Peringatan Keamanan

Quinine is a documented causative agent of drug induced thrombocytopenia (DIT). Thrombocytopenia is a low amount of platelets in the blood. Quinine induces production of antibodies against glycoprotein (GP) Ib-IX complex in the majority of cases of DIT, or more rarely, the platelet-glycoprotein complex GPIIb-IIIa. Increased antibodies against these complexes increases platelet clearance, leading to the observed thrombocytopenia.

Quinine

DB00468

small molecule approved

Deskripsi

An alkaloid derived from the bark of the cinchona tree. It is used as an antimalarial drug, and is the active ingredient in extracts of the cinchona that have been used for that purpose since before 1633. Quinine is also a mild antipyretic and analgesic and has been used in common cold preparations for that purpose. It was used commonly and as a bitter and flavoring agent, and is still useful for the treatment of babesiosis. Quinine is also useful in some muscular disorders, especially nocturnal leg cramps and myotonia congenita, because of its direct effects on muscle membrane and sodium channels. The mechanisms of its antimalarial effects are not well understood.

Quinine (GLS-1200) was also investigated in clinical trials for its efficacy in preventing SARS-CoV-2 infection (NCT04408183, terminated) and is planned to be evaluated for preventing sinusitis after endoscopic sinus surgery (NCT04060316).

Struktur Molekul 2D

Berat 324.4168
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) Approximately 18 hours
Volume Distribusi * 1.43 ± 0.18 L/kg [Healthy Pediatric Controls] * 0.87 ± 0.12 L/kg [P. falciparum Malaria Pediatric Patients] * 2.5 to 7.1 L/kg [healthy subjects who received a single oral 600 mg dose]
Klirens (Clearance) * 0.17 L/h/kg [healthy] * 0.09 L/h/kg [patients with uncomplicated malaria] * 18.4 L/h [healthy adult subjects with administration of multiple-dose activated charcoal] * 11.8 L/h [healthy adult subjects without administration of multiple-dose activated charcoal] * Oral cl=0.06 L/h/kg [elderly subjects]

Absorpsi

76 - 88%

Metabolisme

Hepatic, over 80% metabolized by the liver.

Rute Eliminasi

Quinine is eliminated primarily via hepatic biotransformation. Approximately 20% of quinine is excreted unchanged in urine.

Interaksi Makanan

1 Data
  • 1. Take with food. Food reduces irritation.

Interaksi Obat

2179 Data
Pegvisomant The risk or severity of hypoglycemia can be increased when Pegvisomant is combined with Quinine.
Afatinib The serum concentration of Afatinib can be increased when it is combined with Quinine.
Bosutinib The serum concentration of Bosutinib can be increased when it is combined with Quinine.
Brentuximab vedotin The serum concentration of Brentuximab vedotin can be increased when it is combined with Quinine.
Edoxaban The serum concentration of Edoxaban can be increased when it is combined with Quinine.
Ledipasvir The serum concentration of Ledipasvir can be increased when it is combined with Quinine.
Naloxegol The serum concentration of Naloxegol can be increased when it is combined with Quinine.
Pazopanib The serum concentration of Pazopanib can be increased when it is combined with Quinine.
Prucalopride The serum concentration of Prucalopride can be increased when it is combined with Quinine.
Silodosin The excretion of Silodosin can be decreased when combined with Quinine.
Topotecan The serum concentration of Topotecan can be increased when it is combined with Quinine.
Aripiprazole The metabolism of Aripiprazole can be increased when combined with Quinine.
Aripiprazole lauroxil The metabolism of Aripiprazole lauroxil can be increased when combined with Quinine.
Cilostazol The serum concentration of Cilostazol can be increased when it is combined with Quinine.
Deferasirox The serum concentration of Quinine can be increased when it is combined with Deferasirox.
Peginterferon alfa-2b The serum concentration of Quinine can be increased when it is combined with Peginterferon alfa-2b.
Leflunomide The serum concentration of Quinine can be decreased when it is combined with Leflunomide.
Teriflunomide The serum concentration of Quinine can be decreased when it is combined with Teriflunomide.
Buprenorphine Quinine may increase the central nervous system depressant (CNS depressant) activities of Buprenorphine.
Doxylamine Doxylamine may increase the central nervous system depressant (CNS depressant) activities of Quinine.
Dronabinol The serum concentration of Dronabinol can be increased when it is combined with Quinine.
Droperidol Droperidol may increase the central nervous system depressant (CNS depressant) activities of Quinine.
Hydrocodone Quinine may increase the central nervous system depressant (CNS depressant) activities of Hydrocodone.
Magnesium sulfate The therapeutic efficacy of Quinine can be increased when used in combination with Magnesium sulfate.
Methotrimeprazine Quinine may increase the central nervous system depressant (CNS depressant) activities of Methotrimeprazine.
Metyrosine Quinine may increase the sedative activities of Metyrosine.
Minocycline Minocycline may increase the central nervous system depressant (CNS depressant) activities of Quinine.
Mirtazapine Quinine may increase the central nervous system depressant (CNS depressant) activities of Mirtazapine.
Nabilone Nabilone may increase the central nervous system depressant (CNS depressant) activities of Quinine.
Orphenadrine Quinine may increase the central nervous system depressant (CNS depressant) activities of Orphenadrine.
Paraldehyde Quinine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Pramipexole Quinine may increase the sedative activities of Pramipexole.
Ropinirole Quinine may increase the sedative activities of Ropinirole.
Rotigotine Quinine may increase the sedative activities of Rotigotine.
Rufinamide The risk or severity of adverse effects can be increased when Rufinamide is combined with Quinine.
Sodium oxybate Quinine may increase the central nervous system depressant (CNS depressant) activities of Sodium oxybate.
Suvorexant Quinine may increase the central nervous system depressant (CNS depressant) activities of Suvorexant.
Tapentadol Tapentadol may increase the central nervous system depressant (CNS depressant) activities of Quinine.
Thalidomide Quinine may increase the central nervous system depressant (CNS depressant) activities of Thalidomide.
Zolpidem Quinine may increase the central nervous system depressant (CNS depressant) activities of Zolpidem.
Dabrafenib The serum concentration of Quinine can be decreased when it is combined with Dabrafenib.
Eliglustat The metabolism of Eliglustat can be decreased when combined with Quinine.
Ibrutinib The metabolism of Ibrutinib can be decreased when combined with Quinine.
Everolimus The serum concentration of Everolimus can be increased when it is combined with Quinine.
Erythromycin The risk or severity of QTc prolongation can be increased when Erythromycin is combined with Quinine.
Azithromycin The serum concentration of Quinine can be increased when it is combined with Azithromycin.
Sirolimus The serum concentration of Quinine can be increased when it is combined with Sirolimus.
Dirithromycin The serum concentration of Quinine can be increased when it is combined with Dirithromycin.
Telithromycin The serum concentration of Quinine can be increased when it is combined with Telithromycin.
Candicidin The serum concentration of Quinine can be increased when it is combined with Candicidin.
Clarithromycin The serum concentration of Quinine can be increased when it is combined with Clarithromycin.
Josamycin The serum concentration of Quinine can be increased when it is combined with Josamycin.
Epothilone D The serum concentration of Quinine can be increased when it is combined with Epothilone D.
Patupilone The serum concentration of Quinine can be increased when it is combined with Patupilone.
6-Deoxyerythronolide B The serum concentration of Quinine can be increased when it is combined with 6-Deoxyerythronolide B.
Ixabepilone The serum concentration of Quinine can be increased when it is combined with Ixabepilone.
KOS-1584 The serum concentration of Quinine can be increased when it is combined with KOS-1584.
Ridaforolimus The serum concentration of Quinine can be increased when it is combined with Ridaforolimus.
Temsirolimus The serum concentration of Quinine can be increased when it is combined with Temsirolimus.
AVE9633 The serum concentration of Quinine can be increased when it is combined with AVE9633.
Coltuximab ravtansine The serum concentration of Quinine can be increased when it is combined with Coltuximab ravtansine.
Cethromycin The serum concentration of Quinine can be increased when it is combined with Cethromycin.
Mitemcinal The serum concentration of Quinine can be increased when it is combined with Mitemcinal.
Brefeldin A The serum concentration of Quinine can be increased when it is combined with Brefeldin A.
Solithromycin The serum concentration of Quinine can be increased when it is combined with Solithromycin.
Kitasamycin The serum concentration of Quinine can be increased when it is combined with Kitasamycin.
Carbomycin The serum concentration of Quinine can be increased when it is combined with Carbomycin.
Doramectin The serum concentration of Quinine can be increased when it is combined with Doramectin.
Eprinomectin The serum concentration of Quinine can be increased when it is combined with Eprinomectin.
Oleandomycin The serum concentration of Quinine can be increased when it is combined with Oleandomycin.
Selamectin The serum concentration of Quinine can be increased when it is combined with Selamectin.
Tildipirosin The serum concentration of Quinine can be increased when it is combined with Tildipirosin.
Tilmicosin The serum concentration of Quinine can be increased when it is combined with Tilmicosin.
Tylosin The serum concentration of Quinine can be increased when it is combined with Tylosin.
Tylvalosin The serum concentration of Quinine can be increased when it is combined with Tylvalosin.
Bryostatin 1 The serum concentration of Quinine can be increased when it is combined with Bryostatin 1.
Lorvotuzumab mertansine The serum concentration of Quinine can be increased when it is combined with Lorvotuzumab mertansine.
Epofolate The serum concentration of Quinine can be increased when it is combined with Epofolate.
Sagopilone The serum concentration of Quinine can be increased when it is combined with Sagopilone.
Troleandomycin The serum concentration of Quinine can be increased when it is combined with Troleandomycin.
Miocamycin The serum concentration of Quinine can be increased when it is combined with Miocamycin.
Flurithromycin The serum concentration of Quinine can be increased when it is combined with Flurithromycin.
Rokitamycin The serum concentration of Quinine can be increased when it is combined with Rokitamycin.
Midecamycin The serum concentration of Quinine can be increased when it is combined with Midecamycin.
Mepartricin The serum concentration of Quinine can be increased when it is combined with Mepartricin.
Rifaximin The serum concentration of Rifaximin can be increased when it is combined with Quinine.
Succinylcholine The therapeutic efficacy of Succinylcholine can be increased when used in combination with Quinine.
Metocurine iodide The therapeutic efficacy of Metocurine iodide can be increased when used in combination with Quinine.
Gallamine triethiodide The therapeutic efficacy of Gallamine triethiodide can be increased when used in combination with Quinine.
Cisatracurium The therapeutic efficacy of Cisatracurium can be increased when used in combination with Quinine.
Rocuronium The therapeutic efficacy of Rocuronium can be increased when used in combination with Quinine.
Atracurium besylate The therapeutic efficacy of Atracurium besylate can be increased when used in combination with Quinine.
Doxacurium The therapeutic efficacy of Doxacurium can be increased when used in combination with Quinine.
Mivacurium The therapeutic efficacy of Mivacurium can be increased when used in combination with Quinine.
Decamethonium The therapeutic efficacy of Decamethonium can be increased when used in combination with Quinine.
Metocurine The therapeutic efficacy of Metocurine can be increased when used in combination with Quinine.
Pancuronium The therapeutic efficacy of Pancuronium can be increased when used in combination with Quinine.
Pipecuronium The therapeutic efficacy of Pipecuronium can be increased when used in combination with Quinine.
Vecuronium The therapeutic efficacy of Vecuronium can be increased when used in combination with Quinine.
Rapacuronium The therapeutic efficacy of Rapacuronium can be increased when used in combination with Quinine.

Target Protein

Fe(II)-protoporphyrin IX
Platelet glycoprotein IX GP9
Intermediate conductance calcium-activated potassium channel protein 4 KCNN4

Referensi & Sumber

Synthesis reference: Tong Sun, Shawn Watson, Wei Lai, Stephan D. Parent, "QUININE SULFATE/BISULFATE SOLID COMPLEX; METHODS OF MAKING; AND METHODS OF USE THEREOF." U.S. Patent US20090326005, issued December 31, 2009.
Artikel (PubMed)
  • PMID: 8143397
    Paintaud G, Alvan G, Berninger E, Gustafsson LL, Idrizbegovic E, Karlsson KK, Wakelkamp M: The concentration-effect relationship of quinine-induced hearing impairment. Clin Pharmacol Ther. 1994 Mar;55(3):317-23.

Contoh Produk & Brand

Produk: 33 • International brands: 6
Produk
  • Apo-quinine
    Capsule • 200 mg • Oral • Canada • Generic • Approved
  • Apo-quinine
    Capsule • 300 mg • Oral • Canada • Generic • Approved
  • Jamp-quinine
    Capsule • 200 mg • Oral • Canada • Generic • Approved
  • Jamp-quinine
    Capsule • 300 mg • Oral • Canada • Generic • Approved
  • Pro-quinine - 200
    Capsule • 200 mg • Oral • Canada • Generic • Approved
  • Pro-quinine - 300
    Capsule • 300 mg • Oral • Canada • Generic • Approved
  • Qualaquin
    Capsule • 324 mg/1 • Oral • US • Approved
  • Qualaquin
    Capsule • 324 mg/1 • Oral • US • Approved
Menampilkan 8 dari 33 produk.
International Brands
  • Cinkona — Ipca
  • Jasoquin — Jayson
  • QSM — Leben
  • Quinlup — Lupin
  • Qutil — Little Greave
  • Sulquin — Saga

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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