Cinchona pubescens hence its nickname the red quinine tree. Its flowers form in large panicles. They are pink and fragrant, while in the Galapagos they are light pink. "C. pubescens" has the widest distribution of all "Cinchona" species, with the native range spanning Costa Rica, Panama, Venezuela, Colombia, Ecuador, Peru, and Bolivia. In Ecuador it is distributed within an altitude from . It also grows well in volcanic soil with high nutrient levels. C. pubescens is a resilient species that is able to recover from even extreme damage. If the tree is felled but the stump is left, it can grow back
Analgesic nephropathy of paracetamol into "N"-acetyl-"p"-benzoquinoneimine (NAPQI). NAPQI depletes glutathione via non-enzymatic conjugation with glutathione, a naturally occurring antioxidant. With depletion of glutathione, cells of the kidney become particularly sensitive to oxidative damage. Diagnosis is traditionally based on the clinical findings above in combination with excessive analgesic use. It is estimated that between 2 and 3 kg each of phenacetin or aspirin must be consumed before evidence of analgesic nephropathy becomes clinically apparent. Once suspected, analgesic nephropathy can be confirmed with relative accuracy using computed tomography (CT) imaging without contrast. One trial demonstrated that the appearance of papillary calcifications on CT imaging