Quinine side effects include deafness, low blood platelets, and an irregular heartbeat. Use can make one more prone to sunburn. While it is unclear if use during pregnancy causes harm to the baby, use to treat malaria during pregnancy is still recommended. Quinine is an alkaloid, a naturally occurring chemical compound. How it works as a medicine is not entirely clear. Quinine was first isolated in 1820 from the bark of a cinchona tree. Bark extracts have been used to treat malaria since at least 1632. It is on the World Health Organization's List of Essential Medicines, the most effective and
Cinchona pubescens new stalks. If the bark is removed and the xylem is exposed to the elements, the tree will grow the bark back. The tree can even grow back if roots that are left in the ground are larger than 2 cm in diameter. It reproduces rapidly and spreads its seeds via wind. It reaches maturity and begins seeding in 4 years. Growing at a rate of 1–2 m per year, it quickly reaches a tall height where it can shade out the rest of the native plants. Adult trees grow much slower than juveniles. It has become an invasive species