Digoxin is a prescription medication that’s used for treating patients with congestive heart failure. It’s often used with other medicines, including a diuretic and an ACE inhibitor. Digoxin can also treat atrial fibrillation, a heart rhythm problem. This medication is in a class of drugs that are known as digitalis glycosides.

This medication makes the heart more robust and efficient, or it can control its rhythm and heart rate. This can result in improved blood circulation. It can also lead to less swelling in the ankles and hands for those with heart problems. This medication can help people walk and get exercise. The medication works by affecting the potassium and sodium in heart cells. This reduces heart strain and can help patients have a more robust, steadier heartbeat. The medication is available as both a tablet and a solution.

Digoxin Precautions and Warnings

Tell your doctor if you’re allergic to this medication or similar medications like Digoxin. If you’re allergic to other things, you might want to talk to your pharmacist about the inactive ingredients in the medication to ensure you aren’t allergic to them.

Make sure your doctor knows if you have any thyroid or kidney problems. This medication can cause dizziness or blurry vision. If you use cannabis or alcohol while you’re taking it, it can make the dizziness worse. Don’t drive or operate other machinery until you know how this medication affects you and you can operate it safely. If you take cannabis, tell your doctor. The occasional drink of alcohol is ok with this medication, but it should be limited.

The balance of specific minerals in your blood can affect how this medication works. These include magnesium, calcium, and potassium. If you have any history of a mineral imbalance, tell your doctor. Ask your doctor whether to eat a special diet or take supplements.

If you’re having a procedure, including surgery, on your heart, make sure your doctor knows about this medication as well as anything else you take. This includes OTC preparations and any herbs you take. When taking this medication, children or infants are often more sensitive to its effects.

If you’re pregnant, this medication should only be used if it’s needed. This medication does pass into breast milk. There haven’t been any reports of infants being harmed this way, but it’s essential to talk to your doctor about the risks.

Never take more of this medication than is prescribed to you. It’s possible to overdose on this medication, so only take the prescribed dose every time.

Digoxin Side Effects

Like most medications, side effects are possible, though some patients don’t have any. Some of the most common side effects include a fast, irregular, or pounding heartbeat, a slow heartbeat, fainting, and dizziness. Dizziness is expected, so make sure that you move more slowly and deliberately to help with this effect. Don’t stand up too rapidly from a lying or sitting position.

People may also have a headache, nausea, vomiting, loss of appetite, or diarrhea. If you have these effects that bother you or worsen, tell your doctor about them. You may need to change the dosage or be changed to a different medication.

It’s also possible to have an allergic reaction to his medication. This is rare, but knowing the signs to look for is essential. If you’re allergic to this medication, you might experience swelling or itching of the throat, face, or tongue. You may also have difficulty breathing, rash, or severe dizziness.

Please tell your doctor if you have any severe side effects as soon as possible. These effects can include:

  • Tender or enlarged breasts in men
  • Weakness
  • Vision changes, including green or yellow vision or blurry vision
  • Mental changes and mood changes
  • Irregular heartbeat
  • Tarry, black stools
  • Bloody in stools or urine
  • Bleeding gums
  • Vomit with blood
  • Serious stomach pain
  • Rash
  • Red pinpoint marks on the skin
  • Unusual bruising or bleeding
  • Chest pain
  • Swelling of lower legs and feet
  • Trouble breathing
  • Hallucinations
  • Confusion
  • Agitation
  • Depression

Digoxin Drug Interactions

Many drugs may interact with Digoxin. Make sure your doctor knows every medication that you take. Don’t stop taking any of your medications without approval from your doctor. You should also avoid eating a lot of oatmeal, drinking a lot of milk, and using higher-fiber cereals. The medications that can interact can include:

  • Azole antifungals such as dronedarone (found in Multaq), itraconazole (found in Sporanox), and lapatinib
  • John’s wort
  • Propafenone
  • Macrolide antibiotics such as erythromycin and clarithromycin (such as Biaxin)
  • Tetracycline
  • Diet aids
  • Medications for cold and cough
  • NSAIDs like naproxen and ibuprofen
  • Calcium channel blockers
  • Black licorice
  • Antiarrhythmic drugs
  • Hawthorne

Digoxin Strengths, Dosages, and Forms

This medication comes as a tablet, an oral, and an injectable solution. The tablets are available in 0.0625 mg, 0.125 mg, 0.1875 mg, and 0.25 mg. The oral solution is available in 0.05 mg/mL. The injectable solution comes in 0.1 mg/mL and 0.25 mg/mL. Be sure only to take doses as prescribed and never more than that.

Tablets: 0.0625 mg, 0.125 mg, 0.1875 mg, 0.25 mg
Oral solution: 0.05 mg/mL
Injectable solution: 0.1 mg/mL, 0.25 mg/mL

FAQs of Digoxin

Can you take this medication while pregnant or breastfeeding?

There may be risks, so it’s important to talk to your doctor about the risks versus the drug’s benefits. There have been no reports released that show any harm from a baby breastfeeding from a mother taking this medication.

Is there a generic of this medication?

Yes, there are many generics made of this medication. However, some of the strengths of this medication are only available from a specific brand name. If you need that dosage, you must go with the name brand and possibly pay more.

Can you drink alcohol while you take digoxin?

Yes, it’s ok to have some alcohol in moderation. It’s important not to drink a lot while taking it, however,

What is digoxin used for?

It’s generally used for congestive heart failure as well as atrial fibrillation.

Are there any side effects with this medication?

Yes, side effects are always possible, though some people don’t have any. Common effects include dizziness, nausea, diarrhea, and headaches. Serious side effects may include chest pain, breast enlargement in men, and severe stomach pain.

Are there any over-the-counter medications that I should avoid?

Yes, there are OTC medications as well as herbal supplements that you should avoid. The herbs include St. John’s wort and Hawthorne. Many diet aids and NSAIDs, many OTC pain relievers, shouldn’t be taken with this medication. They can worsen the patient’s heart problem.

Can I use cannabis with this medication?

It isn’t generally recommended because it can worsen the side effects of dizziness. Alcohol may also do this.

Can this medication help with blood circulation?

Yes, one of its effects is strengthening the heart and making it more efficient. This can give blood circulation a boost.

Can you be allergic to digoxin?

Yes, it’s rare to have a severe allergy to it, but it does happen to some patients. The symptoms of a severe reaction include face or mouth swelling, itchy or swollen throat, rash, and trouble breathing.

IMPORTANT NOTE: The information provided here is for educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment recommendations. It should not be taken as an endorsement of any specific medication or treatment. Individual health conditions and responses to treatment can vary greatly; therefore, this information should not be seen as a guarantee of safety, suitability, or effectiveness for any particular individual. Always consult with a healthcare professional for personalized medical advice and before making any decisions regarding your health or treatment plans.

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