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Precautions

Do NOT use Digoxin if:

• you happen to be allergic to any ingredient in Digoxin or other digitalis medicines
• you have beriberi heart disease
• you've some kinds of heart rhythm problems, such as ventricular fibrillation.

Contact your physician or physician straight away if any of these affect you.

Some health conditions may connect to Digoxin. Tell your physician or pharmacist for those who have any medical ailments, particularly when any of the following sign up for you:

• if you are pregnant, about to become pregnant, or are breast-feeding
• if you happen to be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or another substances
• if you have severe heart failure, inflammation of one's heart, coronary heart, heart attack, heart block, extra heart beats (PVCs), certain abnormal heart rhythms, or fainting as a result of heart problem
• when you have severe kidney, liver, or lung problems, or even a thyroid problem
• in case you have low blood amounts of calcium, magnesium, or potassium, or high blood levels of potassium or calcium.

Some medicines may talk with Digoxin. Tell your medical provider if you're taking another medicines, especially any in the following:

• Amiodarone, amphotericin B, anticholinergics (eg, propantheline), beta-blockers (eg, propranolol), bupivacaine, calcium, certain stimulants (eg, albuterol, amphetamine, pseudoephedrine), cyclosporine, diltiazem, diphenoxylate, diuretics (eg, hydrochlorothiazide, furosemide), indomethacin, itraconazole, macrolides (eg, erythromycin), propafenone, quinidine, quinine, spironolactone, succinylcholine, tetracyclines (eg, doxycycline), thioamines (eg, methimazole), or verapamil because they may increase the chance of Digoxin's side effects, especially on the guts
• Acarbose, certain anticancer medicines, cholestyramine, colestipol, kaolin-pectin, metoclopramide, penicillamine, rifampin, sulfasalazine, or thyroid hormones (eg, levothyroxine) because they may decrease Digoxin's effectiveness
• Oral aminoglycosides (eg, neomycin) because the action and negative effects of Digoxin could possibly be increased or decreased
• Spironolactone given it may interfere with certain lab tests for digoxin blood levels and give false readings.

This might not be a total set of all interactions that could occur. Ask your medical provider if Digoxin may connect to other medicines that you take. Check with your doctor prior to starting, stop, or change the dose of the medicine.

Important safety information:

• Digoxin could potentially cause dizziness or blurred vision. These effects might be worse if you go on it with alcohol or certain medicines. Use Digoxin with caution. Do not drive or perform other possible unsafe tasks and soon you discover how you respond to it.
• Tell a medical expert or dentist that you simply take Digoxin before you decide to have any medical or dental hygiene, emergency care, or surgery.
• Lab tests, including electrocardiogram (ECG), electrolytes, and blood digoxin levels, could be performed when you use Digoxin. These tests could possibly be used to monitor your trouble or check for side effects. Be sure to keep all doctor and lab appointments.
• Use Digoxin with caution inside the elderly; they might be more sensitive to its effects.
• Use Digoxin with extreme caution in infants who are premature or immature; they might be more sensitive to its effects.
• Poisoning may happen in children who accidently swallow Digoxin or receive excessive medicine. In case of an overdose, call your doctor or poison control center without delay.
• Pregnancy and breast-feeding: If you conceive, get hold of your doctor. You will need to discuss the benefits and perils associated with using Digoxin while you happen to be pregnant. Digoxin is found in breast milk. If you might be or will probably be breast-feeding as you use Digoxin, check together with your doctor. Discuss any possible risks for your baby.