Reported Reactions

Drugs › Antimalarial

Generic name

Quinine: adverse event reports filed with FDA

1,858 reports list it as a suspect or interacting product, 2004–2026. Class: Antimalarial.

1,858
reports as suspect product
0% of all reports · about 83 a year
81
reports, 12 months to June 2026
84 in the 12 months before
94.5%
marked serious by the reporter
92.5% across the class
48%
record death among outcomes, as reported
892 reports · not verified by FDA

1,858 adverse event reports received by FDA list quinine, a generic name as a suspect or interacting product, from February 2004 to June 2026. A further 3,399 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 81 reports listed it, close to the 84 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 83 reports a year and 0% of the 20,646,523 reports in the database, and 2% of the reports for the antimalarial class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are drug abuse (36.7%), toxicity to various agents (19.3%) and overdose (7.1%). A report can list several reactions, so shares add to more than 100%; 384 different terms appear across these reports. Drug abuse is recorded in 36.7% of these reports, a larger share than in the median antimalarial drug (0.2%).

94.5% of the reports are marked serious by the reporter (92.5% across the class); 48% record death among the outcomes and 31.6% record hospitalisation, as reported. 41% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (30%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01326Jul 2021: 5Aug 2021: 7Sep 2021: 10Oct 2021: 9Nov 2021: 3Dec 2021: 122022Jan 2022: 8Feb 2022: 12Mar 2022: 3Apr 2022: 9May 2022: 4Jun 2022: 11Jul 2022: 9Aug 2022: 5Sep 2022: 4Oct 2022: 8Nov 2022: 3Dec 2022: 42023Jan 2023: 14Feb 2023: 26Mar 2023: 16Apr 2023: 22May 2023: 15Jun 2023: 1Jul 2023: 3Aug 2023: 3Sep 2023: 1Oct 2023: 6Nov 2023: 0Dec 2023: 02024Jan 2024: 11Feb 2024: 5Mar 2024: 4Apr 2024: 8May 2024: 3Jun 2024: 2Jul 2024: 6Aug 2024: 10Sep 2024: 1Oct 2024: 6Nov 2024: 6Dec 2024: 132025Jan 2025: 12Feb 2025: 1Mar 2025: 3Apr 2025: 3May 2025: 15Jun 2025: 8Jul 2025: 10Aug 2025: 12Sep 2025: 6Oct 2025: 8Nov 2025: 10Dec 2025: 62026Jan 2026: 1Feb 2026: 2Mar 2026: 1Apr 2026: 8May 2026: 3Jun 2026: 14

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01723442004: 1620042005: 102006: 72007: 1420072008: 222009: 1332010: 2020102011: 92012: 72013: 3620132014: 2922015: 3442016: 7420162017: 1332018: 862019: 8320192020: 992021: 882022: 8020222023: 1072024: 752025: 9420252026: 29

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Quinine reports recording the termmedian drug in antimalarial

  1. Drug abusemisuse of a medicine36.7%682
  2. Toxicity to various agentspoisoning or toxic effect of one or more substances19.3%358
  3. Overdosea dose above the recommended amount7.1%132
  4. Cognitive disorderproblems with thinking or memory6.2%116
  5. Hypotensionlow blood pressure6.2%116
  6. Drug hypersensitivityan allergic-type reaction to a medicine6%112
  7. Unevaluable eventthe event could not be assessed6%112
  8. Drug interactionan interaction between medicines5.8%107
  9. Falla fall5.8%107
  10. Deaththe patient died; cause not stated by this term5.5%103
  11. Painpain, site not specified5.1%94
  12. Off label useused for a purpose or in a way not on the label4.7%88
  13. Sedation complication4.6%86
  14. Balance disorderproblems with balance4.3%79
  15. Sedationdrowsiness from a medicine4.1%77
  16. Creatinine renal clearance decreased4%75
  17. Constipationconstipation4%74
  18. Mobility decreasedreduced ability to move about4%74
  19. Cardiac arrestthe heart stopped3.6%67
  20. Dyspnoeashortness of breath3.6%66
  21. Thrombocytopenialow platelets3.6%66
  22. Poisoning3.2%59
  23. Product use in unapproved indicationused for a purpose not on the label3.1%58
  24. Renal function test abnormal3%56
  25. Drug ineffectivethe medicine did not work as expected3%55

Top 30 of 384 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 7 drugs in the antimalarial class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death48%892
Life-threatening7.8%144
Hospitalisation (initial or prolonged)31.6%588
Disability3.8%71
Congenital anomaly0.2%4
Other serious39%725
Not serious5.5%103

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 92,320 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.5%10
2 to 110.5%10
12 to 170.8%14
18 to 4428%520
45 to 6430%557
65 to 745.3%98
75 and over13.6%253
Age not given21.3%396

Patient sex

Female42.5%790
Male47.7%886
Not given9.8%182

Who reported

Physician18.5%343
Pharmacist24.7%459
Other health professional41%761
Lawyer0.1%2
Consumer or non-health professional5.7%105
Not given10.1%188

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 65.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Muscle spasms23912.9%
Pain693.7%
Babesiosis603.2%
Malaria442.4%
Drug abuse191%
Plasmodium falciparum infection130.7%

The indication field is filled in by the reporter and is often blank; shares are of all 1,858 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Quinine reports
Heroin55129.7%
Cocaine29515.9%
Codeine26214.1%
Acetaminophen18810.1%
Diphenhydramine1839.8%
Alprazolam1829.8%
Diazepam1719.2%
Citalopram1638.8%
Aspirin1407.5%
Omeprazole1397.5%

Other products listed in reports where Quinine is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureQuinineAntimalarialAll reports
Reports as suspect product1,85892,32020,646,523
Share of that pool—2%0%
Reports, latest 12 months81—1,332,454
Marked serious94.5%92.5%57.4%
Death recorded among outcomes, per 1,000 reports48013591
Hospitalisation recorded, per 1,000 reports316288213
Consumer-filed share5.7%17.9%45.8%
Top term, share of reportsDrug abuse 36.7%median 0.2%0.4%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the antimalarial class

DrugName typeReportsLatest 12 monthsMarked serious
Hydroxychloroquinegeneric40,5142,66193.1%
Hydroxychloroquine sulfategeneric24,0181,32497.9%
Plaquenilbrand21,54055486.7%
Atovaquonegeneric1,82522494.2%
Malaronebrand1,8222674.6%
Quinine sulfategeneric7431791.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Quinine reports

How many adverse event reports has FDA received for Quinine?

1,858 reports list Quinine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 81 of them arrived in the latest 12 months. Another 3,399 list it only as a concomitant medication.

What reactions are recorded in Quinine reports?

drug abuse (36.7%), toxicity to various agents (19.3%), overdose (7.1%), cognitive disorder (6.2%) and hypotension (6.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Quinine was responsible.

How serious are the reports?

94.5% are marked serious by the reporter. Among the outcomes recorded, 48% of reports include death and 31.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (41%), pharmacist (24.7%) and physician (18.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Quinine rising?

81 reports in the 12 months to June 2026, close to the 84 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Quinine was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Quinine?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Quinine as a suspect or interacting product; reports listing it only as a concomitant medication (3,399) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.