Intravenous Quinidine for the Treatment of Severe falciparum Malaria: Clinical and Pharmacokinetic Studies

Over 100 years ago, quinidine, a cinchona alkaloid, was found to be effective against Plasmodium falciparum malaria in India.1Later investigations in Malaya,2Louisiana,3and New York4produced evidence that quinidine was as effective as quinine as an antimalarial agent and possibly superior to it. The...

Full description

Saved in:
Bibliographic Details
Main Authors: Rodney E. Phillips, David A. Warrell, Nicholas J. White, Sornchai Looareesuwan, Juntra Karbwang
Other Authors: Mahidol University
Format: Article
Published: 2018
Subjects:
Online Access:https://repository.li.mahidol.ac.th/handle/123456789/30867
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Mahidol University
Description
Summary:Over 100 years ago, quinidine, a cinchona alkaloid, was found to be effective against Plasmodium falciparum malaria in India.1Later investigations in Malaya,2Louisiana,3and New York4produced evidence that quinidine was as effective as quinine as an antimalarial agent and possibly superior to it. The success of synthetic drugs, particularly chloroquine, overshadowed interest in defining the potency of cinchona alkaloids used singly and in combination for the treatment of malaria. However, there are now urgent reasons for reviving this discussion. First of all, in Southeast Asia, P. falciparum is becoming resistant to all available antimalarial agents, including quinine, yet. © 1985, Massachusetts Medical Society. All rights reserved.