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Lily of the valley: toxicity, first aid and care

Lily of the valley (Convallaria majalis): severe for cats, severe for dogs, severe for small children. The toxic principle, the signs, what to do, and how to grow it.

Cats: SevereDogs: SevereChildren: SevereEmergency risk

Convallaria majalisbotanical name
Asparagaceaefamily
Garden plantwhere you meet it
Emergency riskrisk band

Also sold as: Piibeleht, kielo, may bells.

This is a reference table, not a diagnosis and not veterinary or medical advice. It cannot tell you how much of a plant matters for a particular child or a particular animal — that depends on body weight, on the part eaten and on how long ago. If a person or an animal has eaten part of a plant, phone the poison information centre or a clinician; do not wait for symptoms, and do not make anyone vomit unless you are told to.

What is in it

Toxic principle: Cardiac glycosides (convallatoxin) — Cardiac glycosides.

Small plant, serious chemistry: convallatoxin and its relatives act on the heart in the same way as digitalis. Leaves, flowers, the red autumn berries and the creeping rhizome all carry it, and so does the water a picked posy has stood in — the vase, not the plant, is a repeatedly reported route in households with cats.

What it looks like when it goes wrong

Vomiting and drooling, then a slow or irregular heartbeat, weakness, disorientation and, in significant exposures, collapse. Children are most often exposed through the berries, which are conspicuous and sweet-looking in late summer.

What to do

Phone the poison centre or a veterinary clinic for any real ingestion, and take the plant with you. A single berry mouthed and spat out by a child is a phone call, not a panic; a chewed handful of leaves, or a cat that has drunk the vase water, needs to be seen.

Poison information centres in the Nordic and Baltic region
CountryPoison information centreNumberHours
EstoniaMürgistusteabekeskus (Health Board)16662Round the clock; 112 for an emergency
FinlandMyrkytystietokeskus (HUS)0800 147 111Free, round the clock
LatviaSaindēšanās un zāļu informācijas centrs67042473Round the clock
SwedenGiftinformationscentralen010-456 67 00Non-urgent advice; 112 in an emergency
NorwayGiftinformasjonen22 59 13 00Round the clock
DenmarkGiftlinjen (Bispebjerg Hospital)82 12 12 12Round the clock

Anywhere in the European Union, 112 reaches emergency services and can put you through. Lithuania's poison information bureau (Apsinuodijimų kontrolės ir informacijos biuras) publishes its own round-the-clock line; if you do not have it to hand, use 112. For an animal, your own veterinary clinic or its out-of-hours service is the first call — human poison centres do not advise on animals in every country.

How to grow it

Growing conditions for Lily of the valley
ConditionWhat it wants
LightShade and part shade; it colonises under trees
WaterMoist, humus-rich soil; tolerates dry shade once established
TemperatureFully hardy; native across the region

A woodland ground-cover that spreads by rhizome and, given shade and leaf mould, will eventually take the whole bed. Plant "pips" in autumn. It is genuinely useful under trees where little else thrives, and genuinely difficult to remove afterwards, so choose the site once.

What it gets confused with

The spring leaves are the classic and dangerous double of wild garlic — same woodland, same weeks, similar broad ribbed blade. Crush a leaf: wild garlic smells unmistakably of garlic, lily of the valley smells green and of nothing in particular. It is also Finland's national flower and grows wild across Estonia, so this is a lookalike people meet on an ordinary walk rather than in a specialist garden.

A plant that is not on the toxic lists

If you are deciding what to keep in a home with a cat, a dog or a small child, this one fills a similar role and is not flagged by the veterinary services.

Boston fern

Indirect light — a north window or a bright bathroom. Never let the rootball dry out completely.

Not on the veterinary toxic lists

Others that work the same way

Cardiac glycosides — these behave alike, and what you would do about them is alike too.

Foxglove

Cardiac glycosides (digitoxin, digoxin)

Emergency risk

Oleander

Cardiac glycosides (oleandrin)

Emergency risk

Kalanchoe

Bufadienolides (cardiac glycosides)

Toxic

Source: Royal Horticultural Society — potentially harmful garden plants · checked 2026-09-06

Care guidance is standard horticultural practice for a cool-temperate northern climate. Poison-centre numbers are listed on the hub page and are worth confirming against your own country's health service.

Frequently asked questions

Is lily of the valley toxic to cats?

The veterinary lists rate it "severe" for cats and "severe" for dogs. The toxic principle is cardiac glycosides (convallatoxin). Small plant, serious chemistry: convallatoxin and its relatives act on the heart in the same way as digitalis. Leaves, flowers, the red autumn berries and the creeping rhizome all carry it, and so does the water a picked posy has stood in — the vase, not the plant, is a repeatedly reported route in households with cats.

What should I do if my dog eats lily of the valley?

Phone the poison centre or a veterinary clinic for any real ingestion, and take the plant with you. A single berry mouthed and spat out by a child is a phone call, not a panic; a chewed handful of leaves, or a cat that has drunk the vase water, needs to be seen.

Is lily of the valley dangerous for a small child?

The verdict for a child who chews or swallows part of it is "severe". Vomiting and drooling, then a slow or irregular heartbeat, weakness, disorientation and, in significant exposures, collapse.

How do you care for lily of the valley?

Light: Shade and part shade; it colonises under trees. Water: Moist, humus-rich soil; tolerates dry shade once established. Temperature: Fully hardy; native across the region. A woodland ground-cover that spreads by rhizome and, given shade and leaf mould, will eventually take the whole bed.

What is lily of the valley confused with?

The spring leaves are the classic and dangerous double of wild garlic — same woodland, same weeks, similar broad ribbed blade. Crush a leaf: wild garlic smells unmistakably of garlic, lily of the valley smells green and of nothing in particular.

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