Digoxin (say "dij-ock-sin") is a medicine used to treat certain heart problems like heart failure. Heart failure results when the heart can't pump blood well enough to supply the body's needs. If you have heart failure, digoxin can improve your heart's ability to pump blood. This will often improve symptoms such as shortness of breath.
Digoxin can also help people who have a rapid or irregular heartbeat. This can be caused by a heart problem called atrial fibrillation. Digoxin helps by slowing down and controlling the heart rate.
It may take several weeks to several months for digoxin to start working. Don't be surprised if you don't feel better right away. Keep taking your digoxin, even after you are feeling better. You may have to take digoxin the rest of your life. Call your doctor if you have any problems taking the medicine.
It's very important to take your digoxin exactly as your doctor tells you. Digoxin is usually taken once a day. You should try to take the drug at the same time every day. If you miss a dose, you can go ahead and take it if no more than 12 hours have passed from the time you should have taken it. If more than 12 hours have passed, skip that dose altogether. Don't double up on digoxin doses. Don't suddenly stop taking your digoxin because this could make your heart problems worse.
Some medicines and foods can decrease the amount of digoxin your body absorbs. These include the following:
Taking these medicines or eating high-fiber foods too close to the time you take your digoxin may mean that you'll have too little digoxin in your bloodstream to help your heart. For this reason, it is better to take digoxin on an empty stomach. Check with your doctor before taking any of the medicines listed above. If your doctor says it's okay to take these medicines, wait 2 hours between a dose of digoxin and a dose of these medicines.
Digoxin interacts with many other drugs too. You should always tell your doctor and your pharmacist about all the medicines you are taking, including any over-the-counter drugs, natural remedies and herbal medicines. Always talk to your doctor before you take any new medicines.
Most people can take digoxin without experiencing many side effects. However, you could have side effects, especially if you get too much digoxin. These side effects include the following:
It is important to pay attention to these side effects, because too much digoxin is dangerous. You should call your doctor right away if you experience any of these symptoms.
The digoxin dose needed to treat heart conditions is different for different people. Your doctor may do a blood test to make sure you have the right amount of digoxin in your body. This blood test has to be done at least 6 hours after your last dose of digoxin. Tell your doctor when you normally take your digoxin. Your doctor may want you to wait to take your dose. Or he or she may want to schedule your appointment so that you will have your blood drawn at the right time.
Call your doctor if you experience any of the side effects of digoxin listed previously.
If you have heart failure, the following symptoms may mean that you are not getting enough digoxin:
Call your doctor immediately if you have any of these symptoms.
If you have atrial fibrillation, the following symptoms may mean that you are not getting enough digoxin:
If you develop any of these symptoms, call your doctor immediately.
Written by familydoctor.org editorial staff