Commonly used for severe and emergency cases of myasthenia gravis, postoperative abdominal distension, and urinary retention. It can also be used for overdose poisoning of competitive neuromuscular blocking agents and paroxysmal supraventricular tachycardia. Additionally, it is indicated for paralysis in the recovery phase of conditions such as traumatic brain injury, tuberculous meningitis, poliomyelitis, and encephalitis, as well as for optic nerve atrophy and neuritis. It is also applicable in various cases of flaccid paralysis, muscular and neurofunctional disorders in internal medicine, gynecology, and otolaryngology.