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Precautions

Do NOT use Digoxin if:

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• you might have certain kinds of heart rhythm problems, like ventricular fibrillation.

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Contact your doctor or health care provider immediately if all of these affect you.

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Some medical conditions may talk with Digoxin. Tell your physician or pharmacist for those who have any health concerns, particularly when any from the following connect with you:

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• if you are pregnant, likely to become pregnant, or are breast-feeding

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• if you happen to be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• in case you have allergies to medicines, foods, or another substances

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• in case you have severe heart failure, inflammation of the center, heart disease, heart attack, heart block, extra heart beats (PVCs), certain abnormal heart rhythms, or fainting due to a heart problem

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• for those who have low blood numbers of calcium, magnesium, or potassium, or high blood numbers of potassium or calcium.

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Some medicines may interact with Digoxin. Tell your doctor if you are taking some other medicines, especially any from the following:

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• 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 given that they could raise the chance of Digoxin's side effects, especially on one's heart

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• Acarbose, certain anticancer medicines, cholestyramine, colestipol, kaolin-pectin, metoclopramide, penicillamine, rifampin, sulfasalazine, or thyroid hormones (eg, levothyroxine) because they may decrease Digoxin's effectiveness

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• Oral aminoglycosides (eg, neomycin) because the action and negative effects of Digoxin could possibly be increased or decreased

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• Spironolactone as it may interfere with certain lab tests for digoxin blood levels and give false readings.

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This is probably not a total report on all interactions that will occur. Ask your doctor if Digoxin may talk with other medicines that you simply take. Check with your health care provider prior to starting, stop, or change the dose of the medicine.

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Important safety information:

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• Digoxin may cause dizziness or blurred vision. These effects could possibly be worse if you take it with alcohol or certain medicines. Use Digoxin with caution. Do not drive or perform other possible unsafe tasks before you discover how you react to it.

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• Tell your doctor or dentist that you take Digoxin before you decide to get any medical or dentistry, emergency care, or surgery.

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• Lab tests, including electrocardiogram (ECG), electrolytes, and blood digoxin levels, could possibly be performed while you use Digoxin. These tests could be used to monitor your trouble or check for side effects. Be sure to keep all doctor and lab appointments.

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• Use Digoxin with caution inside elderly; they might be more sensitive to its effects.

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• Use Digoxin with warning in infants who are premature or immature; they could possibly be more responsive to its effects.

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• Poisoning may occur in children who accidently swallow Digoxin or receive an excessive amount of medicine. In case of an overdose, call a doctor or poison control center immediately.

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• Pregnancy and breast-feeding: If you conceive, contact your doctor. You will need to discuss the benefits and perils associated with using Digoxin while you might be pregnant. Digoxin is found in breast milk. If you happen to be or is going to be breast-feeding as you use Digoxin, check using your doctor. Discuss any possible risks for a baby.

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