Toxicity related to traditional medicines is becoming more widely reco
gnized as these remedies become popular in developed countries. Accide
ntal herbal toxicity occurs not only as a result of a lack of pharmace
utic quality control in harvesting and preparation but also because he
rbal remedies an believed to be harmless. Although there is a huge amo
unt of data available documenting the pharmacologically active ingredi
ents of many plants, it is seldom helpful to the toxicologist in an ac
ute situation. Current analytic methods such as high-performance liqui
d chromatography, gas chromatography-mass spectrometry, and immunoassa
ys can provide identification of the toxin in those few cases in which
the history or symptoms give a clear lead, but broad screening method
s remain to be developed. In most cases of plant poisoning, treatment
continues to be only of symptoms, with few specific antidotes availabl
e, It is important that toxicologists in the West be alert to the poss
ibility of encountering poisoning in patients due to traditional Afric
an remedies.