Literature DB >> 6634542

The treatment of quinine poisoning with charcoal haemoperfusion.

M D Morgan, D J Rainford, C D Pusey, A M Robins-Cherry, J G Henry.   

Abstract

Quinine poisoning is rare but serious. Attempts at treatment by active removal have proved unsuccessful because of its high degree of protein binding. We describe two cases of non-accidental overdose of quinine (19.5 g and 15 g) with potentially fatal serum quinine levels. Both patients were treated by 2 periods of charcoal haemoperfusion during which quinine clearances of up to 125 ml/min were obtained. Both patients recovered, though one had some residual visual disturbance. We suggest that in cases of quinine poisoning, charcoal haemoperfusion may be a safe and effective method of drug removal, to be used with stellate ganglion block.

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Year:  1983        PMID: 6634542      PMCID: PMC2417512          DOI: 10.1136/pgmj.59.692.365

Source DB:  PubMed          Journal:  Postgrad Med J        ISSN: 0032-5473            Impact factor:   2.401


  9 in total

1.  The in vitro adsorption of drugs from horse serum onto carbon coated with an acrylic hydrogel.

Authors:  J Kolthammer
Journal:  J Pharm Pharmacol       Date:  1975-11       Impact factor: 3.765

2.  Quinine amblyopia; treatment by stellate ganglion block.

Authors:  L GLICK; J MUMFORD
Journal:  Br Med J       Date:  1955-07-09

3.  STUDIES ON THE CHEMOTHERAPY OF THE HUMAN MALARIAS. III. THE PHYSIOLOGICAL DISPOSITION AND ANTIMALARIAL ACTIVITY OF THE CINCHONA ALKALOIDS.

Authors:  J V Taggart; D P Earle; R W Berliner; C G Zubrod; W J Welch; N B Wise; E F Schroeder; I M London; J A Shannon
Journal:  J Clin Invest       Date:  1948-05       Impact factor: 14.808

4.  Quinine therapy and peritoneal dialysis in acute renal failure complicating malarial haemoglobinuria.

Authors:  J V Donadio; A Whelton; L Kazyak
Journal:  Lancet       Date:  1968-02-24       Impact factor: 79.321

5.  Quinine amblyopia treated by hemodialysis.

Authors:  M Floyd; A V Hill; B J Ormston; R Menzies; R Porter
Journal:  Clin Nephrol       Date:  1974 Jan-Feb       Impact factor: 0.975

6.  Quinine intoxication in a child treated by exchange transfusion.

Authors:  A W Burrows; G Hambleton; M J Hardman; B D Wilson
Journal:  Arch Dis Child       Date:  1972-04       Impact factor: 3.791

7.  Quinine concentrations in blood and viscera in a case of acute fatal intoxication.

Authors:  A Coutselinis; D Boukis
Journal:  Clin Chem       Date:  1977-05       Impact factor: 8.327

8.  Peritoneal dialysis in quinine sulfate intoxication.

Authors:  T N Markham; V N Dodson; D L Eckberg
Journal:  JAMA       Date:  1967-12-18       Impact factor: 56.272

9.  Use of charcoal haemoperfusion in the management of severely poisoned patients.

Authors:  J A Vale; A J Rees; B Widdop; R Goulding
Journal:  Br Med J       Date:  1975-01-04
  9 in total
  2 in total

1.  The management of quinine-induced blindness.

Authors:  U Guly; P Driscoll
Journal:  Arch Emerg Med       Date:  1992-09

Review 2.  Clinical features and management of poisoning due to antimalarial drugs.

Authors:  A Jaeger; P Sauder; J Kopferschmitt; F Flesch
Journal:  Med Toxicol Adverse Drug Exp       Date:  1987 Jul-Aug
  2 in total

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