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Myristica oil poisoning

Definition

Myristica oil is a clear liquid that smells like the spice nutmeg. Myristica oil poisoning occurs when someone swallows this substance.

This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Alternative Names

Nutmeg oil; Myristicin

Poisonous Ingredient

Myristica oil (Myristica fragrans) can be harmful. It comes from the seed of a nutmeg.

Where Found

Myristica oil is found in:

  • Aromatherapy products
  • Mace
  • Nutmeg

Other products may also contain myristica oil.

Symptoms

Below are symptoms of myristica oil poisoning in different parts of the body.

AIRWAYS AND LUNGS

  • Chest pain

EYES, EARS, NOSE, AND THROAT

STOMACH AND INTESTINES

HEART AND BLOOD

NERVOUS SYSTEM

SKIN

  • Redness, flushing

Home Care

Get medical help right away. DO NOT make the person throw up unless poison control or a health care provider tells you to.

Before Calling Emergency

Have this information ready:

  • Person's age, weight, and condition
  • Name of the product (ingredients, if known)
  • Time it was swallowed
  • Amount swallowed

Poison Control

Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

What to Expect at the Emergency Room

Take the product to the hospital with you, if possible.

The provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure.

Treatment may include:

  • Fluids through the vein (by IV)
  • Medicine to treat symptoms
  • Activated charcoal
  • Tube through the mouth into the stomach to wash out the stomach (gastric lavage)
  • Breathing support, including tube through the mouth into the lungs, and breathing machine (ventilator)

Outlook (Prognosis)

How well someone does depends on how much myristica oil was swallowed and how quickly treatment is received. The faster medical help is given, the better the chance for recovery.

Hallucinations, anxiety and other psychiatric symptoms, and visual problems are most common in severe overdoses. Deaths have been reported, but only very rarely.

References

Aronson JK. Myristicaceae. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:1156-1157.

Graeme KA. Toxic plant ingestions. In: Auerbach PS, Cushing TA, eds. Auerbach's Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 65.

Iwanicki JL. Hallucinogens. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 150.

Review Date:10/16/2017
Reviewed By:Jesse Borke, MD, FACEP, FAAEM, Attending Physician at FDR Medical Services/Millard Fillmore Suburban Hospital, Buffalo, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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Health Outcome Data

No data available for this condition/procedure.

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