Quinine toxicity: Difference between revisions
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Created page with "== Background == * Quinine was originally an extract from the cinchona tree * Historically used to treat fevers and diarrhea, and eventually malaria * May be consumed recreationally in the form of tonic water === Pathophysiology === * It acts as a class qA antiarrhythmic, blocking both sodium and potassium, leading to long QRS and QT intervals * Toxic to the retina == Clinical Manifestations == * '''Cinchonism''': nausea, vomiting, and tinnitus ** Sweating, nausea,..." |
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Latest revision as of 23:45, 7 July 2025
Background
- Quinine was originally an extract from the cinchona tree
- Historically used to treat fevers and diarrhea, and eventually malaria
- May be consumed recreationally in the form of tonic water
Pathophysiology
- It acts as a class qA antiarrhythmic, blocking both sodium and potassium, leading to long QRS and QT intervals
- Toxic to the retina
Clinical Manifestations
- Cinchonism: nausea, vomiting, and tinnitus
- Sweating, nausea, visual disturbances (particularly colour vision), cardiac arrhythmias
- Eventually can lead to blindness (delayed), coma, and death