Digoxin

Generic Name: Digoxin (di-JOX-in)

Brand Name: Lanoxin

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your
doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; nausea.

Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the
mouth, face, lips, or tongue); blurred vision, yellow vision, or other vision changes; confusion; fast, slow,
or irregular heartbeat; hallucinations; mood or mental changes (eg, depression); severe or persistent
nausea, vomiting, or stomach pain; unusual bruising or bleeding; unusual tiredness or weakness.

dosage

Your doctor will determine your dosage based on several factors: (1) the disease being treated; (2) your
body weight; (3) your kidney function; (4) your age; and (5) other diseases you have or drugs you are
taking.

If you are receiving Lanoxin for the first time, you may be rapidly "digitalized" (a larger first dose may be
taken, followed by smaller maintenance doses), or gradually "digitalized" (maintenance doses only),
depending on your doctor's recommendation.

ADULTS

If your doctor feels you need rapid digitalization, your first few doses may be given intravenously. You'll
then be switched to tablets or capsules for long-term maintenance. A typical maintenance dose might be
a 0.125 milligram or 0.25 milligram tablet once daily, but individual requirements vary widely. The exact
dose will be determined by your doctor, based on your needs.

CHILDREN

Infants and young children usually have their daily dose divided into smaller doses; children over age 10
need adult dosages in proportion to body weight as determined by your doctor.

Indications and Usage

Treatment of CHF, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia, cardiogenic shock.
Contraindications

Ventricular fibrillation; ventricular tachycardia except in certain cases; digitalis toxicity; beriberi heart
disease; hypersensitivity to digoxin; some cases of hypersensitive carotid sinus syndrome.

Cardiovascular

Arrhythmias (supraventricular arrhythmias are more common in infants and children), including ventricular
tachycardia and premature ventricular contractions.

CNS

Headache; weakness; apathy; drowsiness; mental depression; confusion; disorientation.

EENT

Visual disturbances (eg, blurred vision, halo effect).

GI

Anorexia; nausea; vomiting; diarrhea.