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