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Re: Digoxin

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>(snip) What has been your experience with Digoxin and have

>you had your Digoxin levels checked.

> Dutch...

Dutch: My mother recently was hospitalized with digitalis toxicity. I

have found that it is very common (and by some estimates accounts for

1 of 10 hospital admissons of the elderly). Here is some information

from medicinenet.com ---

DRUG INTERACTIONS: There is little cushion between a therapeutically

beneficial level of digoxin and a toxic level of digoxin. Digoxin

toxicity is common, especially in patients with kidney dysfunction.

Digoxin toxicity can cause potentially life- threatening heart rhythm

disturbances, ranging from very slow to rapid ventricular rhythms. In

patients with existing disease of the electrical conduction of the

heart, digoxin can precipitate heart block and a seriously slow heart

rate.

Patients with low blood potassium levels can develop digoxin toxicity

even when digoxin levels are not considered elevated. Similarly, high

calcium and low magnesium blood levels can increase digoxin toxicity

and produce serious heart rhythm disturbances. Drugs such as

quinidine, verapamil (Calan), and amiodarone (Cordarone) can increase

digoxin levels and the risk of toxicity. The co-administration of

digoxin and beta blockers, such as Inderal, or calcium channel

blockers, such as Calan, can cause serious slowing of the heart rate.

H, Charlotte NC

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