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QuickView for Quinidine (compound)


PubChem
Name: Quinidine
PubChem Compound ID: 10448938
Description: An optical isomer of quinine, extracted from the bark of the Cinchona 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 potential, and decreases automaticity. Quinidine also blocks muscarinic and alpha-adrenergic neurotransmission.
Molecular formula: C20H24N2O2
Molecular weight: 324.417 g/mol
DrugBank
Identification
Name: Quinidine
Name (isomeric): DB00908
Drug Type: small molecule
Description: An optical isomer of quinine, extracted from the bark of the Cinchona 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 potential, and decreases automaticity. Quinidine also blocks muscarinic and alpha-adrenergic neurotransmission.
Synonyms:
Quinidine Gluconate; Quinidine Sulfate
Brand: Pitayine, Kinidin, Novoquinidin, Quinatime, Pitayin, Chinidin, Duraquin, Conquinine, Quinact, Quindine, Quinicardine, Quinaglute Dura-Tabs, Conchinine, Quinaglute, Biquin Durules, Cardioquin, Quinidex, Quinidex Extentabs, Quinate, Conchinin, Cin-Quin, Coccinine, Quinora, Quin-Release, Apo-Quinidine, Quinalan
Category: Muscarinic Antagonists, Antimalarials, Antiarrhythmic Agents, Enzyme Inhibitors, Anti-Arrhythmia Agents, Adrenergic alpha-Antagonists
CAS number: 56-54-2
Pharmacology
Indication: For the treatment of ventricular pre-excitation and cardiac dysrhythmias
Pharmacology: Quinidine, a hydantoin anticonvulsant, is used alone or with phenobarbital or other anticonvulsants to manage tonic-clonic seizures, psychomotor seizures, neuropathic pain syndromes including diabetic neuropathy, digitalis-induced cardiac arrhythmias, and cardiac arrhythmias associated with QT-interval prolongation.
Mechanism of Action:
Quinidine acts on sodium channels on the neuronal cell membrane, limiting the spread of seizure activity and reducing seizure propagation. The antiarrhythmic actions are mediated through effects on sodium channels in Purkinje fibers. Quinidine may also act on the slow inward calcium current (ICa), the rapid (IKr) and slow (IKs) components of the de...
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Protein binding: 80-88%
Route of elimination: When the urine pH is less than 7, about 20% of administered quinidine appears unchanged in the urine, but this fraction drops to as little as 5% when the urine is more alkaline.
Half Life: 6-8 hours
Clearance: 3 – 5 mL/min/kg [adults]
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Preferably take on an ampty stomach.
Drug interaction:
GrepafloxacinIncreased risk of cardiotoxicity and arrhythmias
ErythromycinIncreased risk of cardiotoxicity and arrhythmias
LevofloxacinIncreased risk of cardiotoxicity and arrhythmias
ButethalThe anticonvulsant, butethal, decreases the effect of quinidine.
SecobarbitalThe anticonvulsant, secobarbital, decreases the effect of quinidine.
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