Has anyone ever acquired torsades de pointes by drinking too much tonic water???
There’s no studies on it that I could find and inquiring minds want to know.
So I was wandering through the depths of tumblr and stumbled across this post and oh my god guess who knows the answer to this ancient question
Had a patient with malaria recently and there was no quinine to be had in my city so out of curiosity I calculated the dose in tonic water:
In the US, quinine in tonic water is limited to 83mg/liter, and since the dose per the CDC is 650mg PO TID, the patient would have needed to drink 7.8 liters of tonic water 3 times daily.
If a patient who was drinking a lot of modern tonic water developed torsades, I’d recommend evaluating for hypomagnesia and hypokalemia due to volume status before looking at the quinine as the cause.
I realize that you’re a lot further in your career now and you already realize this about tonic water. I just got excited that I could answer this random drug question from your student era.
Sometimes it feels like there’s too much random trivia in the brain and you’ve gotta let it leak out, which is why we’re on tumblr.
And this is why I give up an call pharmacy half the time when it comes to the crazy stuff. Because you guys always have a way of knowing how much of something is in something else and viola! Magic!
I haven’t thought about this in ages!!! Thanks for the info!!! =-)
I want to know how those little pin-like metal map markers are named. Are they just considered “map markers” or they have a specific name? They are usually used to mark conquest, so I thought they may have a name. And when we are at it, I am also curious if all those figurine trinkets have a specific name, as I saw them used in war rooms during strategy planning sessions in various media and I got curious if there is any name given to them like in general?
