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Drug interactions

Quinine + Sulfamethoxazole

Severity: Minor

Quinine and Sulfamethoxazole: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both drugs undergo renal elimination, and competition for tubular secretion could modestly raise quinine levels. Clinical impact is not well established and likely small.

What this interaction means in plain words

Quinine and Sulfamethoxazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible competition for renal tubular secretion; not well characterized.

What to do

No specific action is needed. Be aware of cinchonism if renal function is impaired.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Quinine with Sulfamethoxazole?

MediHelp rates the interaction as minor. Quinine and Sulfamethoxazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Both drugs undergo renal elimination, and competition for tubular secretion could modestly raise quinine levels. Clinical impact is not well established and likely small.

How serious is the interaction between Quinine and Sulfamethoxazole?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No specific action is needed. Be aware of cinchonism if renal function is impaired.

What other medicines interact with Quinine?

MediHelp also lists interactions of Quinine with, for example, Arsenic trioxide, Dofetilide, Dronedarone. The full list is on the Quinine page.

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