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Lanoxin Pediatric
Lanoxin Pediatric (digoxin) is a medication used primarily in children for the treatment of heart conditions such as congestive heart failure and atrial fibrillation. It helps to improve the strength and efficiency of the heart, enhancing cardiac output and controlling heart rate.
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Frequently Asked Questions
How long does it take for Lanoxin Pediatric to start working?
Patients may begin to notice improvements in heart function within a few days of starting treatment, though full effects may take longer to establish.
Can I take Lanoxin Pediatric with other medications?
Always consult your healthcare provider before combining Lanoxin Pediatric with other medications, particularly those that affect heart function.
What should I do if I miss a dose of Lanoxin Pediatric?
If you miss a dose, administer it as soon as you remember. If it’s close to the time for the next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Is it safe to use Lanoxin Pediatric during pregnancy?
Lanoxin Pediatric should be used during pregnancy only if clearly needed, and the risks and benefits should be discussed with a healthcare provider.
Can Lanoxin Pediatric cause weight gain?
Weight gain is not typically associated with Lanoxin Pediatric. Any significant changes in weight should be discussed with a healthcare provider.
Comprehensive Drug Guide
How Does Lanoxin Pediatric Work?
Digoxin works by inhibiting the sodium-potassium ATPase pump, which increases intracellular sodium and calcium concentrations in cardiac cells. This action strengthens myocardial contraction (positive inotropic effect) and helps regulate heart rate by increasing vagal tone.
Common Dosages
- Oral solution: Common concentrations include 0.05 mg/mL.
- Tablets: Available in pediatric formulations, typically 0.125 mg or 0.25 mg.
Typical Dosing
- The usual starting dose for children is based on their weight and clinical condition, often ranging from 0.01 to 0.05 mg/kg of body weight, given once daily. Dosing may be adjusted based on clinical response and serum digoxin levels.
Typical Dosing
FDA Approved Indications
- Treatment of heart failure in children.
- Management of atrial fibrillation and atrial flutter.
Who Shouldn't Take Lanoxin Pediatric?
- Known hypersensitivity to digoxin or any components of the formulation
- Ventricular fibrillation or certain types of heart block without a functioning pacemaker
Advice From The Pharmacist
- Patients and caregivers should be advised to administer Lanoxin Pediatric as directed and to ensure accurate dosing using the provided measuring device.
- Discuss the importance of regular follow-up appointments to monitor heart function and serum digoxin levels.
- Educate about recognizing signs of digoxin toxicity, such as nausea, vomiting, confusion, or visual disturbances.
Side Effects of Lanoxin Pediatric
Common Side Effects
- Nausea
- Vomiting
- Diarrhea
- Fatigue
- Dizziness
Uncommon/Severe Side Effects
- Severe allergic reactions (anaphylaxis)
- Digoxin toxicity (e.g., arrhythmias, severe gastrointestinal symptoms)
Risks and Warnings of Lanoxin Pediatric
- Toxicity Risk: Regular monitoring of serum digoxin levels is essential to prevent toxicity, especially in children who may be more sensitive to fluctuations.
- Heart Rate Monitoring: Monitor heart rate and rhythm, especially during initiation or dose adjustments.
Interactions with Lanoxin Pediatric
Common Drug Interactions
- Other Cardiac Medications: Caution is advised when used with other medications that affect heart rate or rhythm.
- Diuretics: May increase the risk of hypokalemia and digoxin toxicity; monitor potassium levels closely.
Alternatives to Lanoxin Pediatric
- Other Heart Medications: Such as ACE inhibitors or beta-blockers for managing heart failure.
- Non-pharmacological Treatments: Lifestyle changes and dietary modifications may also be considered for overall heart health.
