“…Muscarinic signs are often very pronounced and include bradycardia, miosis, bronchospasm, bronchorrhea, hypersalivation, lachrymation, urination and diarrhoea. Nicotinic signs include muscle tremors, fasciculations, muscle stiffness, weakness and paralysis 8,16 . Prolonged muscle activity finally results in exertional rhabdomyolysis 41 .…”