Is Quinine safe in liver cirrhosis patients?

Question

Hello doctor,

My husband has an advanced stage of liver cirrhosis and gets muscle cramps in his legs from time to time, at night or when he wakes up in the morning. Other patients with similar issues recommend drinking tonic water that contains Quinine or taking Calcium Magnesium supplements. He has a very low platelet count, so is Quinine dangerous for him? What supplement will you recommend against muscle cramps and in what quantities? Currently, I am taking Propranolol 40 mg and Omeprazole 40 mg daily.

Kindly guide.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Cramps happen in cirrhotics due to nutritional insufficiency, low platelet count, mineral deficiency, mainly calcium and magnesium. My suggestions would be:

Calcerol sachet (Vitamin D3 60000) once weekly for six weeks.
Tablet Magnical (Magnesium with Calcium) twice daily for a month to be taken with food.
Have a high-protein diet.
Hepapro powder (liver-specific protein powder), two scoops three times a day.
Tablet Zincovit (carbohydrate, Biotin, Copper, etc.) once daily for a month.

The brands vary from place to place. But vitamin and mineral supplements are a must. Do consider this and update if any issues or concerns.

I hope this information helps you.

Feel free to reach out in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

A health supplement will be fine.

For more information, consult a medical gastroenterologist online.

Thank you.