Customization: | Available |
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Application: | Internal Medicine |
Usage Mode: | For oral administration |
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Active Ingredient | Quinine Tablets |
Dosage Form | Tablets |
Strength | 10*10 Tablets/Box |
Manufacturer | Sinopharmatech |
Mechanism:
Derived from Cinchona bark alkaloids, quinine acts as a blood schizonticide, killing the erythrocytic stage of Plasmodium falciparum.
Inhibits parasite heme polymerization, leading to toxic accumulation.
Additional Effects:
Reduces muscle excitability (for nocturnal leg cramps).
Primary:
Treatment of chloroquine-resistant falciparum malaria (combined with antibiotics).
Babesiosis (off-label, with azithromycin/clindamycin).
Secondary:
Nocturnal leg cramps (limited to short-term use due to toxicity risks).
Malaria (uncomplicated):
600 mg (salt) every 8 hours × 7 days with doxycycline/clindamycin.
Severe Malaria:
Initial IV quinine → switch to oral tablets (same dose) when tolerated.
Leg Cramps:
200-300 mg at bedtime (max 4 weeks; avoid prolonged use).
Malaria: 10 mg/kg every 8 hours (max adult dose).
Take with food to reduce GI irritation.
Avoid grapefruit juice (↑ toxicity risk).
Never crush/chew (bitter; may cause throat irritation).
Hypersensitivity to quinine or cinchona alkaloids.
G6PD deficiency (risk of hemolysis).
Pregnancy (except for life-threatening malaria).
Cardiac arrhythmias (QT prolongation risk).
Common: Tinnitus, headache, nausea ("cinchonism").
Serious: Hypoglycemia, thrombocytopenia, vision disturbances.
Antacids: ↓ Quinine absorption (separate by 2 hours).
CYP3A4 inhibitors (e.g., erythromycin): ↑ Quinine levels.
Warfarin: ↑ Bleeding risk (monitor INR).
Temperature: Store below 25°C (77°F).
Packaging: Keep in original blister/aluminum foil (light-sensitive).
Stability: Do not use if tablets discolor (oxidation sign).
8. Regulatory Note
FDA Black Box Warning:
For malaria only; not approved for leg cramps due to life-threatening side effects.
Available in various packaging options, customisable based on market requirements.
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