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Quinacrine hydrochloride: Chemical Structure, Mechanism of action, Uses & Side effects

Chemical formula:

  • C23H30ClN3O (quinacrine) and HCl (hydrochloride)

Structure of Quinacrine
Structure of Quinacrine

Mechanism of action:

  • Quinacrine is thought to inhibit heme detoxification within the Plasmodium food vacuole, similar to other quinoline-based antimalarials. It may also interfere with the parasite's nucleic acid synthesis.

Uses:

  • Quinacrine was historically used to treat malaria, particularly in combination with other antimalarial drugs.

  • Its use as an antimalarial has declined due to the emergence of drug resistance and the availability of newer, more effective drugs.

  • It is still used to treat some parasitic infections such as giardiasis and has been used off-label for conditions such as lupus.

Side effects:

  • Nausea

  • Vomiting

  • Diarrhea

  • abdominal pain

  • dizziness

  • headache

  • yellow discoloration of the skin and eyes

  • and photosensitivity.

  • Serious side effects include agranulocytosis, hepatotoxicity, and seizures.


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