Digoxin (Lanoxin)
Class and Category of Drug
Before you buy Digoxin (Lanoxin) online, read common information about the medication.
Chemical class: Digitalis glycoside
Therapeutic class: Antiarrhythmic, cardiotonic
Pregnancy category: C
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Drug Indications and Dosages
Before purchase Digoxin (Lanoxin) online , you must read how it works.
To treat heart failure, atrial flutter, atrial fibrillation, and paroxysmal atrial tachycardia with rapid digitalization
Capsules, intravenous Injection
Adults. Loading: 10 to 15 mcg/kg in 3 divided doses every 6 to 8 hr, with first dose equal to 50% of total dose. Maintenance: 125 to 350 meg daily once or twice daily. Children over age 10. Loading: 8 to 12 meg/ kg in 3 or more divided doses, with first dose equal to 50% of total dose. Subsequent doses given every 6 to 8 hr. Maintenance: 2 to 3 mcg/kg once daily.
Children ages 6 to 10. Loading: 15 to 30 mcg/kg in 3 or more divided doses, with first dose equal to 50% of total dose.
Subsequent doses given every 6 to 8 hr. Maintenance: 4 to 8 mcg/kg daily in 2 divided doses.
Children ages 2 to 5. Loading: 25 to 35 meg/kg in 3 or more divided doses, with first dose equal to 50% of total dose. Subsequent doses given every 6 to 8 hr. Maintenance:6 to 9 mcg/kg daily in 2 divided doses.
Infants ages 1 to 24 months. Loading: 30 to 50 mcg/kg in 3 or more divided doses, with first dose equal to 50% of total dose. Subsequent doses every 6 to 8 hr. Maintenance: 7.5 to 12 mcg/kg daily in 2 divided doses.
Full-term neonates. Loading: 20 to 30 meg/kg in 3 or more divided doses, with first dose equal to 50% of total dose. Subsequent doses given every 6 to 8 hr. Maintenance: 5 to 8 mcg/kg daily in 2 divided doses.
Premature neonates. Loading: 15 to 25 mcg/kg in 3 or more divided doses, with first dose equal to 50% of total dose. Subsequent doses given every 6 to 8 hr. Maintenance: 4 to 6 mcg/kg daily in 2 divided doses.
Elixir,Tablets
Adults. Loading: 10 to 15 mcg/kg total dose given in 3 divided doses every 6 to 8 hr, with first dose equal to 50% of total dose. Maintenance: 125 to 500 meg daily.
Children over age 10. Loading: 10 to 15 mcg/kg total given in 3 divided doses every 6 to 8 hr, with first dose equal to 50% of total dose. Maintenance: 2.5 to 5 mcg/kg daily.
Children ages 5 to 10. Loading: 20 to 35 mcg/kg in 3 divided doses every 6 to 8 hr. Maintenance: 5 to 10 mcg/kg daily in 2 divided doses.
Children ages 2 to 5. Loading: 30 to 40 meg/kg in 3 divided doses every 6 to 8 hr. Maintenance: 7.5 to 10 mcg/kg daily in 2 divided doses.
Infants ages 1 to 24 months. Loading: 35 to 60 mcg/kg in 3 divided doses every 6 to 8 hr. Maintenance: 10 to 15 mcg/kg daily in 2 divided doses.
Full-term neonates. Loading: 25 to 35 meg/kg in 3 divided doses every 6 to 8 hr. Maintenance: 6 to 10 mcg/kg daily in 2 divided doses.
Premature neonates. Loading: 20 to 30 meg/ kg in 3 divided doses every 6 to 8 hr. Maintenance: 5 to 7.5 mcg/kg daily in 2 divided doses.
Dosage Adjustment Dosage carefully adjusted for patients who are elderly or debilitated or have implanted pacemakers because toxicity may develop at doses tolerated by most patients.
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Contraindications of Drug
Read contraindications if you want cheap Digoxin (Lanoxin) online.
Hypersensitive carotid sinus syndrome, hypersensitivity to digoxin, presence or history of digitalis toxicity or idiosyncratic reaction to digoxin, ventricular fibrillation, ventricular tachycardia unless heart failure occurs unrelated to digoxin therapy
Generic Drug Interactions
Drugs
adsorbent antidiarrheals, such as kaolin and pectin; bulk laxatives; cholestyramine; colestipol; oral neomycin; sulfasalazine: Inhibited digoxin absorption
amiodarone, propafenone: Elevated blood digoxin level, possibly to toxic level
antacids: Inhibited digoxin absorption
antiarrhythmics, pancuronium, parenteral calcium salts, rauwolfia alkaloids, sympathomimetics: Increased risk of arrhythmias
diltiazem, verapamil: Increased blood digoxin level, possibly excessive bradycardia
edrophonium: Excessive slowing of heart rate
erythromycin, neomycin, tetracycline: Possibly increased blood digoxin level
hypokalemia-causing drugs, potassium-wasting diuretics: Increased risk of digitalis toxicity from hypokalemia
indomethacin: Decreased renal clearance and increased blood level of digoxin
magnesium sulfate (parenteral): Possibly cardiac conduction changes and heart block
quinidine, quinine: Increased blood digoxin level
spironolactone: Increased half-life and risk of adverse effects of digoxin
succinylcholine: Increased risk of digoxin-induced arrhythmias
sucralfate: Decreased digoxin absorption
Foods
high-fiber food: Inhibited digoxin absorption
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Drugs Adverse Reactions
Central Nervous System: Confusion, depression, drowsiness, extreme weakness, headache, syncope
Cardiovascular: Arrhythmias, heart block
Eyes, Ears, Nose, And Throat: Blurred vision, colored halos around objects
Gastrointestinal: Abdominal discomfort or pain, anorexia, diarrhea, nausea, vomiting
Other: Electrolyte imbalances
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Nursing Considerations for Generic Drugs
• Give parenteral digoxin undiluted, or dilute with a fourfold or greater volume of sterile water for injection, normal saline solution, or D5W for intravenous administration. Once diluted, give immediately. Discard if solution is markedly discolored or contains precipitate.
• Before giving each dose, take patient's apical pulse and notify prescriber if it's below 60 beats/minute (or other specified level).
• Monitor patient closely for signs of digitalis toxicity, such as altered mental status, arrhythmias, heart block, nausea, vision disturbances, and vomiting. If they appear, notify prescriber, check serum digoxin level as ordered, and expect to withhold drug until level is known. Monitor electrocardiogram tracing continuously.
• If patient has acute or unstable chronic atrial fibrillation, assess for drug effectiveness. Ventricular rate may not normalize even when serum drug level falls within therapeutic range; raising the dosage probably won't produce a therapeutic effect and may lead to toxicity.
• Frequently obtain electrocardiogram tracings as ordered in elderly patients because of their smaller body mass and reduced renal clearance. Elderly patients, especially those with coronary insufficiency, are more susceptible to arrhythmias — particularly ventricular fibrillation — if digitalis toxicity occurs.
• Monitor paptient's serum potassium level regularly because hypokalemia predisposes to digitalis toxicity and serious arrhythmias. Also monitor potassium level often when giving potassium salts because hyperkalemia in patients receiving digoxin can be fatal.
Do I need a prescription to buy generic Digoxin (Lanoxin) in your online drug store?
No. You can buy Digoxin (Lanoxin) without a prescription!
