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Digoxin
Digoxin falls under the category of drugs known as digitalis medications. It's typically used for treating heart rhythm problems and heart failure. Common side effects include fatigue, vision changes, and feeling weaker; however, typically these side effects are tolerable when compared to the benefits of the drug.
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Frequently Asked Questions
Can Digoxin affect my vision?
Yes, digoxin can potentially cause changes in color vision or blurred vision. If you notice unexpected changes in your vision, contact your healthcare professional promptly.
Can Digoxin be used for anxiety?
Digoxin is not typically utilized for anxiety. It's primarily used for heart conditions.
Can I just stop taking Digoxin after my symptoms are gone?
No, not without your doctor's advice. Stopping this medication suddenly can make your condition worse.
Can I take multivitamins while on Digoxin?
Yes, you can. But always inform your doctor about all medications and dietary supplements you're using.
Does Digoxin affect blood pressure?
Yes, digoxin can decrease blood pressure by reducing the heart rate.
How to store Digoxin?
It is advised to store at room temperature, away from light and moisture. Keep out of reach of children and pets!
I missed a dose of Digoxin, what should I do?
If it's almost time for your next dose, skip the missed one and keep to your regular schedule. However, if it's still some hours away, take the missed dose. Never double dose!
Is it okay if I miss a dose of Digoxin?
If you miss a dose of digoxin, take it as soon as you remember. However, if it's close to your next dose time, skip the missed dose and continue with your regular schedule.
Is weight gain a side effect of Digoxin?
Digoxin does not typically cause weight gain. However, if you experience sudden weight gain, especially with shortness of breath or swelling in ankles or feet, seek immediate medical attention.
Comprehensive Drug Guide
How Does Digoxin Work?
Digoxin enhances myocardial contractility, slows down the heart rate, and improves symptoms associated with heart failure.
What is Digoxin Used For?
FDA indications: This medication is employed in the treatment of heart failure and to control the heart rate in patients with atrial fibrillation.
Offlabel uses: Digoxin has also been used offlabel for fetal supraventricular tachycardia.
Common Dosages
Tablets: 0.25mg, 0.125mg,
Elixir: 0.05mg/mL
Typical Dosing
FDA Approved Indications
- Heart failure: Initially 0.125mg to 0.25mg per day.
- Atrial fibrillation: 0.125 mg to 0.25 mg per day, based on renal function and patient age.
Off-Label Uses
- Fetal supraventricular tachycardia: Depends on gestational age and will be determined by the healthcare provider.
Who Shouldn't Take Digoxin?
- Anyone allergic to digoxin or any other ingredients found in the medication.
- People with ventricular fibrillation.
- Those with certain heart conditions without a pacemaker in place.
- People with certain types of heart rhythm disturbances.
- Patients with the hypertrophic form of cardiomyopathy unless used to control the rate of a rapid atrial arrhythmia.
- Digoxin should be used with caution in patients with acute myocardial infarction.
Advice From The Pharmacist
- Always take your digoxin exactly as directed by your doctor.
- Try to take digoxin at the same time each day to help you remember it.
- If you miss a dose, take it as soon as you remember. But if it?s nearly time for the next dose, skip the missed dose.
- Do not stop taking digoxin without talking to your doctor.
- Always notify your doctor of any new or unusual symptoms.
- Monitor your pulse rate daily.
- Make sure to get routine blood tests to check your digoxin levels and electrolytes.
Side Effects of Digoxin
Common Side Effects
- Nausea
- Vomiting
- Headache
- Dizziness
- Weakness
- Skin rash
Uncommon/Severe Side Effects
- Rare side effects:
- Hallucinations
- Blind spots in vision
- Breathing problems
- Severe Side Effects
- Dizziness, fainting, or even hallucinations can occur. Seek urgent medical help.
Risks and Warnings of Digoxin
- Monitor electrolyte levels closely while using digoxin, especially potassium, calcium, and magnesium levels. Any abnormality can affect the drug's action and may lead to toxicity.
- Do not take digoxin if you're allergic to it or any other ingredients found in the medication.
- Be cautious if you have kidney disease, use will depend on the severity of the disease.
- Monitor heart rhythm and rate regularly to avoid complications.
- Digoxin overdose can be lifethreatening. Seek immediate medical attention if an overdose is suspected.
Interactions with Digoxin
Common Drug Interactions
- Betablockers
- Calcium channel blockers
- Diuretics
- Macrolide antibiotics
- Epinephrine
Alternatives to Digoxin
- Metoprolol
- Carvedilol
- Lisinopril
- Furosemide
- Sotalol
- Diltiazem
- Verapamil
