DIGOXIN (ORAL)

(di JOX in) Brand: Digitek, Lanoxicaps, Lanoxin

What is the most significant information I must know about digoxin?

• You must not use this medicine if you are allergic to digoxin, or if you have ventricular fibrillation (a heart rhythm mess of the ventricles, or lower chambers of the heart that let blood to flow out of the heart).

• Till using digoxin, speak your doctor if you have determined heart conditions, especially "AV block" (unless you have a pacemaker), or a last history of heart onslaught. Also speak your doctor if you have kidney malady, a thyroid mess, an electrolyte imbalance (such as low levels of calcium, potassium, or magnesium in your blood), or if you are malnourished or have recently been sick with vomiting or diarrhea.

• Hold taking digoxin as directed, even if you feel well. Get your prescription refilled till you run out of medication completely.

• Do not stop taking digoxin without first talking to your doctor. Stopping suddenly may create your condition worse.

• Avoid becoming overheated or dehydrated during exercice, in hot weather, or by not drinking satis fluids. Digoxin overdose can occur more easily if you are dehydrated.

• There are much another drugs that can interact with digoxin. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor. Hold a list of all your medicines and show it to any healthcare provider who treats you.

What is digoxin?

• Digoxin is derived from the leaves of a digitalis plant. Digoxin helps create the heart beat stronger and with a more regular rhythm.

• Digoxin is used to treat heart failure.

• Digoxin is also used to treat atrial fibrillation, a heart rhythm mess of the atria (the upper chambers of the heart that let blood to flow into the heart).

• Digoxin may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking digoxin?

• To create certain you can safely take digoxin, speak your doctor if you have any of these another conditions:

· determined serious heart conditions, especially "AV block" (unless you have a pacemaker);

· a last history of heart attack;

· kidney disease;

· a thyroid disorder;

· an electrolyte imbalance (such as low levels of calcium, potassium, or magnesium in your blood); or

· if you are malnourished or have recently been sick with vomiting or diarrhea.

• FDA pregnancy category C. It is not known whether digoxin will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

• Digoxin can pass into breast milk and may harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

• Older adults may be more likely to have side effects from digoxin.

How must I take digoxin?

• Take exactly as predesigned by your doctor. Do not take in larger or less amounts or for longer than recommended. Follow the directions on your prescription label.

• Take digoxin with a full glass of water.

• Try to take the medicine at the same time each day.

• Measure liquid medication with a particular dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

• To be certain this medicine is not causing deleterious effects, your blood may need to be tested on a regular basis. Your kidney function may also need to be tested. Do not miss any scheduled appointments.

• Hold taking digoxin as directed, even if you feel well. Get your prescription refilled till you run out of medication completely.

• Do not stop taking digoxin without first talking to your doctor. Stopping suddenly may create your condition worse.

• Store this medicine at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. If your following doze is smaller than 12 hours away, wait before then to take the medication and skip the missed doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. An overdose of digoxin can be fatal.

• Overdose symptoms may include severe forms of some of the side effects listed in this medicine guide.

What must I avoid while taking digoxin?

• Avoid becoming overheated or dehydrated during exercice, in hot weather, or by not drinking satis fluids. Digoxin overdose can occur more easily if you are dehydrated.

What are the possible side effects of digoxin?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have a serious side effect such as:

· quick, slow, or uneven heart rate;

· bloody or black, tarry stools;

· blurred vision, yellowed vision; or

· confusion, hallucinations, unusual thoughts or behavior.

• Smaller serious side effects may include:

· nausea, vomiting, diarrhea, loss of appetite;

· feeling weak or dizzy;

· headache, anxiety, depression;

· enlarged breasts in men; or

· mild skin rash.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect digoxin?

• Much drugs can interact with digoxin. Adown is just a partial list. Speak your doctor if you are using:

· an antacid, or Kaopectate;

· alprazolam (Xanax);

· cancer medications;

· clonidine (Catapres);

· supplements or medications that contain calcium;

· a diuretic (water pill), such as spironolactone (Aldactone, Aldactazide);

· amphotericin B (Fungizone, AmBisome, Abelcet);

· cholestyramine (Questran, Prevalite);

· epinephrine (EpiPen);

· indomethacin (Indocin);

· isoproterenol (Isuprel);

· itraconazole (Sporanox);

· levothyroxine (Synthroid, Levothroid, and others);

· metoclopramide (Reglan);

· neomycin (Mycifradin, Neo-Fradin, Neo-Tab);

· rifampin (Rifadin, Rifater, Rifamate);

· St. John's wort;

· sulfasalazine (Azulfidine); or

· an antibiotic such as erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), clarithromycin (Biaxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap);

· heart or blood pressure medication such as amlodipine (Norvasc, Caduet, Exforge, Lotrel, Tekamlo, Tribenzor, Twynsta, Amturnide), carvedilol (Coreg), diltiazem (Cardizem, Cartia, Dilacor, Diltia, Diltzac, Taztia, Tiazac), metoprolol (Dutoprol, Lopressor, Toprol), nebivolol (Bystolic), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan, Tarka), and others;

· decongestant cool or allergy medication, or nasal sprays such as Afrin, Duramist, Neo-Synephrine, Tysine Nasal, and others;

· a heart rhythm medicine such as amiodarone (Cordarone, Pacerone), propafenone (Rythmol), or quinidine (Quin-G); or

· steroids such as prednisone, fluticasone (Advair), mometasone (Asmanex, Nasonex), dexamethasone (Decadron, Hexadrol) and others.

• This list is not complete and there are much another drugs that can interact with digoxin. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about digoxin.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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