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It can therefore be argued that quinine should remain available for this therapeutic indication.
It also confirms that malaria significantly alters the pharmacokinetics of quinine in humans.
These observations, combined with the doubtful clinical efficacy of quinine, suggest that its continued widespread use should be reappraised.
These experiments suggest that it might be preferable to reduce each dose rather than the duration of treatment in areas where P. falciparum is susceptible to quinine.
The present results and those of earlier investigations indicate that the response to quinine in this area may be faltering.
It is concluded that techniques advocated to increase quinine elimination are ineffective in the management of quinine poisoning.

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