What medications should not be taken with digoxin?
Digoxin has many interactions, including:
- Erythromycin and tetracycline (antibiotics)
- Antiarrhythmic drugs (amiodarone)
- Calcium channel blockers.
- Over-the-counter antacids.
- Hawthorn (an herbal remedy)
- Black licorice.
- Large amounts of oatmeal, milk and high-fibre cereals.
Can you take digoxin and metoprolol together?
Using metoprolol together with digoxin may slow your heart rate and lead to increased side effects. Contact your doctor if you experience nausea, vomiting, decreased appetite, diarrhea, confusion, seizures, visual changes, fatigue, irregular heartbeats, and abnormally fast or slow heartbeats.
What medication increases risk of digoxin toxicity?
People with heart failure who take digoxin are commonly given medicines called diuretics. This drugs remove excess fluid from the body. Many diuretics can cause potassium loss. A low level of potassium in the body can increase the risk of digitalis toxicity.
Does amiodarone cause digoxin toxicity?
Summary: Digoxin and amiodarone are medications that are commonly used in patients with heart failure and/or atrial/ventricular arrhythmias. The coadministration of amiodarone and digoxin can increase the serum concentrations of digoxin and the risk for digoxin toxicity.
Which medicine does digoxin interact with?
Serious Interactions
- DIGITALIS GLYCOSIDES/QUINIDINE.
- DIGITALIS GLYCOSIDES/AMPHOTERICIN B.
- DIGOXIN, ORAL/MACROLIDE ANTIBIOTICS.
- DIGOXIN/PROPAFENONE;FLECAINIDE.
- DIGOXIN/CYCLOSPORINE.
- DIGOXIN/VERAPAMIL; MIBEFRADIL.
- DIGOXIN/HYDROXYCHLOROQUINE.
- DIGITALIS GLYCOSIDES/INTRAVENOUS CALCIUM PRODUCTS.
Which is better digoxin or metoprolol?
Lanoxin (digoxin) is effective at treating heart failure symptoms, but it doesn’t lower your risk of death compared to other heart failure medicines. Lowers blood pressure and controls heart rate. Toprol XL (metoprolol succinate) is good for controlling chest pain, treating heart failure, and heart attack.
Can you take digoxin with a beta blocker?
According to current guidelines, digoxin may be used as additive therapy with beta-blockers and/or ACE inhibitors/angiotensin receptor blockers (ACEIs/ARBs) in the management of CHF. Digoxin possesses negative chronotropic properties and has been shown to decrease morbidity in patients with AF.
Can you give amiodarone and digoxin together?
Digoxin in combination with amiodarone is used for the treatment of atrial fibrillation. Amiodarone increases due to P-glycoprotein inhibition the level of digoxin up to 100 per cents and hereby might increase the risk of digoxin toxicity.
Does amiodarone interact with digoxin?
Amiodarone increases the blood levels of digoxin (Lanoxin) when the two drugs are given together. It is recommended that the dose of digoxin be cut by 50% when amiodarone therapy is started. Flecainide (Tambocor) blood concentrations increase by more than 50% with amiodarone.
Can you take digoxin with dilTIAZem?
dilTIAZem digoxin You may need dose adjustments or special tests in order to safely take both medications together. This combination may increase digoxin levels. You should notify your doctor if you have symptoms of nausea, loss of appetite, visual changes, slow pulse, or irregular heartbeats.