AJTMH Transactions of the Royal Society of Tropical Medicine and Hygiene
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Am. J. Trop. Med. Hyg., 32(1), 1983, pp. 1-5
Copyright © 1983 by The American Society of Tropical Medicine and Hygiene

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Quinine Loading Dose in Cerebral Malaria*

Nicholas J. White, Sornchai Looareesuwan, David A. Warrell, Mary J. Warrell, Pornthep Chanthavanich, Danai Bunnag AND Tranakchit Harinasuta
Faculty of Tropical Medicine, Mahidol University, 42016 Rajvithi Road, Bangkok 4, Thailand, Tropical Medicine Unit, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, England, and Department of Tropical Medicine, Liverpool School of Tropical Medicine, Liverpool, England

In cerebral malaria, the use of currently recommended doses of intravenous quinine may result in subtherapeutic plasma concentrations during the critical first 24 hours of treatment. A loading dose of quinine (20 mg/kg quinine dihydrochloride, equivalent to 16.7 mg/kg base, infused over 4 hours) proved a rapid and safe method of achieving plasma concentrations above the high minimum inhibitory concentrations for Plasmodium falciparum prevalent in Eastern Thailand.

Accepted for publication June 16, 1982.


* This study was part of the Wellcome-Mahidol University, Oxford Tropical Medicine Research Programme funded by the Wellcome Trust of Great Britain.

Address reprint requests to: Dr. David A. Warrell, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok 4, Thailand.




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Copyright © 1983 by the American Society of Tropical Medicine and Hygiene.