Is American Holly Poisonous? Symptoms & What to Do

The American Holly (Ilex opaca) is a slow-growing evergreen tree native to the eastern and south-central United States, recognized by its glossy, dark green leaves and bright red berries, especially during winter. People frequently encounter this plant in landscaping or as festive decorations. American Holly is considered toxic if ingested, with the berries posing the highest risk of accidental exposure. The plant contains compounds that can cause unpleasant reactions in humans and pets.

Which Parts of American Holly are Toxic?

The toxicity of the American Holly plant is present throughout the entire structure, including the leaves, bark, and stems. The most common source of accidental poisoning, however, is the small, vibrant red berries, which are attractive to children and pets. Consuming even a small number of these mildly toxic berries can lead to adverse effects.

The primary toxic agents are compounds called saponins. Saponins are natural detergents that, when consumed, irritate the mucous membranes of the gastrointestinal tract. The concentration of saponins is highest in the berries, making them the most dangerous part if eaten. While the spiny, leathery leaves contain similar compounds, their texture and bitter taste usually prevent ingestion in quantities large enough to cause severe issues.

Symptoms of Ingestion and Severity

Ingesting American Holly berries or other parts of the plant leads to gastrointestinal distress in both humans and animals. Common symptoms include nausea, vomiting, abdominal pain, and diarrhea. The intensity of these reactions depends on the amount of plant material consumed and the size of the person or animal who ingested it.

In children, symptoms have been reported after swallowing as few as two berries. While the toxicity is low, the severity of vomiting and diarrhea can lead to dehydration and lethargy, which is concerning for smaller individuals or pets. Dogs and cats may also exhibit excessive drooling and depression following ingestion. Severe outcomes are rare, and fatalities from American Holly ingestion have not been reported; however, the symptoms can be intense enough to warrant professional attention.

Emergency Response Protocol

If you suspect that a person or a pet has ingested any part of the American Holly plant, immediately remove any remaining plant material from the mouth and rinse the area with water or milk. You should then contact a poison control center for guidance, even if symptoms have not yet appeared.

For human exposure, call the national Poison Help Line at 1-800-222-1222. For pets, contact a veterinarian or the Pet Poison Helpline. When calling, be prepared to provide the age and weight of the person or pet, the specific part of the plant consumed, and the estimated quantity ingested. Never induce vomiting unless you are specifically advised to do so by a medical professional, as this can sometimes cause more harm than good.