Are Hellebores Toxic to Animals or People?

Many people believe nature to be benign, but nothing could be further from the truth.

The natural world is rife with toxins – many of them in some of our favorite plants – including the attractive and widely appreciated hellebores.

Close up of a purple-pink hellebore flower and green leaves on a black background.

Hellebore (Helleborus spp.), a member of the buttercup family, is toxic to dogs, cats, and horses. Thankfully, its foul taste often prevents them from eating it in large quantities.

Even the name of the genus refers to its toxicity. The name comes from the Greek words elein, which means to injure, and borus, which means food.

Drying or storage of plant material will not destroy these toxins. But nonetheless, the beauty that they add to the late winter and early spring garden is undeniable. And with a proper sense of caution, these blooming perennials can be enjoyed as part of the landscape for years to come.

Know Your Hellebores

Hellebores are often used in floral arrangements around Christmastime, so it’s important to be able to identify them. Children and pets may be tempted to eat the pretty flowers, and you’ll need to keep them out of reach.

Hellebores are also known by their common names, Lenten rose, Christmas rose, winter rose, and bear’s foot.

False hellebore is also toxic. There are two species of this plant, which are unrelated to Helleborus, and members of the lily family.

Veratrum viride is commonly known as white or European white hellebore, while V. album is known as green or Indian hellebore. They produce different toxins than Helleborus, but the symptoms of poisoning are the same.

Symptoms of Poisoning

The leaves, stems, and roots of these plants are all poisonous.

Although seldom fatal, your pet (or even your child) can become very ill if any part of the plant is ingested. Seek immediate veterinary or medical treatment if you suspect that any part of the plant has been consumed.

Symptoms of Poisoning
Dogs Cats Horses
Depression Depression Small amounts
Vomiting Vomiting Diarrhea
Lethargy Lethargy Mild abdominal discomfort
Excessive salivation Excessive salivation
Abdominal pain Abdominal pain Large amounts
Diarrhea Frequent and watery stools Pronounced heartbeat
Sudden death Possible kidney failure
Seizures Muscle spasms
Pawing at the mouth Confusion
Paralysis Convulsions
Low blood pressure Death
Lethargy
Heart rhythm abnormalities
Excessive thirst
Difficulty breathing
Weakness

In addition to the direct effect of the toxins contained in these plants, they may interact negatively with prescription medications. This can happen in the case of beta-blockers, steroids, and some chemotherapy medications.

Treatment

It’s important to seek medical advice immediately if you suspect your child or pet has eaten any part of the hellebore.

In the US, call the poison control help hotline at 1-800-222-1222, or get help online via their website. Do not induce vomiting or take any other reactive measures unless directly to do so by an emergency health care provider.

For pets, you may call the ASPCA Animal Poison Control Center at 888-426-4435.

If your pet ate a relatively small amount, you may be instructed to thoroughly rinse his or her mouth. If your pet ate a large quantity of the plant, or if serious symptoms are developing, you will need to bring the animal in for further treatment.

Veterinary Diagnosis

If you suspect that your pet has eaten hellebore, you should bring a sample of the plant with you if possible when you go to the vet.

Your vet will check your pet’s liver and kidney function. This will likely involve a complete blood count, biochemistry profile, and urinalysis.

It is critical for the vet to examine the animal’s heart, since hellebore can cause serious and often fatal heart problems, such as heart palpitations and contractions.

While this can often be successfully treated if caught early, it is recommended that you do what you can to keep your pet calm after you return home to avoid any unnecessary stress on his or her heart.

In the case of horses, the vet may go to the pasture and paddock to see if grazing patterns can identify the particular species that was eaten. Older horses are especially vulnerable to this type of poisoning.

Medicinal Uses

There is an old saying that the dose makes the poison. What does this mean? While a high dose of a particular chemical may be toxic, a lower dose may even be used as a medicine.

The use of hellebore rhizomes in medicine dates back millennia, with the first recorded mention dating back to 1400 BC. The ancient Greeks used it to treat epilepsy and mental disorders, and herbalists from the Middle Ages used it extensively.

Its use as an herbal treatment to kill intestinal worms lasted into the 1700s. Herbalists used it to induce vomiting, with the idea that it would expel worms found in the stomach.

The only current and often seen medical use of the plants is to treat mange in animals.

What Toxins Are Present?

Hellebores contain a number of different toxins, and the compounds known as cardiac glycosides are particularly dangerous. As you can guess from the term “cardiac,” these chemicals affect the heart.

Plants often modify toxins to protect themselves from damage, and one of the ways they do this is by attaching a sugar molecule to the toxin. These chemicals are known as glycosides. The cardiac glycosides in hellebores include helleborin, helleborine, and hellebrin.

Other toxins include a group of detergent-like compounds known as saponosides, and a derivative of the common buttercup family toxin, ranunculoside, known as protoanemonine.

Why Do Hellebores Make These Toxins?

Why are toxins so widespread? Are hellebores out to get us? Highly unlikely.

What is much more likely is that these compounds serve a purpose in the biology of the plants. Toxic compounds often protect plants from the ravages of insects, bacteria, or fungi.

A study on toxic plants that included stinking hellebore (H. foetidus) found that their cardiac glycosides protected the plants from insects.

Safely Grow Hellebore

Our hope is that this article will give you the information you need to safely grow these beautiful flowering plants.

Pink-Purple hellebore flowers with vegetation.

And if you are displaying the flowers in your house, make sure to keep them out of reach of children or pets.

If your pets have access to hellebores in your garden, keep an eye out for vomiting, diarrhea, and depression, and call your vet immediately if you suspect that your pet has eaten them.

Have you encountered problems with hellebore toxicity? If so, let us know in the comments.

And if you want to know more about hellebore plants, then check out some of our other guides next:

© Ask the Experts, LLC. ALL RIGHTS RESERVED. See our TOS for more details. Uncredited photos: Shutterstock.

About Helga George, PhD

One of Helga George’s greatest childhood joys was reading about rare and greenhouse plants that would not grow in Delaware. Now that she lives near Santa Barbara, California, she is delighted that many of these grow right outside! Fascinated by the childhood discovery that plants make chemicals to defend themselves, Helga embarked on further academic study and obtained two degrees, studying plant diseases as a plant pathology major. She holds a BS in agriculture from Cornell University, and an MS from the University of Massachusetts Amherst. Helga then returned to Cornell to obtain a PhD, studying one of the model systems of plant defense. She transitioned to full-time writing in 2009.

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