Introduction
Honey is a naturally produced food having different compositions depending upon geography and species of bee [1]. Wild (mad) honey differs from commercial honey as it contains grayanotoxin [2]. Wild honey poisoning has been reported in Nepal, Turkey, and Korea [3]. Its symptoms range from dizziness, vomiting, syncope, and sweating to more serious effects like bradycardia and hypotension. These effects are usually self-limiting and resolve within 24 hours [2]. Here, we report a case of a wild honey poisoning in the capital city in Central Nepal presenting with hypotension that was initially stabilized with fluid resuscitation but later again deteriorated which required vasopressor support with nor-adrenaline. This case report has been prepared in accordance with the CARE guidelines [4].