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(3S)-hydroxy Quinidine is an active quinidine metabolite.1 Quinidine, an antiarrhythmic agent, undergoes rapid first-pass metabolism by the cytochrome P450 (CYP) isoforms CYP3A4, CYP2C9, CYP2E1, and CYP3A5, with CYP3A4 being the most active enzyme in the (3S)-hydroxy quinidine formation. (3S)-hydroxy Quinidine prolongs repolarization of canine Purkinje fibers in vitro and prevents ventricular fibrillation and ventricular tachycardia after coronary reperfusion in isolated rat hearts in a dose-dependent manner.2,3
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1. In vitro metabolism of quinidine: the (3S)-
2. Antiarrhythmic activity of two quinidine metabolites in experimental reperfusion arrhythmia: Relative potency and pharmacodynamic interaction with the parent drug. J. Pharmacol. Exp. Ther. 243(1), 297-301 (1987).
3. Comparative in vitro electrophysiology of quinidine, its major metabolites and dihydroquinidine. J. Pharmacol. Exp. Ther. 24(1), 84-90 (1987).