Quinine
What the research shows
Conflicting
studies in people disagree
A substance from cinchona tree bark used in tonic water.
It gives tonic water and other drinks a bitter taste.1
What research says
Studies in people
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No harm found
How the body handles medicines2
Quinine in tonic water did not change how the body broke down a common medicine in this study.
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Concern
Brain and nerve effects5
Some people report confusion, seizures and coma after drinking quinine in tonic water and bitter lemon.
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Concern
Balance and eye reflexes7
People who drank tonic water with quinine daily showed brief changes in balance tests at the higher amount.
Single cases of misuse or overdose
One person or one incident, such as an accidental overdose or a mistake in a kitchen or factory. They are real, but a single case does not show what happens at normal amounts, so the signal does not count them.
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Skin reaction to a drink3
A man's red skin patches returned after quinine in tonic water.
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Skin rash from drinks4
In two people, red skin patches came back in the same spots after they drank tonic water with quinine.
How it’s made and used
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Appetite and hunger6
In people, quinine by mouth or into the stomach lowered desire to eat and hunger, but people ate the same amount.
The signal at the top counts the findings in people and in animal and lab studies. A concern in studies of people outranks animal and lab studies, and “No concerns” needs at least one finding in people. When most findings in people point one way, the page leans that way (“Mostly”), and every finding is still shown. Findings whose study type is not stated are shown but not counted. This page is a reference, not medical advice. It describes what regulators and published research say. Talk to a doctor or dietitian about your own diet.
Products
The 6 most-scanned of 179 products on Open Food Facts that list quinine.
- Indian Tonic Water Schweppes 2 additives
- Original and Best IRN-BRU · 500 mL 5 additives
- Irn Bru Xtra A.G.Barr · 330 ml 6 additives
- IRN-BRU A.G. Barr · 330 ml 4 additives
- Irn-Bru Xtra Irn-Bru · 2 l 6 additives
- Lidl low calorie tonic water Freeway 4 additives
References
- 1Quinine. Wikipedia. Accessed September 30, 2026. CC BY-SA 4.0.
- 2Donovan JL, DeVane CL, Boulton D, Dodd S, Markowitz JS. Dietary levels of quinine in tonic water do not inhibit CYP2D6 in vivo. Food Chem Toxicol. 2003;41(8):1199-201. doi:10.1016/s0278-6915(03)00112-1
- 3Ohira A, Yamaguchi S, Miyagi T, et al. Fixed eruption due to quinine in tonic water: a case report with high-performance liquid chromatography and ultraviolet A analyses. J Dermatol. 2013;40(8):629-31. doi:10.1111/1346-8138.12195
- 4Muso Y, Kentarou O, Itami S, Yoshikawa K. Fixed eruption due to quinine: report of two cases. J Dermatol. 2007;34(6):385-6. doi:10.1111/j.1346-8138.2007.00293.x
- 5Brasić JR. Risks of the consumption of beverages containing quinine. Psychol Rep. 2003;93(3 Pt 2):1022-4. doi:10.2466/pr0.2003.93.3f.1022
- 6Klaassen T, Keszthelyi D, Alleleyn AME, et al. Effect of oral or intragastric delivery of the bitter tastant quinine on food intake and appetite sensations: a randomised crossover trial. Br J Nutr. 2021;125(1):92-100. doi:10.1017/S0007114520002536
- 7Zajtchuk JT, Mihail R, Jewell JS, Dunne MJ, Chadwick SG. Electronystagmographic findings in long-term low-dose quinine ingestion. A preliminary report. Arch Otolaryngol. 1984;110(12):788-91. doi:10.1001/archotol.1984.00800380018006