Introduction
Wild honey has been used traditionally for medicinal and recreational purposes. The toxic symptoms are due to grayanotoxin which prevents the inactivation of sodium channels leading to hyperpolarization clinically manifesting as dizziness, syncope, hypotension, and bradycardia. Most cases are self-limiting and resolve within 24 hours. Complications like bradycardia and hypotension may occur. Symptoms are managed with intravenous fluids and atropine as needed. Refractory hypotension may require vasopressor support.