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Symptoms and Signs: Prolonged muscle paralysis and its consequences are the main signs of overdosage.
Treatment: It is essential to maintain a patent airway together with assisted positive pressure ventilation until spontaneous respiration is adequate.
Full sedation will be required since consciousness is not impaired.
Recovery may be hastened by the administration of anticholinesterase agents accompanied by atropine or glycopyrrolate, once evidence of spontaneous recovery is present.
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