Digoxin
Also sold as: Lanoxin
Prescription neededChest pain and heart rhythm
Comes as:TabletOral solutionInjection
Also sold as: Lanoxin
Dose is set by your doctor and checked with blood tests. Usual adult maintenance dose: 62.5 to 250 micrograms once a day (lower in elderly people and kidney disease).
Your doctor may give you a different dose. Children's doses depend on weight.
Stop taking it and see a doctor straight away if you notice:
Medicines that can react with this one.
Amiodarone raises digoxin levels; the digoxin dose usually needs halving.
Verapamil raises digoxin levels and can cause toxicity and heart block.
Can raise digoxin levels; watch for nausea, slow pulse or vision changes.
Overuse of laxatives can lower potassium and increase the risk of digoxin toxicity.
Carvedilol raises digoxin levels and both slow the heart.
Low potassium from the diuretic raises the risk of digoxin toxicity.
Digoxin levels can rise as thyroid levels fall; the dose may need adjusting.
Fibre may reduce digoxin absorption; separate the doses.
Sitagliptin can slightly raise digoxin levels; monitoring may be needed.
Digoxin levels can rise as thyroid levels fall; the dose may need adjusting.
Clarithromycin raises digoxin levels.
Diltiazem raises digoxin levels and slows the heart further.
Low potassium from furosemide raises the risk of digoxin toxicity.
Low potassium from the diuretic raises the risk of digoxin toxicity.
Hydroxychloroquine can raise digoxin levels; levels may need checking.
Low potassium from the diuretic raises the risk of digoxin toxicity.
Quinine raises digoxin levels; watch for nausea, slow pulse or vision changes.
Overuse of senna can lower potassium and increase the risk of digoxin toxicity.
Spironolactone can raise digoxin levels.
Sucralfate can reduce digoxin absorption; take digoxin 2 hours before.
Telmisartan can raise digoxin levels; levels should be checked.