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Tell your doctor and pharmacist what prescription and nonprescription medications you are taking especially anticoagulants blood thinners such as warfarin coumadin , arthritis medications, aspirin, cyclosporine neoral, sandimmune , digoxin lanoxin , diuretics water pills , ephedrine, estrogen premarin , ketoconazole nizoral , oral contraceptives, phenobarbital, phenytoin dilantin , rifampin rifadin , theophylline theo-dur , and vitamins.
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Newborn infants display considerable variability in their tolerance to digoxinPremature and immature infants salep bactroban. are particularly sensitive to the effects of digoxinand the dosage of the drug must not only be reduced but must be individualized according to their degree of maturity.
Digoxin may be taken with or without foodDigoxin primarily is eliminated by the kidneysthereforethe dose of digoxin should be reduced in patients with kidney dysfunctionDigoxin blood levels are used for adjusting doses in order to avoid toxicityThe usual starting dose is 0.0625-0.25 mg daily depending on age and kidney functionThe dose may be increased every two weeks to achieve the desired responseThe usual maintenance dose is 0.125 to 0.5 mg per day.
If there is suspicion of toxicitydigoxin should be discontinued and the patient viagra cialis canadian pharmacy. placed on a cardiac monitorContributing factors such as electrolyte abnormalitiesthyroid dysfunctionand concomitant medications should be correctedsee DOSAGE AND ADMINISTRATIONHypokalemia should be corrected by administering potassium so that serum potassium is maintained between 4.0 and 5.5 mmol/LPotassium is usually administered orallybut when correction of the arrhythmia is urgent and serum potassium concentration is lowpotassium may be administered cautiously by the intravenous routeThe electrocardiogram should be monitored for any evidence of potassium toxicitye.gpeaking of T wavesand to observe the effect on the arrhythmiaPotassium salts should be avoided in patients with bradycardia or heart blockSymptomatic arrhythmias may be treated with Digoxin Immune Fab.
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