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Quinidine
Aka: Quinidine, Quinaglute- Indications
- Atrial Fibrillation Cardioversion
- Time to Cardioversion: 3-6h
- Conversion Rate: 38-86%
- Chronic Efficacy: 47-60%
- Atrial Fibrillation Cardioversion
- Mechanism
- Class Ia Antiarrhythmic
- Dosing
- Dose: 324-648 mg PO q8h
| Medication Costs | ||
|---|---|---|
| quinidine (on 5/18/2016 at Medicaid.Gov Pharmacy Drug pricing) | ||
| QUINIDINE SULFATE 300 MG TAB | Generic | $0.20 each |
| FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See Needy Meds for financial assistance information. | ||
Quinidine (C0034414) |
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|---|---|
| Definition (NCI) | An alkaloid extracted from the bark of the Cinchona tree with class 1A antiarrhythmic and antimalarial effects. Quinidine stabilizes the neuronal membrane by binding to and inhibiting voltage-gated sodium channels, thereby inhibiting the sodium influx required for the initiation and conduction of impulses resulting in an increase of the threshold for excitation and decreased depolarization during phase 0 of the action potential. In addition, the effective refractory period (ERP), action potential duration (APD), and ERP/APD ratios are increased, resulting in decreased conduction velocity of nerve impulses. Quinidine exerts its antimalarial activity by acting primarily as an intra-erythrocytic schizonticide through association with the heme polymer (hemazoin) in the acidic food vacuole of the parasite thereby preventing further polymerization by heme polymerase enzyme. This results in accumulation of toxic heme and death of the parasite. |
| Definition (MSH) | An optical isomer of quinine, extracted from the bark of the CHINCHONA tree and similar plant species. This alkaloid dampens the excitability of cardiac and skeletal muscles by blocking sodium and potassium currents across cellular membranes. It prolongs cellular ACTION POTENTIALS, and decreases automaticity. Quinidine also blocks muscarinic and alpha-adrenergic neurotransmission. |
| Definition (CSP) | D isomer of quinine; sometimes used as an antimalarial in patients who cannot tolerate quinine. |
| Definition (PDQ) | An alkaloid extracted from the bark of the Cinchona tree with class 1A antiarrhythmic and antimalarial effects. Quinidine stabilizes the neuronal membrane by binding to and inhibiting voltage-gated sodium channels, thereby inhibiting the sodium influx required for the initiation and conduction of impulses resulting in an increase of the threshold for excitation and decreased depolarization during phase 0 of the action potential. In addition, the effective refractory period (ERP), action potential duration (APD), and ERP/APD ratios are increased, resulting in decreased conduction velocity of nerve impulses. Quinidine exerts its antimalarial activity by acting primarily as an intra-erythrocytic schizonticide through association with the heme polymer (hemazoin) in the acidic food vacuole of the parasite thereby preventing further polymerization by heme polymerase enzyme. This results in accumulation of toxic heme and death of the parasite. Check for "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=39022&idtype=1" active clinical trials or "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=39022&idtype=1&closed=1" closed clinical trials using this agent. ("http://nciterms.nci.nih.gov:80/NCIBrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&code=C793" NCI Thesaurus) |
| Concepts | Pharmacologic Substance (T121) , Organic Chemical (T109) |
| MSH | D011802 |
| SnomedCT | 31306009, 372697008 |
| LNC | LP16271-6, MTHU005039 |
| English | Chinidin, Quinidine, Cinchonan-9-ol, 6'-methoxy-, (9S)-, quinidine (medication), Quinidine [Chemical/Ingredient], quiNIDine, quinidine, QUINIDINE, Quinidine (product), Quinidine (substance) |
| Swedish | Kinidin |
| Czech | chinidin |
| Finnish | Kinidiini |
| Russian | KHINIDIN, ХИНИДИН |
| Japanese | 硫酸キニジン, キニジン |
| Croatian | KINIDIN |
| Polish | Chinidyna |
| Spanish | quinidina (producto), quinidina (sustancia), quinidina, Quinidina |
| French | Quinidine |
| German | Chinidin |
| Italian | Chinidina |
| Portuguese | Quinidina |
| Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
Quinaglute (C1097294) |
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|---|---|
| Concepts | Pharmacologic Substance (T121) , Organic Chemical (T109) |
| MSH | C016713 |
| English | Quinaglute, quinaglute, Berlex brand of quinidine gluconate |
| Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
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