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X (USA), D (Au) Quinine was the first effective treatment for malaria caused by P. falciparum, appearing in therapeutics in the 17th century. It remained the antimalarial drug of choice until the 1940s, when other drugs took over. Since then, many effective antimalarials have been introduced, although quinine is still used to treat the disease in certain critical situations. Quinine is available with a prescription in the United States. Quinine is also used to treat nocturnal leg cramps and arthritis, and there have been attempts (with limited success) to treat prion diseases. It was once a popular heroin adulterant. It was first brought to Europe by Jesuits and it was also used to cure King Louis XIV. Quinine contains two major fused-ring systems The aromatic quinoline and the bicyclic quinuclidine.
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