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Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use.

Other medications can affect the removal of digoxin from your body, which may affect how digoxin works. Examples include amiodarone, azole antifungals (such as itraconazole, ketoconazole), cyclosporine, HIV medications (such as ritonavir, saquinavir), macrolide antibiotics (such as clarithromycin, erythromycin), propafenone, ranolazine, rifampin, St. John's wort, among others.

Check the labels on all your medicines (including cough-and-cold products, diet aids) because they may contain ingredients that could increase the side effects of this medication. Ask your pharmacist about using those products safely.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

OVERDOSE: If overdose is suspected, stop taking this medication and contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe nausea/vomiting/diarrhea, dizziness, fainting, very fast/slow/irregular heartbeat.

NOTES: Do not share this medication with others.

Laboratory and/or medical tests (such as digoxin levels, mineral levels in the blood, kidney function tests, electrocardiograms) should be performed periodically to monitor your progress or check for side effects.

Keep all regular medical and laboratory appointments. Learn how to check your pulse, and share the results with your doctor. Consult your doctor for more details.

MISSED DOSE: If you miss a dose, take it as soon as you remember if it is within 12 hours of your scheduled dose. If it is more than 12 hours after your scheduled dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up. If you miss more than 2 doses in a row, call your doctor to get a new dosing schedule.

STORAGE: Store at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

MEDICAL ALERT: Your condition can cause complications in a medical emergency. For information about enrolling in MedicAlert, call 1-800-854-1166 (USA) or 1-800-668-1507 (Canada).

Information last revised May 2010 Copyright(c) 2010 First DataBank, Inc.