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
Therapeutice Specialis ad Febres Periodicas Perniciosas who first systematically studied the effect of cinchona in the treatment of malaria, wrote a book which he titled "Therapeutice Specialis ad Febres Periodicas Perniciosas". One highlight of the "Therapeutice Specialis" is the drawing "tree of fevers", where different fevers, such as branches of the tree, are divided into categories: on the left, those that respond to cinchona, are shown as branches covered with bark, while on the right are those for which cinchona is ineffective, and are depicted as denuded leafless branches. Torti clearly identified cinchona as a specific therapy for intermittent fevers, as opposed to continued fevers, which