▁effect ▁is ▁usually ▁in ▁the ▁range ▁of ▁a ▁few ▁minutes . ▁When ▁pl asma ▁levels ▁of ▁but y ry l ch olin ester ase ▁are ▁greatly ▁dimin ished ▁or ▁an ▁at yp ical ▁form ▁is ▁present ▁( an ▁otherwise ▁har ml ess ▁inherited ▁dis order ), ▁par al ysis ▁may ▁last ▁much ▁longer , ▁as ▁is ▁the ▁case ▁in ▁li ver ▁failure ▁or ▁in ▁ne on ates . ▁ ▁It ▁is ▁recommended ▁that ▁the ▁v ial s ▁be ▁stored ▁at ▁a ▁temperature ▁between ▁ 2 ° - 8   ° C . ▁The ▁multi - d ose ▁v ial s ▁are ▁stable ▁for ▁up ▁to ▁ 1 4 ▁days ▁at ▁room ▁temperature ▁without ▁significant ▁loss ▁of ▁pot ency . ▁Unless ▁otherwise ▁indicated ▁in ▁the ▁pres cri bing ▁information , ▁room ▁temperature ▁for ▁storage ▁of ▁medic ations ▁is ▁ 1 5 ° - 2 5 ° C ▁( 5 9 ° - 7 7 ° F ). ▁ ▁Side ▁effects ▁Side ▁effects ▁include ▁m align ant ▁hyper ther m ia , ▁mus cle ▁p ains , ▁ac ute ▁r hab dom y ol ysis ▁with ▁high ▁blood ▁levels ▁of ▁pot ass ium , ▁trans ient ▁oc ular ▁hy pert ension , ▁const ip ation ▁and ▁changes ▁in ▁card iac ▁rh ythm , ▁including ▁slow ▁heart ▁rate , ▁and ▁card iac ▁arrest . ▁In ▁people ▁with ▁neur om us cular ▁disease ▁or ▁burn s , ▁an ▁injection ▁of ▁su x am eth on ium ▁can ▁lead ▁to ▁a ▁large ▁release ▁of ▁pot ass ium ▁from