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March 1, 1979British Journal of Clinical PharmacologyOpen Access

Quinidine dosage, with special reference to an oral loading dose schedule.

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Key result

An oral loading dose of 600-800 mg of quinidine sulphate achieved therapeutic plasma concentrations (2-4 microgram/ml) within 3 hours in the majority of cardiac patients.

Why the study?

Does an oral loading dose and 12-hour maintenance interval of quinidine achieve therapeutic plasma concentrations in cardiac patients?

Population

52 cardiac patients

Comparison

Oral loading dose of 600-800 mg rapidly absorbed… vs Maintenance therapy with sustained release…

Design

Cohort

Authors

PCP. CollsteIntegrated Cardio Metabolic CentreRNRolf NordlanderÖrebro University

Discussion

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Implication

May support oral quinidine loading for rapid therapeutic levels in cardiac patients; leaves open need for monitoring and prospective validation.

Structured PICO

Does an oral loading dose and 12-hour maintenance interval of quinidine achieve therapeutic plasma concentrations in cardiac patients?

P
Population
52 cardiac patients analyzed for plasma concentrations of quinidine after different oral loading doses and maintenance intervals.
I
Intervention
Oral loading dose of 600-800 mg rapidly absorbed ordinary quinidine sulphate tablets followed by maintenance therapy with sustained release tablets every 12 hours
C
Comparator
Maintenance therapy with sustained release tablets every 8 hours
O
Outcome
Plasma concentrations of quinidinesurrogate

An oral loading dose of 600-800 mg of quinidine followed by 12-hourly sustained-release maintenance therapy achieves therapeutic plasma concentrations, though individual variation necessitates monitoring.

Limitations

  • Large individual variation in plasma concentrations

Cite This Study

Collste et al. (1979) studied Cardiac patients requiring quinidine therapy (n=52). Quinidine was evaluated on Plasma concentrations of quinidine. An oral loading dose of 600-800 mg of quinidine sulphate achieved therapeutic plasma concentrations (2-4 microgram/ml) within 3 hours in the majority of cardiac patients.

synapsesocial.com/papers/6a93377f28f2d26a645d007bhttps://doi.org/10.1111/j.1365-2125.1979.tb00935.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Disposition kinetics of two oral forms of quinidine1976 · 36 citations
  2. 2Pharmacokinetic studies of quinidine in patients with arrhythmias.1977 · 87 citations
  3. 3Quinidine Elimination in Patients with Congestive Heart Failure or Poor Renal Function1974 · 156 citations
  4. 4Factors Influencing Conversion of Chronic Atrial Fibrillation with Special Reference to Serum Quinidine Concentration1956 · 112 citations
  5. 5Maintenance of sinus rhythm after DC reversion of atrial fibrillation: A double-blind controlled trial of long-acting quinidine bisulphate1970 · 89 citations