(commonly known as calabar bean and also as ordeal beans due to their former use in trials by ordeal). The toxin in the seeds is the parasympathomimetic alkaloid physostigmine, a reversible cholinesterase inhibitor. Symptoms of poisoning include copious saliva, nausea, vomiting, diarrhea, anorexia, dizziness, headache, stomach pain, sweating, dyspepsia and seizures., and can lead to cholinergic syndrome or "SLUDGE syndrome". Medicinal uses of physostigmine include the treatment of myasthenia gravis, glaucoma, Alzheimer's disease and delayed gastric emptying.