Digoxin immune Fab (Digibind, DigiFab); Antidote - Digoxin; Vial: 38 mg (Digibind), 40 mg (DigiFab); Dose of Digibind (in mg) = total body load x 76
Dose of DigiFab (in mg) = total body load x 80
Total body load of
digoxin (in mg) = C (in ng/mL) x 5.6 x body weight (in kg) ? 1000
C = post-distribution
serum digoxin level
Total body load (TBL) = mg of
digoxin ingested (if known) x 0.8
Number of vials to use = TBL ? 0.5
Each vial will bind approximately 0.5 mg
digoxin.
May interfere with
digoxin measurement. Patient should be on continuous EKG monitor.