Does not dissolve in water. For maximum effect, administer within 30 min after ingesting poison. Pregnancy C - Safety for use during pregnancy has not been established. These medications may be useful in reversing the neurological complications of the venom, however, they should not be a substitute for airway management. Inhibits destruction of acetylcholine by acetylcholinesterase, which facilitates transmission of impulses across myoneural junction.
Repeat doses based on patients's response.
Symptoms usually develop within 6 hours but may be delayed for 12 hours. Symptoms may last several days even in nonlethal ingestions. One report suggests that the prognosis is good if the patient survives the first 24 hours. Tetrodotoxin poisoning is a public health issue and mandates a report to the department of public health if the ingestion was related to toxic levels of TTX in food. The source of the toxin must be established to prevent further exposures.