Intramuscular versus Intravenous Quinine

Sir,?Dr. Adalja's letter on (lie above subject published in the January issue of the Gazette, p. 58, I have read with interest. Ho appears to be a great advocate of intramuscular quinine, for he not onfy used quinine by this route when indicated, but also expresses the opinion that in 85 per cent of cases quinine injection therapy is indicated. One can conceive that the percentage of cases requiring parenteral exhibition of the drug will vary in individual hands, but it is, I think, infliction of avoidable inconvenience, if 85 per cent of the cases are so treated as a routine. Most of the cases do well with oral administration. When the gastro-intestinal tract is angry, or when a quick therapy isindicated, the intravenous route, should be the route of choice.