Within minutes to a few hours after ingestion, victims develop
profound hypokalemia and skeletal muscle weakness progressing to flaccid
paralysis of the limbs and respiratory muscles. Ventricular arrhythmias, hypophosphatemia,
rhabdomyolysis, acute renal failure, and coagulopathy may
also occur. Gastroenteritis with severe watery diarrhea, mydriasis with impaired
visual accommodation, and CNS depression are sometimes present. More often,
patients remain conscious even when severely intoxicated.