Quinine

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Revision as of 15:40, 29 April 2023 by Aidan (talk | contribs) (Created page with "== Background == * The main indication is for treatment of malaria * Used off-label (and possibly dangerously and ineffectively) as a treatment for nocturnal leg cramps == 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...")
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Background

  • The main indication is for treatment of malaria
  • Used off-label (and possibly dangerously and ineffectively) as a treatment for nocturnal leg cramps

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)