3. Myalgia and myoclonus are frequently noted. RDX is metabolized in the liver to carbon dioxide, bicarbonate and formic acid and excretion is via the kidneys. The elimination half-life is 15 hours. The toxic dose of RDX is unknown but there is a case report of a 3-year-old who ingested 84.82 mg/kg and survived 4. In rats the lethal dose is about 200 mg/kg when it is given as a 4% solution 5. Treatment is symptomatic and supportive, the most important points being control of seizures and maintenance of oxygenation. Polyisobutylene is a hydrocarbon and the principal acute hazard is aspiration, leading to pneumonitis and chronic lung dysfunction. Other acute effects of inhalation include cardiac arrhythmias and central nervous system depression. Nausea and vomiting may follow ingestion, and acute tubular necrosis, proteinuria and haematuria may develop. As with RDX, management is supportive, with particular attention to the respiratory system. Patients with a normal chest X-ray and no symptoms 6 hours after ingestion can be discharged. Amongst ®eld troops in Vietnam it became common knowledge that ingestion of a small amount of C-4 would produce a`high' similar to that of ethanol, and it is possible that this was the reason for this episode 2. The patient's clinical picture was dominated by the effects of RDX, with few from polyisobutylene. The help provided by the Poisons Information Services was invaluable.