Overview

“Cinchona” describes a genus of plants within the coffee family whose bark is a source of quinine and quinidine, which have historically been used to treat treatment-resistant strains of malaria, heart arrhythmias, and nocturnal leg muscle cramping.

Some commercial products like tonic water contain small amounts of quinine that is known to add a bitter taste. However, in high quantities, often found in unregulated supplements, it’s toxic enough to produce a syndrome called cinchonism, characterized by:

  • tinnitus, or a persistent ringing in the ears

  • headaches

  • dizziness

  • altered vision

  • nausea

  • heart block

  • fatal arrhythmias

  • hearing loss

  • thrombocytopenia, or a drop in blood platelets

  • miscarriage

History and Etymology

By 1944, the technology to develop synthetic quinine led to a decline in large-scale cultivation of the plant, though it remains significant culturally (e.g. as the national tree of Peru.)