Treatment for Solanine Poisoning from Rotting Potatoes

Immediate First Aid Management

• Do NOT administer activated charcoal, ipecac, milk, or water by mouth unless specifically directed by a poison control center, as there is insufficient evidence these interventions provide benefit and they may cause harm including emesis and aspiration 1
• Contact the Poison Help hotline immediately for expert guidance on managing the specific case 1, 2
• If the patient exhibits signs of a life-threatening condition, activate emergency medical services immediately 1, 2

Hospital-Based Supportive Care

Gastrointestinal Management

• Gastrointestinal decontamination (gastric lavage) may be considered in selected patients presenting early after acute ingestion, though evidence is limited 3

Cardiovascular Monitoring and Support

• Use vasopressors if hypotension persists despite adequate fluid resuscitation 3

Neurological Assessment

• Provide airway management and mechanical ventilation if respiratory depression or failure develops 2, 3