An 18-year-old man was brought to the emergency department after ingesting 12 seeds of the Hawaiian baby woodrose. The patient complained of nausea, vomiting, dizziness, auditory hallucinations, blurred vision, and diaphoresis. The results of physical examination showed tachycardia (heart rate, 110 beats per minute), hypertension (blood pressure, 170/90 mm Hg), nystagmus, and dilated pupils (7 mm). The patient was kept overnight in a telemetry bed, and normal saline was administered intravenously.