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Precautions

Do NOT use Lanoxin if:

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• you are allergic to your ingredient in Lanoxin and other digitalis medicines

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• you might have beriberi heart disease

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• you've got some types of heart rhythm problems, like ventricular fibrillation.

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Contact a medical expert or physician without delay if all of these connect with you.

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Some health conditions may connect to Lanoxin. Tell your doctor or pharmacist in case you have any health conditions, especially if any of the following affect you:

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• if you happen to be pregnant, planning to become pregnant, or are breast-feeding

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• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• for those who have allergies to medicines, foods, or other substances

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• in case you have severe heart failure, inflammation of the center, coronary heart, cardiac event, heart block, extra heart beats (PVCs), certain abnormal heart rhythms, or fainting as a result of heart problem

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• when you have low blood numbers of calcium, magnesium, or potassium, or high blood amounts of potassium or calcium.

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Some medicines may interact with Lanoxin. Tell your doctor if you are taking another medicines, especially any with 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 because they might increase the chance of Lanoxin's unwanted side effects, especially on the guts

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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 Lanoxin's effectiveness

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• Oral aminoglycosides (eg, neomycin) because those things and negative effects of Lanoxin could be increased or decreased

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• Spironolactone given it may interfere with certain diagnostic tests for digoxin blood levels and present false readings.

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This might not be a complete list of all interactions that could occur. Ask your doctor if Lanoxin may communicate with other medicines which you take. Check with your medical provider prior to starting, stop, or change the dose associated with a medicine.

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• Lanoxin may cause dizziness or blurred vision. These effects might be worse if you go with alcohol or certain medicines. Use Lanoxin with caution. Do not drive or perform other possible unsafe tasks until you recognize how you reply to it.

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• Tell a medical expert or dentist that you just take Lanoxin before you receive any medical or dental hygiene, emergency care, or surgery.

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• Lab tests, including electrocardiogram (ECG), electrolytes, and blood digoxin levels, could be performed when you use Lanoxin. These tests may be used to monitor your complaint or check for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Lanoxin with caution inside the elderly; they could be more responsive to its effects.

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• Poisoning may appear in children who accidently swallow Lanoxin or receive too much medicine. In case of an overdose, call a physician or poison control center straight away.

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• Pregnancy and breast-feeding: If you become pregnant, get hold of your doctor. You will need to discuss the advantages and risks of employing Lanoxin while you are pregnant. Lanoxin is situated in breast milk. If you are or will probably be breast-feeding as you use Lanoxin, check along with your doctor. Discuss any possible risks for a baby.

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