Quinidine is a stereoisomer of the antimalarial agent quinine and a class Ia antiarrhythmic agent.1,2 Quinidine blocks the voltage-gated sodium (Nav) channel Nav1.5 in a use-dependent manner.1 It decreases the amplitude and duration of action potentials in isolated canine ventricular myocytes.3 It inhibits KKr, peak INa, and late INa (IC50s = 4.5, 11, and 12 ?M, respectively) and can induce torsade de pointes in isolated rabbit hearts when used at a concentration of 1 ?M.2 Quinidine induces QT prolongation in dogs.4 It also binds to M2 muscarinic acetylcholine receptors (Ki = 7.5 ?M for human recombinant receptors expressed in HM2-B10 cells).5 Formulations containing quinidine have been used in the treatment of atrial fibrillation and ventricular arrhythmias.
1.Roden, D.M.Pharmacology and toxicology of Nav1.5-class 1 anti-arrhythmic drugsCard. Electrophysiol. Clin.6(4)695-704(2014) 2.Wu, L., Guo, D., Li, H., et al.Role of late sodium current in modulating the proarrhythmic and antiarrhythmic effects of quinidineHeart Rhythm5(12)1726-1734(2008) 3.Salata, J.J., and Wasserstrom, J.A.Effects of quinidine on action potentials and ionic currents in isolated canine ventricular myocytesCirc. Res.62(2)324-337(1988) 4.Rakhit, A., Guentert, T.W., Holford, N.H.G., et al.Pharmacokinetics and pharmacodynamics of quinidine and its metabolite, quinidine-N-oxide, in beagle dogsEur. J. Drug Metab. Pharmacokinet.9(4)315-324(1984) 5.Kovacs, I., Yamamura, H.I., Waite, S.L., et al.Pharmacological comparison of the cloned human and rat M2 muscarinic receptor genes expressed in the murine fibroblast (B82) cell lineJ. Pharmacol. Exp. Ther.284(2)500-507(1998)
















