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.