Many herbal medications are commonly being used as therapeutic remedies for common ailments and are being sold over the counter. Plants contain many active ingredients that can provoke adverse reactions when medicinal herbs are used improperly. The side effects of many medicinal herbs are not widely known and studied.

Here we present a case of two brothers, 32 yrs old patient X and 27 yrs old patient Y, with no known comorbidities, who presented to the ED with history of consumption of Homeopathic cough syrup following which they developed multiple episodes of vomiting, associated with giddiness, restlessness and vague discomfort. On enquiry the content of the medication was found to be Rhustox and Justicia adhatoda.

On presentation, both the patients were drowsy with unrecordable blood pressure. ECG of patient X showed Ventricular Tachycardia. Multiple attempts of electrical cardio version was attempted but unsuccessful, followed by Amiodarone infusion followed by Transvenous pacing but over drive pacing could not be achieved. Subsequently, in view of Intractable VT patient was initiated on Inj Lignocaine infusion which was continued for 6 hours. VT was reverted over a period of next 4 – 6 hours. ECG of patient Y showed Sinus Tachycardia with recurrent VPCs. He was managed conservatively with rate control methods.

Holter study was done for both the patients which was found to be normal. Both of them were discharged in haemo dynamically stable condition on day 3.

Keywords: Coffin; Tragedy; Justicia; Adhatoda; Toxicity.