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Cardiac arrhythmiassee WARNINGS AND PRECAUTIONSDigoxin Toxicitysee WARNINGS AND PRECAUTIONS

Take this medication by mouth with or without foodusually once daily or as directed by your doctorIf you are using the liquid form of this medicationcarefully measure the dose using the dropper provided by the manufacturerDo not use a household spoon because you may not get the correct dose.

Other drugs may interact with digoxinincluding prescription and over-the-counter medicinesvitaminsand herbal productsTell each of your health care providers about all medicines you use now and any medicine you start or stop using while you are taking Lanoxin.

ClinicalAdvisor.com is for nurse practitioners and physician assistantsoffering the latest information on diagnosingtreatingmanagingand preventing medical conditions typically seen in the office-based primary-care setting.

The earliest and most frequent manifestation of digoxin toxicity in infants and children is the appearance of cardiac arrhythmiasincluding sinus bradycardiaIn childrenthe use of digoxin may produce any arrhythmiaThe most common are conduction disturbances or supraventricular tachyarrhythmiassuch as atrial tachycardiawith or without blockand junctionalnodaltachycardiaVentricular arrhythmias are less commonSinus bradycardia may be a sign of impending digoxin intoxicationespecially in infantseven in the absence of first-degree heart blockAny arrhythmias or alteration in cardiac conduction that develops in a child taking digoxin should initially be assumed to be a consequence of digoxin intoxication.

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be sure to mention any of the following certain antibiotics, including ampicillin principen , anticoagulants blood thinners such as warfarin coumadin , atazanavir reyataz , digoxin lanoxin , diuretics water pills , iron supplements, ketoconazole nizoral , methotrexate rheumatrex, trexall , tacrolimus prograf , and theophylline theo-bid, theodur .

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