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Qualaquin

Qualaquin (quinine) is an antimalarial medication used for the treatment of uncomplicated malaria caused by Plasmodium falciparum. It is particularly used in cases where malaria has become resistant to other antimalarial agents. Quinine has been historically significant in the treatment of malaria and works by interfering with the growth and reproduction of the malaria parasite within red blood cells.



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Frequently Asked Questions

How quickly does Qualaquin start to work?
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Patients may start to feel improvement in malaria symptoms within a few days of starting treatment, but it is essential to complete the full course for complete eradication of the parasite.

Can I stop taking Qualaquin suddenly?
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It is crucial to complete the full prescribed course of Qualaquin. Stopping treatment prematurely may lead to treatment failure and potential resistance.

Are there any specific dietary restrictions while using Qualaquin?
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There are no specific dietary restrictions, but taking Qualaquin with food may help reduce gastrointestinal side effects.

What should I do if I miss a dose of Qualaquin?
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If you miss a dose, take it as soon as you remember. If it’s close to the time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double up on doses.

Is Qualaquin safe for long-term use?
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Qualaquin is typically used for short-term treatment of malaria. Long-term use is not recommended, and any need for prolonged therapy should be assessed and monitored by a healthcare provider. Regular follow-ups are important to monitor for potential side effects and effectiveness.

Comprehensive Drug Guide

How Does Qualaquin Work?

Quinine works by inhibiting the ability of the malaria parasite to digest hemoglobin, which is essential for its survival. By disrupting the parasite's metabolic processes, quinine prevents its replication and leads to its death. Quinine also has some antipyretic (fever-reducing) effects, which can help alleviate symptoms associated with malaria.



Common Dosages

  • Tablets: Common strength is 324 mg.

Typical Dosing

  • The usual recommended dose for adults is 648 mg (two 324 mg tablets) taken orally three times a day for 7 days. Dosing for children is based on weight and should be determined by a healthcare provider.


Typical Dosing

FDA Approved Indications

  • Treatment of uncomplicated malaria caused by Plasmodium falciparum, particularly in cases of resistance to other antimalarials.


Who Shouldn't Take Qualaquin?

  • Known hypersensitivity to quinine or any components of the formulation.
  • A history of quinine-induced thrombocytopenia (low platelet count) or other serious adverse reactions to quinine.
  • Severe renal impairment.


Advice From The Pharmacist

  • Instruct patients to take Qualaquin exactly as prescribed and to complete the full course of treatment, even if symptoms improve before finishing the medication.
  • Advise patients to take the medication with food to minimize gastrointestinal upset.
  • Discuss potential side effects, including nausea, dizziness, and visual disturbances, and encourage them to report any severe or persistent symptoms.


Side Effects of Qualaquin

Common Side Effects

  • Nausea
  • Vomiting
  • Headache
  • Dizziness
  • Tinnitus (ringing in the ears)


Uncommon/Severe Side Effects

  • Severe allergic reactions (such as rash, itching, or difficulty breathing)
  • Hypoglycemia (low blood sugar)
  • Cinchonism, which includes symptoms like headache, dizziness, and visual disturbances.


Risks and Warnings of Qualaquin

  • Cardiovascular Effects: Caution is advised in patients with pre-existing cardiovascular conditions, as quinine can cause changes in heart rhythm.
  • Monitoring: Regular monitoring of blood glucose levels and blood counts is recommended during treatment, especially in patients with a history of thrombocytopenia.


Interactions with Qualaquin

Common Drug Interactions

  • Other Medications: Patients should inform their healthcare provider about all medications they are taking, especially those that may interact with quinine, such as anticoagulants, antiarrhythmics, and certain antibiotics.


Alternatives to Qualaquin

  • Other Antimalarial Medications: Alternatives may include artemisinin-based combination therapies (ACTs), such as artemether-lumefantrine, or atovaquone-proguanil, depending on the specific circumstances and local resistance patterns.