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Digoxin

Brand: Lanoxin

Cardiac glycosideUsed for: Heart failure, atrial fibrillationCardiovascular

No boxed warning on the current FDA label. On the ISMP high-alert list.

Caution
Narrow therapeutic index: toxicity (nausea, vision changes, arrhythmia) is more likely with low potassium or kidney impairment.

Common side effects

  • Nausea and vomiting
  • Loss of appetite
  • Visual changes (yellow-green halos)
  • Confusion
  • Slow heart rate

Key interactions

  • Low potassium raises toxicity risk
  • Amiodarone and verapamil raise its levels
  • Some diuretics lower potassium and add risk

Counseling points

  • Take at the same time each day
  • Report nausea, vision changes, or slow pulse
  • Do not skip or double doses
  • Keep lab and monitoring appointments
  • Check pulse as instructed
We ask 13 questions about Digoxin.Practice Digoxin →Test yourself on medications like Digoxin.Practice Medications →

High-yield study aid for exam prep, not a substitute for the package insert or a pharmacist’s dispensing reference.