What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:
-Certain heart rhythm disorders
-Heart disease or recent heart attack
-Kidney or liver disease
-An unusual or allergic reaction to digoxin, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding
What may interact with this medication?
-Activated charcoal
-Albuterol
-Alprazolam
-Antacids
-Antiviral medications for HIV or AIDS, such as ritonavir and saquinavir
-Calcium
-Certain antibiotics, such as azithromycin, clarithromycin, erythromycin, gentamicin, neomycin, trimethoprim, and tetracycline
-Certain medications for blood pressure, heart disease, irregular heartbeat
-Certain medications for cancer
-Certain medications for cholesterol, such as atorvastatin, cholestyramine, and colestipol
-Certain medications for diabetes, such as acarbose, exenatide, miglitol, and metformin
-Certain medications for fungal infections, such as ketoconazole and itraconazole
-Certain medications for stomach problems, such as omeprazole, esomeprazole, lansoprazole, rabeprazole, metoclopramide, and sucralfate
-Conivaptan
-Cyclosporine
-Diphenoxylate
-Epinephrine
-Kaolin; pectin
-Nefazodone
-NSAIDS, medications for pain and inflammation, such as celecoxib, ibuprofen, or naproxen
-Penicillamine
-Phenytoin
-Propantheline
-Quinine
-Phenytoin
-Rifampin
-Succinylcholine
-St. John's Wort
-Sulfasalazine
-Teriparatide
-Thyroid hormones
-Tolvaptan
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medication?
Visit your care team for regular checks on your progress. Do not stop taking this medication without the advice of your care team, even if you feel better. Do not change the brand you are taking, other brands may affect you differently.
Check your heart rate and blood pressure regularly while you are taking this medication. Know what your heart rate and blood pressure should be and when to contact your care team. Your care team also may schedule regular blood tests and electrocardiograms to check your progress.
Watch your diet. Less digoxin may be absorbed from the stomach if you have a diet high in bran fiber.
Do not treat yourself for coughs, colds, or allergies without asking your care team for advice. Some ingredients can increase possible side effects.