HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Side Effects Of Quinidine

default
Posted on Wed, 6 Jan 2016
Question: Is quinidine advised for men who complain of sudden hot flushes with sévère sweating .My patient is 85yrs old , diabetic, hypertensive, complaining of diabétique neuropathie. Thank you. Dr XXXX. YYYY@YYYY
doctor
Answered by Dr. Dr. Meriton Siqeca (33 minutes later)
Brief Answer:
Dear colleague

Detailed Answer:
Greetings, dear colleague. Thank you for your question and welcome to HCM. I read your query.

As you are a doctor, I shall share my experience with quinidine. Not one of my patients have developed heavy sweats with quinidine, at least not as a side effect. Skin rashes (as for all medication used) and hot flushes (described as tingling in extremities or warmth) is all I got as a feedback side effects from my patients. The thing I fear the most when quinidine is used, is the proarrhythmic side effect it has. That is why it is largely abandoned nowadays. I am, of course, speculating, when I say that flushesh accompanied with heavy sweats can be attributed to this dangerous side effect. Therefore, I would recommend you to do an EKG, to at least compare the length of the QT segment with prior EKGs. It is only then, when we can discuss about switching to another drug to control your patient's rythm. You can also put him/her on a 24-hour Holter rhythm study, to determine if these episodes are at all elicited by a possible arrhythmia.

I hope I was helpful with my answer. I am here to help, if you have further questions. Please rate my answer, if you do not.

Respectfully,
Dr. Meriton
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Side Effects Of Quinidine

Brief Answer: Dear colleague Detailed Answer: Greetings, dear colleague. Thank you for your question and welcome to HCM. I read your query. As you are a doctor, I shall share my experience with quinidine. Not one of my patients have developed heavy sweats with quinidine, at least not as a side effect. Skin rashes (as for all medication used) and hot flushes (described as tingling in extremities or warmth) is all I got as a feedback side effects from my patients. The thing I fear the most when quinidine is used, is the proarrhythmic side effect it has. That is why it is largely abandoned nowadays. I am, of course, speculating, when I say that flushesh accompanied with heavy sweats can be attributed to this dangerous side effect. Therefore, I would recommend you to do an EKG, to at least compare the length of the QT segment with prior EKGs. It is only then, when we can discuss about switching to another drug to control your patient's rythm. You can also put him/her on a 24-hour Holter rhythm study, to determine if these episodes are at all elicited by a possible arrhythmia. I hope I was helpful with my answer. I am here to help, if you have further questions. Please rate my answer, if you do not. Respectfully, Dr. Meriton