“…Later toxicity, manifested by fatigue, weakness, stupor, psychoneurosis, aphasia, slurred speech, muscle twitching, hyperhidrosis, tinnitus, and hypothyroidism (WALD et aI., 1939;PAGE, 1955;NOUROK et aI., 1964;AHEARN and GRIM, 1974), appears to be related to accumulation of thiocyanate (DOMZALSKI et aI., 1953;PAGE, 1955). Cyanide itself could also contribute to such intoxication after prolonged administration (MOISTER and FREIS, 1949;GOLDSTEIN and RIEDERS, 1951;PINES and CRYMBLE, 1952;VESEY et aI., 1974). Nitroprusside administration should be discontinued when plasma thiocyanate levels exceed 10 to 12 mgjdl (PAGE, 1955;GIFFORD, 1961;AHEARN and GRIM, 1974).…”