Drug General Information (ID: DDINQFKAY8)
  Drug Name Quinidine Drug Info Doxacurium Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Group I Antiarrhythmics Analgesics
  Structure

 Mechanism of Quinidine-Doxacurium Interaction (Severity Level: Moderate)
     Additive neuromuscular blocking effects Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Quinidine Doxacurium
      Mechanism Neuromuscular blocking effects Neuromuscular blocking agent
Neuronal acetylcholine receptor  Antagonist
      Key Mechanism Factor 1
Factor Name Neuronal acetylcholine receptor Structure Sequence
Protein Family Ligand-gated ion channel (TC 1.A.9) family
Protein Function
After binding acetylcholine, the AChR responds by an extensive change in conformation that affects all subunits and leads to opening of an ion-conducting channel across the plasma membrane.
    Click to Show/Hide
      Mechanism Description
  • Additive neuromuscular blocking effects by the combination of Quinidine and Doxacurium 

Recommended Action
      Management Quinidine should not be administered immediately after surgery. If it is necessary, the patient's vital signs should be closely monitored. Mechanical ventilatory support may be required during coadministration.

References
1 Min DI, Ku YM, Geraets DR, Lee HC "Effect of grapefruit juice on the pharmacokinetics and pharmacodynamics of quinidine in healthy volunteers." J Clin Pharmacol 36 (1996): 469-76. [PMID: 8739026]
2 Way WL, Katzung BG, Larson CP "Recurarization with quinidine." JAMA 200 (1967): 163-4
3 Sher MH, Mathews PA "Recurarization with quinine administration after reversal from anaesthesia." Anaesth Intensive Care 11 (1983): 241-3