review that says many uses are not confirmed.
  • Used as a hallucinogen, for protection from evil and in magical rituals (same review).
  • Used in the northern Peruvian Andes for magic-therapeutic purposes (a 2003 lab paper); studied among the Sibundoy of Colombia in 1969 (title only read). Needs Indigenous and cultural review.

Studied for research

  • Traditional medicine uses, insufficient (no human trial)
  • Pain response in mice from a flower extract, very low (animal only)
  • Morphine withdrawal in isolated tissue from pure alkaloids, insufficient (lab only)
  • Other lab activities (anti-inflammatory, antibacterial), very low
  • Hallucinogenic effect, against (it is a poisoning)

Main compounds

  • Scopolamine (CID 5184), the most abundant alkaloid in B. suaveolens in one study
  • Atropine (CID 174174)
  • Hyoscyamine (CID 154417)
  • About 189 compounds in the genus, including terpenes and flavonoids (2021 review)

Common forms

  • Not given. This page does not advise any preparation or use of the plant.

Research links: Datura and Brugmansia poisoning, Taiwan poison centre, 203 cases (2019) · Presumed Brugmansia poisoning, 33 patients, Australia (2003) · Review of the genus Brugmansia: traditional use, chemistry and toxicity (2021) · Unknowing ingestion of leaves, case report (2019) · Brugmansia poisoning in a teenager, case report (2026) · Scopolamine-facilitated robberies, forensic cases (2017) · Anticholinergic tropane alkaloids in therapeutics (2022) · Royal Horticultural Society: Brugmansia · Poison help in the US · Research Library · Genes & Biomarkers Library

What it is and its history

Accepted scientific name
Brugmansia Pers. (genus); commonly Brugmansia suaveolens (Humb. & Bonpl. ex Willd.) Bercht. & J.Presl
Naming authority
Pers.
Common names
Angel's trumpet (English); Angel's trumpets (English); Trombeteira (Brazil) (Portuguese); Attana (Sri Lanka) (Sinhalese)
Family or group
Solanaceae (nightshade family)
Classification
Plantae > Solanales > Solanaceae > Brugmansia > Brugmansia suaveolens (example species)
Native range
A 2021 review says the genus has about 7-8 species distributed in America, Europe, Africa and Asia. GBIF lists B. suaveolens as introduced in places such as the Galapagos, Kenya and Tanzania. A native range in the Andes and Amazon is not stated in the sources read; Wikipedia says the genus is native to South America (NOT verified).
Habitat
Not verified here.
What it looks like
Roots: Not described in sources read.; Stems: Not described in sources read.; Leaves: Not described in sources read.; Flowers: Large hanging trumpet-shaped flowers (RHS guide describes tender tropical shrubs or small trees grown for fragrant flowers).; Fruit: Not described in sources read.
Cultivation
Not covered on this page.
Harvest and processing
Not covered on this page.
Look-alikes and adulterants
Name: Datura (thorn apple, jimsonweed); Note: A closely related genus with the same alkaloids; some papers call both 'angel's trumpet'. Botanical identification details were not verified from a source here.; Name: Edible flowers and garden plants; Note: Poisoning from petals used as a garnish and leaves mistaken for another plant are in case reports. Never eat a flower or leaf you cannot identify with certainty.
Sustainability and conservation
Wikipedia says Brugmansia is Extinct in the Wild per the IUCN Red List (NOT verified; IUCN returned 403).

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
Traditional medicine in several regionsA 2021 review says Brugmansia species are used in traditional medicine for inflammation, rheumatic arthritis, wounds, skin infections, headache, asthma, colic and aches, and as a hallucinogen, for protection from evil and in magical rituals. It says many traditional uses are not confirmed.p33571613
Northern Peruvian AndesA 2003 lab paper says Brugmansia arborea is used in the northern Peruvian Andes for magic-therapeutic purposes. This needs Indigenous and cultural review by the owner.p12916089
Sibundoy, ColombiaA 1969 paper (title only read) studied the alkaloids of tree datura drugs of the Colombian Sibundoy. Its content was not read and is not summarised.p5812243
Ethnobotany of the genusA 1979 paper called 'The ethnobotany of Brugmansia' exists (title only read). Its content was not read.p542011
Spread as a garden ornamentalPapers from Australia, Korea, Germany and elsewhere describe it as a popular ornamental shrub, and GBIF lists it as introduced in several regions. Claims about older Andean ceremonial uses beyond the sources above (including from Wikipedia: shamans' use for initiation, divination and sorcery) are NOT verified.p25138632

Traditional use shows how it was used. It does not show that it works or is safe today.

What is inside, and how it may work

What it contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Scopolamine
PubChem 5184
tropane alkaloidyoung leaves, flowers and unripe fruit with seeds (in B. suaveolens)
Not given; varies by tissue and after damage.
Blocks acetylcholine at muscarinic receptors. The most abundant alkaloid in B. suaveolens in one study. Used as a standardised medicine in purified form. 2 20 30Human pharmacology
Atropine
PubChem 174174
tropane alkaloidnot specified
Not given.
Same anticholinergic action; atropine and hyoscyamine are listed in case reports and the genus review. 21 30 15Human pharmacology
Hyoscyamine
PubChem 154417
tropane alkaloidnot specified
Not given.
The active form of atropine; same anticholinergic action. 22 30 15Human pharmacology
Other compounds (terpenes, flavonoids, about 189 compounds in the genus)mixedvarious
Not given.
Lab and animal activities reported; not the cause of poisoning. 1Lab and animal

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Muscarinic acetylcholine receptorsmuscarinic receptors (nicotinic also mentioned in the review)Tropane alkaloids block acetylcholine in the brain and body. This explains dry mouth, wide pupils, fast heartbeat, urinary retention, confusion and hallucinations. It is a deliriant action and differs from the mainly serotonin action of classic psychedelics. 30Human pharmacology
Plant defence against insectsnot applicableScopolamine at leaf-like levels raised mortality in moth larvae, and the plant increased scopolamine after damage. 2Plant ecology
Pain pathways (mice)not establishedA flower extract reduced pain-test responses in mice; the mechanism was not established. 26Animal research

Absorption, metabolism and elimination

Absorption
Not studied for plant material in the sources read.
Distribution
Not studied.
Metabolism
Not studied.
Elimination
Not studied.
Bioavailability
Not established.

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Isolated compounds versus whole extracts

Purified scopolamine, atropine and hyoscyamine are standardised medicines with known strength; a 2022 review says they are on the WHO essential medicines list. The plant is the opposite: strength varies by part, plant and damage, so accidental overdose is easy. The animal and lab studies on other tabs used extracts or isolated alkaloids, not the whole plant in people.

Nutritional composition

Brugmansia is an ornamental plant, not a food or a nutrient. Eating its flowers has caused poisoning.

6benefits and uses looked at
31studies and sources checked
Low certaintybest evidence rating found
2lab markers tracked in trials

1 low certainty2 very low certainty2 not enough evidence1 evidence against

What was looked at

The 6 benefits and uses checked for Brugmansia (angel's trumpet), each with how strong the evidence is. Tap one to open it.

Lab markers tracked in the studies

Wide pupils (mydriasis)Delirium (confused, agitated state)

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Traditional medicine uses (pain, inflammation, wounds, skin infections, asthma, colic)

Not enough evidence

A 2021 review says species of Brugmansia have been used in traditional medicine around the world for pain, swelling, wounds, skin infections, headache, asthma and colic. The review also says many of these uses are not confirmed. No human trial was found. The plant is poisonous, so this page does not suggest any use.

2 studiesNot given. This page does not describe any preparation, amount or way…

Studies, doses and limits

What the trials found

No clinical trial of any Brugmansia plant, extract or preparation was found.

Why this rating

No human trials. Evidence is traditional use plus lab and animal work, summarised in a narrative review.

Form and dose studied

Not given. This page does not describe any preparation, amount or way to use the plant.

Who was studied

Not studied.

Limits

Narrative review that ended in May 2020; plant parts and species vary.

Why researchers looked

Traditional use led scientists to test extracts and isolated compounds in the lab and in animals (see the other file).

Traditional use

Reported across several regions in a 2021 review; individual peoples are not named in the abstract we read.

Proposed mechanism Human pharmacology of isolated alkaloids

Plausible for some uses: the plant's tropane alkaloids block acetylcholine, which relaxes some muscles and dries secretions. The same action causes poisoning. Shown in pharmacology of the purified alkaloids, not in the whole plant.

A proposed mechanism does not show that the effect happens in people.

Every part is considered poisonous. Poisoning cases are described on the Safety tab.

1 17

Hallucinogenic effects and ritual use (not a health benefit)

Evidence against

Some Brugmansia species have been used as a hallucinogen, for protection from evil and in magical rituals, according to a 2021 review. In hospital reports, the same effects look like a poisoning: agitation, confusion, vivid hallucinations and delirium that can last many hours. This is a harm, not a benefit.

8 studiesNot given. This page gives no amounts and no way to use the plant.

Studies, doses and limits

What the trials found

Case series and reports: 33 patients in Australia, 203 poison-centre cases (Datura and Brugmansia) in Taiwan, 5 and 3 adolescents in two small series, and several single cases.

Results

In the Australian series of 33 presumed Brugmansia poisonings, all had wide pupils (mean 29 hours) and 88% had delirium (mean 18 hours); there were no deaths or seizures. In Taiwan 36% of 203 cases were severe, none died. A 2026 case needed more than 36 hours of sedation and restraint.

Why this rating

The effect is poisoning. No source supports benefit; the reports are of harm.

Form and dose studied

Not given. This page gives no amounts and no way to use the plant.

Who was studied

Case reports are mostly teenagers and young adults; some adults poisoned by accident.

Limits

Plant identity was often presumed from the person's description; reporting bias towards hospital cases.

Why researchers looked

Reports of intentional use, mostly by teenagers and young adults, led doctors to describe the effects.

Traditional use

The Andes and Amazon have long traditions with this plant. A 1969 paper studied tree datura drugs of the Colombian Sibundoy. A 2003 lab paper says Brugmansia arborea is used in the northern Peruvian Andes for magic-therapeutic purposes. This needs Indigenous and cultural review.

Proposed mechanism Human pharmacology

Established pharmacology: the alkaloids (scopolamine, atropine, hyoscyamine) block acetylcholine in brain and body. This is a deliriant effect, not the serotonin action of classic psychedelics.

A proposed mechanism does not show that the effect happens in people.

See the Safety tab: delirium, injuries, psychosis, rare severe illness and emergency steps.

14 7 9 13 19 12 5 1

Accidental poisoning from garden or food contact

Low certainty

Case reports describe people poisoned by eating a garden plant by mistake, including flower petals used as a garnish and a herbal drink made from leaves of an unrecognised plant. Eye contact after touching the plant has caused a widened pupil in a child. These cases show why the ornamental plant needs care in homes and gardens.

4 studiesNot given.

Studies, doses and limits

What the trials found

Single case reports from Sri Lanka, South Korea, the USA and Canada.

Results

A 60-year-old woman became delirious and recovered in 15 hours; a 64-year-old woman was confused for about 10 hours; a 12-year-old boy had one large pupil that cleared in 3 days.

Why this rating

Consistent case reports with clear mechanism, but no rates of occurrence.

Form and dose studied

Not given.

Who was studied

Adults and children in the case reports.

Limits

Single cases; no information on how often this happens.

Why researchers looked

Doctors report these cases so others can recognise them.

Proposed mechanism Human pharmacology

Same alkaloids block acetylcholine; in the eye this widens the pupil.

A proposed mechanism does not show that the effect happens in people.

Wash hands after touching the plant and keep it away from the eyes, children and pets. Call poison control if unsure.

15 16 8 11

Pain response in mice (flower extract)

Very low certainty

In mice, an injected water extract of Brugmansia suaveolens flowers reduced responses in several pain tests. This is animal research only. It does not show that the plant is safe or helpful for pain in people.

1 studiesNot given.

Studies, doses and limits

Results

Mice given the extract by injection responded less in writhing, formalin, hot-plate and tail-flick tests.

Effect sizes as reported

Not extracted.

Why this rating

Animal study only, injected not swallowed, no human data.

Form and dose studied

Not given.

Who was studied

Mice.

Limits

Mice, injected extract, one lab.

Why researchers looked

The flower infusion is popularly used for pain in Brazil.

Traditional use

Popular use in Brazil, according to the paper's abstract.

Proposed mechanism Animal research

Not established. Tropane alkaloids act on acetylcholine receptors; the paper does not prove this is the cause.

A proposed mechanism does not show that the effect happens in people.

The plant is poisonous to people. Do not treat this as a suggestion to use it.

26

Morphine withdrawal in isolated tissue (pure alkaloids)

Not enough evidence

In a lab study, three pure alkaloids from Brugmansia arborea reduced morphine withdrawal in isolated tissue. The authors called them potential anti-addiction agents. It is lab research on isolated alkaloids, not on the plant and not in people.

1 studiesNot given.

Studies, doses and limits

Results

Concentration-dependent reduction of morphine withdrawal in isolated tissue.

Effect sizes as reported

Not extracted.

Why this rating

In vitro only.

Form and dose studied

Not given.

Who was studied

Isolated tissue.

Limits

No animal or human follow-up was found.

Why researchers looked

Brugmansia arborea is used for magic-therapeutic purposes in the northern Peruvian Andes, which led scientists to test its alkaloids.

Traditional use

Northern Peruvian Andes (per the abstract). Needs cultural review.

Proposed mechanism Lab

Not established.

A proposed mechanism does not show that the effect happens in people.

Tropane alkaloids are poisonous at higher exposure. No claim is made about treating withdrawal or addiction.

6

Anti-inflammatory, antispasmodic and other lab activities

Very low certainty

The 2021 review lists lab and animal findings for extracts and compounds from Brugmansia: anti-inflammatory, antioxidant, antibacterial, antispasmodic, anti-asthma, antiprotozoal and cytotoxic activity. These are early findings. The review says traditional uses of many species are not confirmed.

1 studiesNot given.

Studies, doses and limits

Results

Reported as activity in lab or animal tests in a narrative review.

Effect sizes as reported

Not extracted.

Why this rating

Lab and animal findings summarised in a review we read only as an abstract.

Form and dose studied

Not given.

Who was studied

Lab systems and animals.

Limits

We did not read the individual studies.

Why researchers looked

To test traditional claims.

Traditional use

See the traditional-uses item.

Proposed mechanism Lab and animal

Varied; not reliably established.

A proposed mechanism does not show that the effect happens in people.

No human safety data for these uses.

1

Connections to the rest of health

How Brugmansia (angel's trumpet) connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Nervous System Biological association Evidence against Studied for: Hallucinogenic effects and ritual use (not a health benefit) Studied for: Accidental poisoning from garden or food contact 14 7 9 13 19 12 5 1 15 16 8 11 26 6
Eyes Biological association Low certainty Studied for: Accidental poisoning from garden or food contact 15 16 8 11

I. Biomarkers

Connected toKind of connectionEvidence statusContextStudies
Wide pupils (mydriasis) Biological association Moderate certainty Measured in trials: raised (pupil size). A lab change is not the same as a health benefit. 14 7
Delirium (confused, agitated state) Biological association Moderate certainty Measured in trials: present. A lab change is not the same as a health benefit. 14 7 19

J. Genes, receptors and enzymes

Connected toKind of connectionEvidence statusContextStudies
Muscarinic acetylcholine receptors Preliminary mechanism Human pharmacology Blocked by the plant's tropane alkaloids. 30

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Scopolamine Low certainty The most abundant alkaloid in Brugmansia suaveolens in one plant study. The most abundant alkaloid in Brugmansia suaveolens in one plant study; also a standardised prescription medicine in purified form.
Preparation or compound: main alkaloid
2 18 30
Scopolamine Biological association Human pharmacology Blocks acetylcholine at muscarinic receptors. The most abundant alkaloid in B. suaveolens in one study. Used as a standardised medicine in purified form.
Preparation or compound: young leaves, flowers and unripe fruit with seeds (in B. suaveolens)
2 20 30
Atropine Biological association Human pharmacology Same anticholinergic action; atropine and hyoscyamine are listed in case reports and the genus review. 21 30 15
Hyoscyamine Biological association Human pharmacology The active form of atropine; same anticholinergic action. 22 30 15
Other compounds (terpenes, flavonoids, about 189 compounds in the genus) Biological association Lab and animal Lab and animal activities reported; not the cause of poisoning.
Preparation or compound: various
1

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 25, 2026).

The evidence

The research centre for Brugmansia (angel's trumpet). Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We read PubMed abstracts for the case series, case reports and reviews, read poison-control, NHS, NSW Poisons Information Centre and RHS pages, and checked GBIF and PubChem. Five papers had no abstract and are cited by title only. Full texts were not read.

Study library: every study we checked 31
StudyDesignPeopleProduct, dose, lengthResult
Algradi 2021
Review on the genus Brugmansia: Traditional usage, phytochemistry, pharmacology, and toxicity.
Journal of Ethnopharmacology · PMID 33571613 · DOI
Narrative review
review
Literature on the genus Brugmansia (about 7-8 species) up to May 2020 Brugmansia (angel's trumpet) species
various plant parts not given here not given here
The review says the genus is used in traditional medicine for inflammation, rheumatic arthritis, wounds, skin infections, headache, asthma, colic and aches, and as a hallucinogen, for protection from evil and in magical rituals. About 189 compounds are reported, mostly tropane alkaloids, terpenes and flavonoids. Extracts show anti-inflammatory, antispasmodic, antinociceptive and other activity in lab and animal work. It concludes that the traditional uses of many species are not confirmed and that much more research is needed.
Review; lab and animal findings, no human trials
Methods, limits and funding

Outcomes: Traditional uses, chemistry, lab and animal pharmacology, toxicity

Limitations: Narrative review; search ended May 2020; most pharmacology is lab or animal work.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Alves 2007
Scopolamine in Brugmansia suaveolens (Solanaceae): defense, allocation, costs, and induced response.
Journal of Chemical Ecology · PMID 17195118 · DOI
Plant ecology experiment
plant
Brugmansia suaveolens plants and moth larvae Brugmansia suaveolens
leaves, flowers, unripe fruits not given here not given here
Scopolamine is the most abundant tropane alkaloid in this species. Young leaves, flowers and unripe fruits with seeds have higher scopolamine levels than other tissues, and leaves increase scopolamine after damage. At leaf-like concentrations it increased mortality of moth larvae. This shows that alkaloid levels vary by tissue and condition.
Alkaloid content varies within the plant
Methods, limits and funding

Outcomes: Scopolamine content and effect on insect larvae

Limitations: Insect and plant ecology study, not human data.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Ardila-Ardila 2006
[Scopolamine poisoning ('burundanga'): loss of the ability to make decisions].
Revista de Neurologia · PMID 16450329
Clinical paper (Spanish)
Scopolamine poisoning in Colombia Scopolamine ('burundanga')
not given here not given here
No abstract is available in PubMed; only the title and citation were confirmed. The title links the street name 'burundanga' with scopolamine poisoning and loss of the ability to make decisions. Nothing else from it is stated on this page.
Title only
Methods, limits and funding

Outcomes: Not read

Limitations: Abstract not available; full text not read.

Funding and conflicts: Not applicable

Read: title-only

Aćimović 2025
Datura stramonium - A Dangerous Weed and Alternative Drug of Abuse: An Overview of Poisoning Cases in 21st Century.
Planta Medica · PMID 40086888 · DOI
Narrative review of 114 papers
review
Poisoning reports 2001-2024 involving Datura stramonium (a related genus) Datura stramonium
all parts not given here not given here
Review of 114 papers: all parts contain hyoscyamine, scopolamine and atropine and cause an anticholinergic syndrome with neuropsychiatric effects. Cases fall into accidental (crop contamination, misidentification, children's curiosity, self-medication) and misuse (recreational use, suicide attempts, criminal activities, magico-religious practices). It advises education about the plant's appearance and dangers.
Related genus; same alkaloid family
Methods, limits and funding

Outcomes: Poisoning patterns

Limitations: About Datura, not Brugmansia; used here only for the shared poisoning pattern.

Funding and conflicts: No conflict of interest declared.

Read: abstract

Bristol 1969
The alkaloids of the genus Datura, section Brugmansia. VI. Tree Datura drugs (Datura condida cvs.) of the Colombian Sibundoy.
Lloydia · PMID 5812243
Phytochemical paper
plant
Tree datura cultivars of the Colombian Sibundoy Brugmansia (then called Datura, section Brugmansia) cultivars
not given here not given here
No abstract is available in PubMed; only the title and citation were confirmed. The title shows that scientists studied the alkaloids of tree datura drugs of the Sibundoy people of Colombia in 1969. Nothing from its content is stated on this page.
Title only
Methods, limits and funding

Outcomes: Not read

Limitations: Abstract not available; full text not read.

Funding and conflicts: Not applicable

Read: title-only

Capasso 2003
Alkaloids from Brugmansia arborea (L.) Lagerhein reduce morphine withdrawal in vitro.
Phytotherapy Research · PMID 12916089 · DOI
Lab (in vitro) experiment
lab
Isolated tissue Three pure tropane alkaloids from Brugmansia arborea (northern Peruvian Andes magic-therapeutic plant)
isolated alkaloids not given here not given here
The three pure alkaloids reduced morphine withdrawal in isolated tissue in a concentration-dependent way. The authors suggest they may be potential anti-addictive agents. This is lab research on isolated alkaloids, not on the plant and not in people.
Lab effect only
Methods, limits and funding

Outcomes: Morphine withdrawal response in isolated tissue

Limitations: In vitro only; isolated alkaloids; no human data.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Doan 2019
Datura and Brugmansia plants related antimuscarinic toxicity: an analysis of poisoning cases reported to the Taiwan poison control center.
Clinical Toxicology (Phila) · PMID 30522351 · DOI
Retrospective case series
203
203 poison-centre cases in Taiwan, 1986-2015 (114 Datura, 89 Brugmansia suaveolens)
Datura and Brugmansia suaveolens plants
flowers and other parts not given here not given here
Most common reason for poisoning was medicinal use without consulting a Chinese medicine practitioner (81.2%). None of the 203 used it recreationally. Common effects: wide pupils (53.2%), confusion (40%), fast heartbeat (35.5%), dry mouth (35.5%), delirium (31%). 73 cases (36%) were severe; none died. Misidentifying the plant and eating parts other than flowers were linked to severe poisoning. Of 40 patients given physostigmine in hospital, earlier recovery of brain effects was seen.
36% severe, no deaths
Methods, limits and funding

Outcomes: Clinical effects, severity, predictors, physostigmine response

Limitations: Retrospective poison-centre data; Datura and Brugmansia pooled; physostigmine comparison not randomised.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Firestone 2007
Not your everyday anisocoria: angel's trumpet ocular toxicity.
Journal of Emergency Medicine · PMID 17630070 · DOI
Case report
1
12-year-old boy, USA
Angel's trumpet (Datura suaveolens, a former name of Brugmansia suaveolens)
eye exposure not given here not given here
A boy had one large pupil and blurry vision from eye exposure to the plant; visual acuity was normal and the pupil returned to normal by itself in 3 days. The case shows that touching the plant and then the eye can look like a serious eye or brain problem.
Resolved in 3 days
Methods, limits and funding

Outcomes: Eye findings

Limitations: Single case.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Francis 1999
Angel trumpet lily poisoning in five adolescents: clinical findings and management.
Journal of Paediatrics and Child Health · PMID 10234644 · DOI
Case series
5
Five adolescent boys at one Australian emergency department
Angel trumpet plant material
leaves and flowers not given here not given here
All five presented with agitation and confusion and anticholinergic signs. They were treated with charcoal and cathartics and discharged after 36 hours. The authors say misuse for hallucinogenic effects is not uncommon in adolescents and should be suspected when altered mental state and hallucinations come with other anticholinergic signs.
All recovered
Methods, limits and funding

Outcomes: Presentation and outcome

Limitations: Five patients; one hospital.

Funding and conflicts: Not stated in the abstract.

Read: abstract

GBIF Secretariat 2026
GBIF Backbone Taxonomy: Brugmansia Pers. (genus match) and species matches
GBIF API · Source
Database record
plant
not applicable Brugmansia (angel's trumpet)
not given here not given here
Queried 2026-10-25. Genus Brugmansia Pers. is ACCEPTED (key 2928883), family Solanaceae, order Solanales. Accepted species matches include B. suaveolens (5341758), B. arborea (5341759), B. aurea (5581099), B. sanguinea (5341760), B. versicolor (5581019), B. x candida (9099468) and B. insignis (7509313). GBIF lists B. suaveolens as introduced in places such as Galapagos, Kenya and Tanzania.
Identity confirmed
Methods, limits and funding

Outcomes: see results

Limitations: Taxonomy only. Plants of the World Online could not be queried (no usable response). Native range in the Andes/Amazon is not stated by GBIF in what was read.

Funding and conflicts: not applicable

Read: full-text

Goldfarb 2019
Gardening and dilated pupils: an interesting case of anisocoria from Brugmansia versicolor.
Canadian Journal of Ophthalmology · PMID 30975362 · DOI
Case report
1
Person gardening, Canada
Brugmansia versicolor
garden plant contact not given here not given here
No abstract is available in PubMed; only the title and citation were confirmed. The title reports one unequal-pupil case linked to Brugmansia versicolor while gardening. Nothing else from it is stated on this page.
Title only
Methods, limits and funding

Outcomes: Not read

Limitations: Abstract not available; full text not read.

Funding and conflicts: Not applicable

Read: title-only

Gundogdu 2026
Brugmansia suaveolens Abuse in a Patient With Multiple Substance Use Disorders: A Case Report.
Cureus · PMID 42099313 · DOI
Case report
1
Man with multiple substance use disorders, Turkey
Brugmansia suaveolens
leaves and flowers not given here not given here
A man who reported long-term daily use of the plant for four years to obtain relief had drowsiness, sedation, agitation, unsteady walking, dry mouth, palpitations, fever and visual and auditory hallucinations. He was discharged after a four-week treatment course. The authors say such plants may be misused especially by people with a history of multiple substance use disorders.
Four-week treatment
Methods, limits and funding

Outcomes: Symptoms and treatment

Limitations: Single case; self-reported history.

Funding and conflicts: No funding or financial relationships declared.

Read: abstract

Göpel 2002
Three cases of angel's trumpet tea-induced psychosis in adolescent substance abusers.
Nordic Journal of Psychiatry · PMID 11869466 · DOI
Case series
3
Three adolescents with substance use problems in Germany
Angel's trumpet plant material
not given here not given here
Severe psychotic pictures with hallucinations, disorientation and agitation, with only mild or no body signs of anticholinergic poisoning. The authors report rising intoxications among adolescents using ornamental plants of this kind and warn that prevention messages should stress medical harm, not the hallucinogenic effect.
Severe psychosis in all three
Methods, limits and funding

Outcomes: Psychotic symptoms after ingestion

Limitations: Three cases; author expectation of fatalities is an opinion, not a finding.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Isbister 2003
Presumed Angel's trumpet (Brugmansia) poisoning: clinical effects and epidemiology.
Emergency Medicine (Fremantle) · PMID 14631706 · DOI
Retrospective case series
33
33 patients (median age 18; 82% male) admitted to a toxicology unit in Australia, 1990-2000, presumed Brugmansia poisoning
Brugmansia spp. (identified from the patient's description)
flower and other parts not given here not given here
31 of 33 used it recreationally. All had wide pupils (mean 29 hours) and 88% had delirium (mean 18 hours). Only 33% had fast heartbeat. No deaths, seizures or heart-rhythm problems other than fast heartbeat were seen. 19 needed sedation, mainly benzodiazepines. Authors judged most cases moderate and severe toxicity rare in this series.
No deaths; delirium in 88%
Methods, limits and funding

Outcomes: Clinical features, time course, complications

Limitations: Plant identity presumed from description; one hospital; patients who died before arrival or never reached hospital would not appear.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Jayawickreme 2019
Unknowing ingestion of Brugmansia suaveolens leaves presenting with signs of anticholinergic toxicity: a case report.
Journal of Medical Case Reports · PMID 31665073 · DOI
Case report
1
60-year-old woman in Sri Lanka
Brugmansia suaveolens
leaves not given here not given here
A woman who drank a herbal drink made from leaves of a garden plant she did not recognise arrived with confusion, delirium and agitation, urinary retention, wide pupils and fast heartbeat. She recovered with supportive care within 15 hours. The authors note seeds are usually described as the most toxic part but leaves are also significantly toxic, and that accidental seed ingestion by children has been reported.
Recovered in 15 hours
Methods, limits and funding

Outcomes: Presentation and outcome

Limitations: Single case.

Funding and conflicts: No competing interests declared.

Read: abstract

Kim 2014
Intoxication by angel's trumpet: case report and literature review.
BMC Research Notes · PMID 25138632 · DOI
Case report with literature review
1
64-year-old woman in South Korea
Brugmansia (angel's trumpet)
petals not given here not given here
A woman ate petals of angel's trumpet flowers served as a garnish in a traditional dish and developed acute mental changes; she regained her usual awareness after 10 hours. The authors say the plant has become a popular ornamental shrub in Korea and its tropane alkaloids are not generally known to the public.
Recovered in 10 hours
Methods, limits and funding

Outcomes: Presentation and outcome

Limitations: Single case.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Lockwood 1979
The ethnobotany of Brugmansia.
Journal of Ethnopharmacology · PMID 542011 · DOI
Ethnobotanical paper
review
Brugmansia in traditional cultures Brugmansia
not given here not given here
No abstract is available in PubMed; only the title and citation were confirmed. Cited as an ethnobotanical source on the genus. Nothing from its content is stated on this page.
Title only
Methods, limits and funding

Outcomes: Not read

Limitations: Abstract not available; full text not read.

Funding and conflicts: Not applicable

Read: title-only

Lusthof 2017
Toxicological results in a fatal and two non-fatal cases of scopolamine-facilitated robberies.
Forensic Science International · PMID 28237441 · DOI
Forensic case series
3
One fatal and two non-fatal robbery cases, Netherlands
Scopolamine as an incapacitating drug (source of the scopolamine not stated in the abstract)
not given here not given here
Scopolamine as an incapacitating drug in sexual crimes and robberies has been known for many decades, but blood levels are largely unknown. In the fatal case the postmortem heart-blood level was about 3,000 times the average level from one therapeutic skin patch, and the femoral-blood level about 50 times. One survivor had scopolamine detected in serum 23 hours later; another in urine and hair.
Documents crime use of scopolamine
Methods, limits and funding

Outcomes: Blood and urine levels

Limitations: Three cases; abstract does not say whether the scopolamine came from a plant or a purified drug; not a Brugmansia study.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Martínez 2026
Brugmansia poisoning - a case report highlighting a preventable port call hazard for seafarers and travelers.
International Maritime Health · PMID 42803453 · DOI
Case report
1
16-year-old male in Costa Rica with a history of substance use
Brugmansia sp.
flowers not given here not given here
Three hours after ingesting flowers recreationally he had agitated delirium, visual hallucinations, incoherent speech, wide pupils, fast heartbeat and dry mouth. He needed prolonged sedation with intravenous diazepam and physical restraint for over 36 hours. After the delirium he expressed suicidal thoughts and was referred to psychiatry.
Severe delirium, 36+ hours
Methods, limits and funding

Outcomes: Presentation and course

Limitations: Single case; published online ahead of print.

Funding and conflicts: Not stated in the abstract.

Read: abstract

NCBI PubChem 2026
PubChem compound 5184: scopolamine
PubChem PUG REST · Source
Database record
plant
not applicable Scopolamine
not given here not given here
Queried 2026-10-25. CID 5184, scopolamine, formula C17H21NO4.
Identity confirmed
Methods, limits and funding

Outcomes: see results

Limitations: Identity only.

Funding and conflicts: not applicable

Read: full-text

NCBI PubChem 2026
PubChem compound 174174: atropine (dl-hyoscyamine)
PubChem PUG REST · Source
Database record
plant
not applicable Atropine
not given here not given here
Queried 2026-10-25. CID 174174 lists the names atropine and dl-hyoscyamine, formula C17H23NO3.
Identity confirmed
Methods, limits and funding

Outcomes: see results

Limitations: Identity only.

Funding and conflicts: not applicable

Read: full-text

NCBI PubChem 2026
PubChem compound 154417: hyoscyamine (L-hyoscyamine)
PubChem PUG REST · Source
Database record
plant
not applicable Hyoscyamine
not given here not given here
Queried 2026-10-25. CID 154417 lists the names hyoscyamine and L-hyoscyamine, formula C17H23NO3.
Identity confirmed
Methods, limits and funding

Outcomes: see results

Limitations: Identity only.

Funding and conflicts: not applicable

Read: full-text

NHS (UK) 2026
NHS: Poisoning
nhs.uk · Source
Regulator page
plant
not applicable Brugmansia (angel's trumpet)
not given here not given here
Read 2026-10-25. In the UK, call 999 or go to A&E if you think someone may have swallowed, touched or breathed in something harmful, or if someone has lost consciousness or stopped breathing.
Emergency contact
Methods, limits and funding

Outcomes: see results

Limitations: General poisoning page; does not mention Brugmansia.

Funding and conflicts: not applicable

Read: full-text

NSW Poisons Information Centre 2026
NSW Poisons Information Centre (Australia)
poisonsinfo.nsw.gov.au · Source
Regulator page
plant
not applicable Brugmansia (angel's trumpet)
not given here not given here
Read 2026-10-25. The site shows the Australian Poisons Information Centre number 13 11 26 and an emergency button.
Emergency contact
Methods, limits and funding

Outcomes: see results

Limitations: General page; does not mention Brugmansia.

Funding and conflicts: not applicable

Read: full-text

National Capital Poison Center 2026
Poison Help / web POISON CONTROL (National Capital Poison Center)
poison.org · Source
Regulator or NGO page
plant
not applicable Brugmansia (angel's trumpet)
not given here not given here
Read 2026-10-25. The page tells people in the US to use the web POISON CONTROL tool or call a poison center at 1-800-222-1222 (free, expert, confidential), and to call 911 if the person collapses, has a seizure, has trouble breathing or can't be awakened.
Emergency contact
Methods, limits and funding

Outcomes: see results

Limitations: Does not mention Brugmansia. Used for the emergency number only.

Funding and conflicts: not applicable

Read: full-text

Parker 2007
Antinociceptive effects of the aqueous extract of Brugmansia suaveolens flowers in mice.
Biological Research for Nursing · PMID 17172322 · DOI
Animal experiment
animal
Mice Water extract of Brugmansia suaveolens flowers, given by injection
flowers not given here not given here
In mice, the injected extract reduced responses in several pain tests (writhing, formalin, hot plate, tail flick). The authors say this supports the popular use of the infusion for pain in Brazil. It does not show safety or benefit in people.
Pain-test responses reduced in mice
Methods, limits and funding

Outcomes: Pain-response tests

Limitations: Mouse study only; injected, not swallowed; no human data; tropane alkaloids are toxic.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Royal Horticultural Society 2026
Brugmansia growing guide (Royal Horticultural Society)
rhs.org.uk · Source
Horticultural society page
plant
not applicable Brugmansia (angel's trumpet)
not given here not given here
Read 2026-10-25. The RHS says brugmansias are very poisonous, that all parts are highly toxic, and that the sap can be a skin irritant, so gloves are advised when handling; seeds should be kept out of reach of children.
Ornamental warning
Methods, limits and funding

Outcomes: see results

Limitations: A gardening guide, not a toxicology source; no case data. Planting and care advice on that page is not repeated here.

Funding and conflicts: not applicable

Read: full-text

Sandia S 2017
Treating 'Devil's Breath' intoxication: Use of rivastigmine in six patients with toxic psychoses due to non pharmaceutical scopolamine.
European Neuropsychopharmacology · PMID 28601550
Letter / short report
6
Six patients in Mérida, Venezuela, with toxic psychosis
'Devil's Breath' (non-pharmaceutical scopolamine)
not given here not given here
No abstract is available in PubMed; only the title and citation were confirmed. The title reports six patients with toxic psychosis from non-pharmaceutical scopolamine, called 'Devil's Breath', treated with rivastigmine. Nothing else from it is stated on this page.
Title only
Methods, limits and funding

Outcomes: Not read

Limitations: Abstract not available; full text not read.

Funding and conflicts: Not stated

Read: title-only

Sevketoglu 2010
An unusual cause of fulminant Guillain-Barré syndrome: angel's trumpet.
Pediatric Neurology · PMID 20933184 · DOI
Case report
1
5-year-old boy, Turkey
Brugmansia suaveolens
ingestion (details not in abstract) not given here not given here
A previously healthy 5-year-old with a Guillain-Barré-type nerve illness and one tonic pupil needed a breathing machine for 35 days and recovered stepwise after treatment. The authors established the cause as angel's trumpet ingestion. A published letter (PMID 21723465) questioned whether this was true Guillain-Barré syndrome; we did not read that letter's text.
35 days ventilated, recovered
Methods, limits and funding

Outcomes: Neurological illness and recovery

Limitations: Single case; diagnosis was questioned in a published comment.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Shim 2022
Beauty of the beast: anticholinergic tropane alkaloids in therapeutics.
Natural Products and Bioprospecting · PMID 36109439 · DOI
Narrative review
review
Tropane alkaloids from Solanaceae plants (Datura, Atropa, Hyoscyamus, Mandragora and others) tropane alkaloids (atropine, hyoscyamine, scopolamine)
not given here not given here
Plants of the nightshade family are rich sources of tropane alkaloids, which block acetylcholine at muscarinic and/or nicotinic receptors. Purified forms are used as antiemetics, anaesthetic aids, antispasmodics, bronchodilators and pupil-widening drugs; the review says they are on the WHO essential medicines list and available with FDA approval.
Purified drugs are standardised medicines
Methods, limits and funding

Outcomes: Pharmacology and therapeutic use

Limitations: Narrative review; approvals not checked individually.

Funding and conflicts: No conflict of interest declared.

Read: abstract

Wikipedia contributors 2026
Wikipedia: Brugmansia (lead only)
en.wikipedia.org · Source
Encyclopedia (secondary)
plant
not applicable Brugmansia (angel's trumpet)
not given here not given here
Read 2026-10-25 as a lead only. It says the genus has seven species, that all are known only in cultivation or as escapes, that the IUCN Red List lists them as Extinct in the Wild, and that Andean peoples have used them in medicine and ceremony. Cites De Feo 2004 (Economic Botany) for ritual use in northern Peru. NONE of this was verified against the primary sources.
NOT verified
Methods, limits and funding

Outcomes: see results

Limitations: Wikipedia-only claims are NOT verified and are shown on this page only as flagged.

Funding and conflicts: not applicable

Read: summary-only

What we do not know yet

  • No clinical trial of any Brugmansia plant or extract was found.
  • No reliable harmful or lethal amount figure and no pregnancy data.
  • Veterinary data for pets and livestock were not read.
  • Legal status of the ornamental plant not found in a regulator source.
  • Native range and conservation status not verified from a primary source.
  • The popular 'devil's breath' claims are unverified; five papers are cited by title only.

How new research is added

New studies are found by a saved PubMed search and are placed in a review queue. A person reads each one before it changes any evidence rating or safety wording.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Other 2

●

Wide pupils (mydriasis)

Raised (pupil size) in trials

Pupils stay wide open and do not narrow in light. It is the most common sign of poisoning by tropane alkaloids.

Moderate certainty
Results and what it means

Why it was measured

A quick bedside sign for doctors.

Statistical vs. clinical meaning

A reliable sign of exposure in case series; it also occurs from eye contact alone.

Safety implication

Pupil widening can last for days after eye contact.

StudyResultPeopleProduct
14All 33 presumed Brugmansia patients had wide pupils, lasting a mean of 29 hours (SD 13).33 patients in AustraliaPresumed Brugmansia ingestion
7Wide pupils were the most common effect (53.2%) among 203 Datura and Brugmansia exposures.203 poison-centre cases in TaiwanDatura or Brugmansia suaveolens exposure

14 7

●

Delirium (confused, agitated state)

Present in trials

A sudden, severe change in thinking and awareness, with confusion, hallucinations and agitation.

Moderate certainty
Results and what it means

Why it was measured

The main reason for hospital care and sedation.

Statistical vs. clinical meaning

Common and can last many hours; severe cases can need more than a day of sedation (2026 case).

Safety implication

Injury risk from confusion and agitation; emergency care needed.

StudyResultPeopleProduct
1488% had delirium, lasting a mean of 18 hours (SD 12); 19 of 33 needed sedation, mainly benzodiazepines.33 patients in AustraliaPresumed Brugmansia ingestion
7Delirium in 31% of 203 cases; 73 cases (36%) were severe; none died.203 poison-centre cases in TaiwanDatura or Brugmansia suaveolens exposure

14 7 19

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 7
  • Danger first: every part of the plant is poisonous. Brugmansia contains scopolamine, atropine and hyoscyamine, which block the nerve messenger acetylcholine. The Royal Horticultural Society says all parts are highly toxic and the sap can irritate skin. Poisoning gives wide pupils, delirium, hallucinations, fast heartbeat, dry mouth, urinary retention and fever. It can last a day or more. This page gives no amounts and no way to prepare or use the plant, and nothing here is a reason to try it. Case series and reports 27 14 7 15 30
  • It is a common ornamental plant, so exposure can be accidental. Cases include a garden-plant herbal drink made from unknown leaves, flower petals eaten as a garnish, and eye contact in a child. Misidentifying the plant and eating parts other than flowers were linked to more severe poisoning in a Taiwan series. Case reports and series 15 16 8 7 11
  • Children and young people are at risk. A case report notes accidental seed ingestion by children; one 5-year-old needed a breathing machine for 35 days after angel's trumpet ingestion (a published comment questioned the exact diagnosis). Several series involve teenagers who took the plant for its hallucinogenic effect. A 16-year-old in 2026 needed more than 36 hours of sedation and restraint and later had suicidal thoughts. The authors of one paper say prevention messages should stress the medical harm rather than the effect. Case series and reports 15 29 9 13 19
  • Dangerous behaviour and injury. Confusion, agitation and hallucinations can lead to injury. In the Australian series two patients had accidental injuries and 19 of 33 needed sedation. Some people were restrained in hospital. Case series 14 19
  • Severe outcomes are less common but possible. In 203 Taiwan cases (Datura and Brugmansia) 36% were severe and none died; in 33 Australian presumed cases there were no deaths or seizures. These series do not rule out deaths or serious illness elsewhere, and plant strength varies. We did not find a source giving a safe or lethal amount. Case series 7 14 2
  • Pets and livestock. We did not read a veterinary source for this plant. Because the RHS calls all parts highly toxic, keep animals away from it, and call a vet or an animal poison helpline at once if an animal may have chewed it. Authoritative guidance only 27
  • Criminal use of scopolamine ('devil's breath', 'burundanga'). Forensic papers document scopolamine, a Brugmansia alkaloid, used as an incapacitating drug in robberies and sexual crimes; in one Dutch series one victim died and two survived. A Spanish paper title links the street name 'burundanga' to scopolamine poisoning, and a 2017 Venezuelan report concerns six patients with 'Devil's Breath' psychosis. We did not read a source proving that a plant powder blown in the face makes a person obey, and the abstract of the Dutch paper does not say whether the scopolamine was plant or pharmaceutical. Such popular claims are NOT verified here. If you think someone has been drugged, get emergency help. Forensic case series and titles 18 3 28 4
Side effects 7
EffectHow oftenSeverity and recoveryEvidence
Anticholinergic syndrome: wide pupils, dry mouth, dry or flushed skin, fast heartbeat, fever, urinary retention
In Taiwan: wide pupils 53.2%, confusion 40%, fast heartbeat 35.5%, dry mouth 35.5%, delirium 31%. In Australia fast heartbeat was seen in only 33%, so a normal heart rate does not rule it out.
Not establishedmoderate to severe
usually reversible with hospital care
Case series 14 7 15
Delirium, hallucinations, agitation, confusion, psychosis
Some adolescents had severe psychotic symptoms with only mild body signs.
88% in the Australian seriesmoderate to severe
usually reversible; may last 18 hours or more
Case series 14 13 19
Injury from confusion; restraint in hospital
Accidental injuries occurred in 2 of 33 Australian patients.
Not establishedmoderate
varies
Case series and report 14 19
Nerve illness resembling Guillain-Barré syndrome with breathing failure (one child)
A single case, and a published comment questioned the diagnosis. Rare if real.
Not establishedlife-threatening
recovered stepwise in the reported case
Case report 29
One enlarged pupil after eye contact
Looks like a serious brain or eye problem and can cause unnecessary alarm; still needs medical review.
Not establishedmild to moderate
resolved in 3 days in the case read
Case report 8 11
Skin irritation from sap
From the RHS growing guide; no clinical data.
Not establishedmild
not described
Horticultural guidance 27
Low mood and suicidal thoughts after the delirium (one teenager)
A single case in a young person with a substance-use history.
Not establishedserious
unknown
Case report 19
Liver

No liver injury from Brugmansia was found in the sources read. LiverTox was not checked. The main danger is nervous-system and heart-rate poisoning. 14

How often. Unknown.

This is a safety connection. It is not evidence that Brugmansia (angel's trumpet) supports liver health.

Medicines and supplements 3
WithWhy it mattersImportanceEvidenceWhat to do
Other anticholinergic medicines: first-generation antihistamines, tricyclic and some other antidepressants, bladder-control medicines, some Parkinson's and motion-sickness medicines
drug
Same type of action, so effects are expected to add up: confusion, fast heartbeat, overheating, urinary retention.Potentially serious; mechanism-based, no study of the plant.Mechanism based Low certainty 30Do not combine. Tell a doctor or pharmacist if you have been exposed to the plant.
Sedatives, benzodiazepines, alcohol and other depressants
drug
Benzodiazepines are used by doctors to calm agitation in poisoning. Whether other depressants add to the plant's effects was not shown in the sources read.Not established.Not established Not enough evidence 14Medical care only; do not self-treat.
Cholinesterase-inhibiting medicines (physostigmine in hospital; rivastigmine in a 2017 report)
drug
These raise acetylcholine and work against the plant's alkaloids. In Taiwan, physostigmine was linked to earlier recovery of brain effects. A Venezuelan short report used rivastigmine in six patients (we read only its title).Hospital treatment under medical supervision only.Observational case series Low certainty 7 28Treatment decision for doctors, not for home use.
Who should check first 6
SituationAdviceEvidence
Any eating, drinking or other use of the plant by anyoneDo not. It is poisonous.Case series and guidance 27 14 7
Children and teenagersKeep the plant out of reach and teach children not to eat or touch the flowers, leaves or seeds.Case reports 15 9 13
Pregnancy and breastfeedingNo safety data were found. Avoid any exposure.Insufficient
Glaucoma, urinary retention or prostate enlargement, heart rhythm problems, dementiaAnticholinergic drugs are generally cautioned in these conditions. This was not checked in a source for this plant, so it is mechanism-based only.Mechanism based 30
People with a history of substance use or mental illnessThe reports of repeated or severe psychotic episodes involve people with substance-use histories. Ask a doctor for help rather than using the plant.Case reports 12 13 19
Driving or operating machinery after any exposureConfusion, blurred vision and wide pupils can last many hours or days. Do not drive.Mechanism and case reports 14 8
Overdose, product quality and regulators

Summary. The poisonous action comes from tropane alkaloids that block acetylcholine. Scopolamine is the most abundant alkaloid in Brugmansia suaveolens, and young leaves, flowers and unripe fruits with seeds had more of it than other tissues in a plant study. Strength therefore varies by part, plant and condition. We did not find a reliable figure for a harmful or lethal amount and give none.

Animal. A mouse extract study and moth-larvae toxicity are in the studies list; no animal lethal-dose data are stated.

Human doses studied. Not given.

High dose or long term signals. A 2026 case describes four years of daily use with sedation, agitation, hallucinations and fever; a single case, no conclusion about long-term risk.

Overdose response. Hospital care is mainly supportive (calming medicine, fluids, monitoring). Physostigmine has been used in some hospitals. Never self-treat. This page gives no amounts.

Genotoxicity. Not reviewed.

Toxic or hazardous parts. All parts per the RHS. A case report says seeds are usually described as the most toxic, while leaves also have significant toxicity. In Taiwan, eating parts other than flowers was linked to severe poisoning.

Variable strength and misidentification are the main concerns. No contamination data were found.

Variable alkaloid strength. Scopolamine content differs between tissues and rises after leaf damage in a plant study, so the same plant can vary. 2

Misidentification. In Taiwan, misidentifying Datura or Brugmansia was linked to more severe poisoning. 7

Look-alike angel's trumpet names. The name 'angel's trumpet' is also used for Datura plants in some papers (for example Datura stramonium in a Canadian report and 'Datura suaveolens' as an older name of Brugmansia suaveolens). Several sources mix the two genera. 8 4

BodyActionDate
National Capital Poison Center (US) (US)Free, confidential help from a poison center at 1-800-222-1222 or the web POISON CONTROL tool; call 911 if the person collapses, has a seizure, has trouble breathing or can't be awakened. source2026-10-25
NHS (UK) (GB)Call 999 or go to A&E if someone may have swallowed, touched or breathed in something harmful. source2026-10-25
NSW Poisons Information Centre (Australia) (AU)Australian poisons information number 13 11 26. source2026-10-25
Royal Horticultural Society (GB)Brugmansias are very poisonous, all parts are highly toxic, sap can irritate skin, keep seeds out of children's reach. source2026-10-25
Purified atropine, hyoscyamine, scopolamine (WHO / US)A 2022 review says purified tropane alkaloids are on the WHO list of essential medicines and available with FDA approval. These are standardised medicines, not the plant. source2022
When to get medical help
  • Anyone who may have eaten, drunk or put in their mouth any part of the plant: call Poison Control (US 1-800-222-1222), your local emergency number (UK 999, Australia 13 11 26 for poisons advice) or go to hospital now. Do not wait for symptoms
  • Wide pupils, very dry mouth, flushed hot dry skin, fast heartbeat
  • Confusion, agitation, hallucinations, slurred speech or unsteady walking
  • Seizure, collapse, trouble breathing, high temperature or unable to pass urine
  • One pupil much larger than the other after touching the plant, or a child who suddenly becomes weak or unable to walk
  • A child, pet or anyone who may have chewed a seed, leaf or flower
  • Thoughts of suicide after an episode: seek urgent help

If someone may be poisoned or in a crisis, contact a clinician or emergency service straight away. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

Is angel's trumpet poisonous?

Yes. The Royal Horticultural Society says all parts are highly toxic and the sap can irritate skin. It contains scopolamine, atropine and hyoscyamine.

27 15 30

What are the signs of poisoning?

Wide pupils, dry mouth, hot dry skin, fast heartbeat, urinary retention, confusion, hallucinations and delirium. In Australia all 33 patients had wide pupils and 88% had delirium, but only a third had a fast heartbeat.

14 7

What should I do if someone ate or chewed any part?

Call poison control (US 1-800-222-1222; UK 999; Australia 13 11 26 for poisons advice) or your local emergency number right away and go to hospital. Do not wait for symptoms.

25 23 24

Is it dangerous for children?

Yes. Reports include accidental seed ingestion by children, a 5-year-old who needed a breathing machine for 35 days, and eye contact that enlarged a child's pupil. Teenagers have also been poisoned after taking it for its effect.

15 29 8 9

Can it kill?

No deaths were reported in the Australian (33) or Taiwan (203 Datura and Brugmansia) series, but 36% of the Taiwan cases were severe. These series cannot rule out deaths elsewhere, and strength varies, so any ingestion is an emergency.

14 7 2

Is it a psychedelic?

It is usually called a deliriant. The experience reported in hospital is a confused, delirious poisoning, not a safe or controlled state.

30 14

Can pets be affected?

We did not read a veterinary source. The plant is highly toxic in all parts according to the RHS, so keep animals away and call a vet if an animal may have chewed it.

27

What is 'devil's breath'?

A street name linked to scopolamine, which is an alkaloid of Brugmansia. Forensic papers describe scopolamine used to incapacitate victims in robberies. The popular claim that a powder blown in the face makes people obey is not verified here.

18 28 3

Is it used in traditional medicine or ritual?

A 2021 review says several species are used in traditional medicine and as a hallucinogen and in magical rituals. A lab paper names the northern Peruvian Andes for Brugmansia arborea, and a 1969 paper concerns the Colombian Sibundoy. Tradition is not the same as clinical evidence.

1 6 5

Does it treat pain, withdrawal or any other condition?

No human trial shows that. A flower extract reduced pain-test responses in mice, and pure alkaloids reduced morphine withdrawal in isolated tissue, but those are lab and animal results.

26 6 1

Does it interact with medicines?

It is expected to add to other anticholinergic medicines such as some antihistamines and antidepressants. This is mechanism-based, not tested in studies of the plant. Doctors may use physostigmine or similar medicines in hospital; that is not home treatment.

30 7

Is it legal?

We did not find a regulator source on the legal status of the ornamental plant, and laws differ by country and local area and change. This is not legal advice. Ask a local authority or pharmacist.

27

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Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against PubMed records.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-25
Last substantive update
2026-10-25
How we research
We read PubMed abstracts for the case series, case reports and reviews, read poison-control, NHS, NSW Poisons Information Centre and RHS pages, and checked GBIF and PubChem. Five papers had no abstract and are cited by title only. Full texts were not read.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
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Sources 31

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

  1. Algradi AM, Liu Y, Yang BY, Kuang HX. Review on the genus Brugmansia: Traditional usage, phytochemistry, pharmacology, and toxicity.. Journal of Ethnopharmacology. 2021. PMID 33571613. DOI 10.1016/j.jep.2021.113910. (abstract)
  2. Alves MN, Sartoratto A, Trigo JR. Scopolamine in Brugmansia suaveolens (Solanaceae): defense, allocation, costs, and induced response.. Journal of Chemical Ecology. 2007. PMID 17195118. DOI 10.1007/s10886-006-9214-9. (abstract)
  3. Ardila-Ardila A, Moreno CB, Ardila-Gómez SE. [Scopolamine poisoning ('burundanga'): loss of the ability to make decisions].. Revista de Neurologia. 2006. PMID 16450329. (title-only)
  4. Aćimović M. Datura stramonium - A Dangerous Weed and Alternative Drug of Abuse: An Overview of Poisoning Cases in 21st Century.. Planta Medica. 2025. PMID 40086888. DOI 10.1055/a-2552-4434. (abstract)
  5. Bristol ML, Evans WC, Lampard JF. The alkaloids of the genus Datura, section Brugmansia. VI. Tree Datura drugs (Datura condida cvs.) of the Colombian Sibundoy.. Lloydia. 1969. PMID 5812243. (title-only)
  6. Capasso A, de Feo V. Alkaloids from Brugmansia arborea (L.) Lagerhein reduce morphine withdrawal in vitro.. Phytotherapy Research. 2003. PMID 12916089. DOI 10.1002/ptr.1218. (abstract)
  7. Doan UV, Wu ML, Phua DH, Mendez Rojas B, Yang CC. Datura and Brugmansia plants related antimuscarinic toxicity: an analysis of poisoning cases reported to the Taiwan poison control center.. Clinical Toxicology (Phila). 2019. PMID 30522351. DOI 10.1080/15563650.2018.1513527. (abstract)
  8. Firestone D, Sloane C. Not your everyday anisocoria: angel's trumpet ocular toxicity.. Journal of Emergency Medicine. 2007. PMID 17630070. DOI 10.1016/j.jemermed.2007.02.046. (abstract)
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  12. Gundogdu I, Aras N. Brugmansia suaveolens Abuse in a Patient With Multiple Substance Use Disorders: A Case Report.. Cureus. 2026. PMID 42099313. DOI 10.7759/cureus.106535. (abstract)
  13. Göpel C, Laufer C, Marcus A. Three cases of angel's trumpet tea-induced psychosis in adolescent substance abusers.. Nordic Journal of Psychiatry. 2002. PMID 11869466. DOI 10.1080/08039480252803927. (abstract)
  14. Isbister GK, Oakley P, Dawson AH, Whyte IM. Presumed Angel's trumpet (Brugmansia) poisoning: clinical effects and epidemiology.. Emergency Medicine (Fremantle). 2003. PMID 14631706. DOI 10.1046/j.1442-2026.2003.00477.x. (abstract)
  15. Jayawickreme KP, Janaka KVC, Subasinghe SASP. Unknowing ingestion of Brugmansia suaveolens leaves presenting with signs of anticholinergic toxicity: a case report.. Journal of Medical Case Reports. 2019. PMID 31665073. DOI 10.1186/s13256-019-2250-1. (abstract)
  16. Kim Y, Kim J, Kim OJ, Kim WC. Intoxication by angel's trumpet: case report and literature review.. BMC Research Notes. 2014. PMID 25138632. DOI 10.1186/1756-0500-7-553. (abstract)
  17. Lockwood TE. The ethnobotany of Brugmansia.. Journal of Ethnopharmacology. 1979. PMID 542011. DOI 10.1016/0378-8741(79)90004-7. (title-only)
  18. Lusthof KJ, Bosman IJ, Kubat B, Vincenten-van Maanen MJ. Toxicological results in a fatal and two non-fatal cases of scopolamine-facilitated robberies.. Forensic Science International. 2017. PMID 28237441. DOI 10.1016/j.forsciint.2017.01.024. (abstract)
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  21. NCBI PubChem. PubChem compound 174174: atropine (dl-hyoscyamine). PubChem PUG REST. 2026. (full-text)
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Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.