when not to give digoxin

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https://www.drugs.com/digoxin.html

Digoxin Uses, Dosage & Side Effects – Drugs.com
https://www.drugs.com/digoxin.html
You should not use digoxin if you are allergic to it, or if you have ventricular fibrillation (a heart rhythm disorder of the ventricles, or lower chambers of the heart that allow blood to flow out of the heart). To make sure digoxin is safe for you, tell your doctor if you have ever had:

https://pubmed.ncbi.nlm.nih.gov/9205847/

When, and when not, to use digoxin in the elderly
https://pubmed.ncbi.nlm.nih.gov/9205847/
A beta-blocker or calcium antagonist (either alone or in combination with digoxin) is indicated when digoxin is ineffective for ventricular rate control. Digoxin is ineffective in restoring sinus rhythm, preventing paroxysms or controlling rate in paroxysmal AF. The elderly are at an increased risk of digoxin toxicity.

https://www.drugs.com/tips/digoxin-patient-tips

Digoxin: 7 things you should know – Drugs.com
https://www.drugs.com/tips/digoxin-patient-tips
Taking digoxin does not appear to increase or decrease a person’s risk of death. Effects may be better when used in combination with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor. There is an increased risk of ventricular arrhythmias developing in patients taking digoxin during electrical cardioversion.

https://pubmed.ncbi.nlm.nih.gov/11763991/

Morning-evening administration time differences in digoxin …
https://pubmed.ncbi.nlm.nih.gov/11763991/
Digoxin, frequently used in the treatment of congestive heart failure, has a very narrow therapeutic index. We studied the differences in digoxin pharmacokinetics when ingested in the morning versus evening. A single digoxin (0.25 mg) dose was given orally to the same group of 10 diurnally active he …

https://www.goodrx.com/blog/5-reasons-you-shouldnt-take-digoxin-any-more/

5 Reasons You Shouldn’t Take Digoxin Any More – GoodRx
https://www.goodrx.com/blog/5-reasons-you-shouldnt-take-digoxin-any-more/
New recommendations suggest limiting the use of digoxin for atrial fibrillation to only patients in whom beta blockers and calcium channel blockers have not achieved rate control and who are not considered candidates for other procedures to treat atrial fib (ablation or surgical Maze procedure).

https://www.healthline.com/health/digoxin-oral-tablet

Digoxin: Side Effects, Warning, Uses, and More
https://www.healthline.com/health/digoxin-oral-tablet
For people with preserved left ventricular systolic function: If you have this type of heart failure, you should not use digoxin. It may increase your risk of side effects, such as chest pain and…

https://www.webmd.com/drugs/2/drug-4358/digoxin-oral/details

Digoxin Oral: Uses, Side Effects, Interactions, Pictures …
https://www.webmd.com/drugs/2/drug-4358/digoxin-oral/details
Do not use a household spoon because you may not get the correct dose. Your body may not absorb this drug as well if you also eat foods that are high in fiber or if you take certain medications….

https://www.rnpedia.com/nursing-notes/pharmacology-drug-study-notes/digoxin/

digoxin Nursing Considerations & Management – RNpedia
https://www.rnpedia.com/nursing-notes/pharmacology-drug-study-notes/digoxin/
Do not start taking any prescription or over-the-counter products without talking to your health care provider. Some combinations may increase the risk of digoxin toxicity and may put you at risk of adverse reactions. Wear or carry a medical alert tag stating that you are on this drug.

https://allnurses.com/would-hold-digoxin-low-bp-t645150/

Would you hold digoxin for a low BP? – CCU / Coronary …
https://allnurses.com/would-hold-digoxin-low-bp-t645150/
The point of heart rate control with Digoxin as opposed to other medications is that it has very little effect on blood pressure. So, hypotension would not be an absolute contraindication to administering Digoxin. Second point of contention- your patient’s baseline SBP is 90. So the fact that it is now 85 is not a huge deviation for them.

https://www.medindia.net/drugs/drug-food-interactions/digoxin.htm

Digoxin Interaction with Food, Herbs and Alcohol
https://www.medindia.net/drugs/drug-food-interactions/digoxin.htm
Digoxin is available in the forms of a tablet, capsule and pediatric elixir. It is usually taken once in a day. You should not change the brand of digoxin as different brands have a different …