Quinine: Difference between revisions

From IDWiki
No edit summary
mNo edit summary
 
Line 2: Line 2:


* The main indication is for treatment of [[malaria]]
* The main indication is for treatment of [[malaria]]
* Used off-label as a treatment for nocturnal leg cramps<ref>Hogan DB. Quinine: not a safe drug for treating nocturnal leg cramps. CMAJ. 2015 Mar 3;187(4):237-238. doi: [https://doi.org/10.1503/cmaj.150044 10.1503/cmaj.150044]. Epub 2015 Jan 26. PMID: 25623647; PMCID: PMC4347765.</ref>
* Used off-label as a treatment for nocturnal leg cramps[[CiteRef::hogan2015qu]]


== Safety ==
== Safety ==

Latest revision as of 17:20, 27 September 2024

Background

  • The main indication is for treatment of malaria
  • Used off-label as a treatment for nocturnal leg cramps1

Safety

Adverse Effects

  • Cinchonism: tinnitus, high-tone hearing loss, photophobia and other visual disturbances, dysphoria, headache, nausea, vomiting, sweating, dizziness and postural hypotension
  • Hypoglycemia, from pancreatic β cell stimulation
  • Hypotension, usually from IV infusion
  • Hearing and visual disturbances, including irreversible loss
  • Gastrointestinal symptoms
  • Cutaneous effects
  • Mild QT prolongation (rare unless plasma levels are elevated) and arrhythmias
  • Hemolysis (in patients with G6PD deficiency or with hypersensitivity)

References

  1. ^  David B. Hogan. Quinine: not a safe drug for treating nocturnal leg cramps. Canadian Medical Association Journal. 2015;187(4):237-238. doi:10.1503/cmaj.150044.