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
Birch bark from live trees is harmful to tree health and should be avoided. Instead, it can be removed fairly easily from the trunk or branches of dead wood, by cutting a slit lengthwise through the bark and pulling or prying it away from the wood. The best time for collection is spring or early summer, as the bark is of better quality and most easily removed. Removing the outer (light) layer of bark from the trunk of a living tree may not kill it, but probably weakens it and makes it more prone to infections. Removal of the inner (dark) layer,