A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Digoxin
Brand Names
; Lanoxicaps® ; Lanoxin®Foreign Brand Names
; Novo-Digoxin® (Canada) ; Mapluxin® (Mexico)Therapeutic Categories
Antiarrhythmic Agent, Class IV; Cardiac GlycosideReasons not to take this medicine
- If you have an allergy to another cardiac glycoside, digoxin, or any other part of the medicine.
- If you have any of the following conditions: Too much of this medicine in your body, ventricular tachycardia, ventricular fibrillation, idiopathic hypertropic subaortic stenosis, constrictive pericarditis, amyloid disease, problem with the electrical system of the heart unless a pacemaker has fixed it, Wolff-Parkinson-White syndrome and atrial fibrillation.
What is this medicine used for?
- This medicine treats hearts (congestive heart failure) by strengthening the pumping action. It is also used to slow the heart rate (pulse) in patients whose hearts are racing in a certain way (atrial fibrillation/flutter).
How does it work?
- Digoxin strengthens the heart by increasing calcium inside the cells of the heart. The heart can pump stronger and more effectively as a result. It decreases the number of electrical impulses that drive the heart rate (pulse) and this slows the speed down.
How is it best taken?
- Take separately from high bran fiber, otherwise, take with or without food. Take with food if this medicine causes an upset stomach.
- Take at a similar time every day.
- Swallow capsule whole.
- A liquid (elixir) is available if you cannot swallow pills. Those who have feeding tubes can also use the liquid. Flush the feeding tube before and after medicine is given.
- Do not take antacids, dietary bran fiber, sucralfate, cholestyramine, colestipol, or kaolin-pectin within 4-6 hours of this medicine.
What do I do if I miss a dose?
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
- Do not take a double dose or extra doses.
What are the precautions when taking this medicine?
- Check medicines with healthcare provider, particularly if you are taking amiodarone, verapamil, or quinidine.
- Wear disease medical alert identification for heart disease.
- If you are 65 or older, you may have more side effects.
- Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting pregnant.
- Tell healthcare provider if you are breast-feeding.
What are the common side effects of this medicine?
- Confusion, especially in the elderly and patients with kidney disease.
- Anorexia, belly pain, and cramps.
- Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help.
- Diarrhea.
What should I monitor?
- Check heart rate (pulse). Can be taken daily before taking the medicine. Ask healthcare provider to teach you how to take your pulse.
- Check digoxin serum concentrations. Easiest to have blood drawn in the morning before daily dose (just take dose after blood drawn). Talk with healthcare provider.
- Check blood work (potassium). Talk with healthcare provider if you are taking a water pill.
- Watch for swelling of legs or belly, shortness of breath, weight gain, exercise tolerance. If any of these worsen, talk with healthcare provider.
- Report a 3-5 pound weight gain if you have heart failure.
- Follow diet plan (low sodium if heart failure patient) as recommended. Talk with healthcare provider.
Reasons to call healthcare provider immediately
- Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat.
- Changes in thinking clearly and logically.
- Too tired or sleepy.
- Passing out, fainting, dizziness, or lightheadedness.
- Severe nausea, vomiting, and/or diarrhea.
- Any rash.
- No improvement in condition or feeling worse.
How should I store this medicine?
- Store in a tight, light-resistant container at room temperature.
General statements
- Do not share your medicine with others and do not take anyone else's medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).






