What medication is contraindicated with digoxin?
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What medication is contraindicated with digoxin?
Digoxin has many interactions, including:
- Erythromycin and tetracycline (antibiotics)
- Antiarrhythmic drugs (amiodarone)
- Calcium channel blockers.
- Over-the-counter antacids.
- Hawthorn (an herbal remedy)
- Black licorice.
- Large amounts of oatmeal, milk and high-fibre cereals.
What are 2 contraindications for the use of digoxin?
Digoxin is contraindicated in the following conditions[5]:
- Acute myocardial infarction.
- Hypersensitivity to the drug.
- Ventricular fibrillation.
- Myocarditis.
- Hypomagnesemia.
- Hypokalemia.
- Wolf-Parkinson-White syndrome.
Is digoxin contraindicated with aspirin?
aspirin digoxin You may need dose adjustments or special tests in order to safely take both medications together. This combination may increase digoxin levels. You should notify your doctor if you have symptoms of nausea, loss of appetite, visual changes, slow pulse, or irregular heartbeats.
What should a nurse check before giving digoxin?
A nurse should assess the apical pulse for a full minute before administering digoxin due to its positive inotropic action (it increases contractility, stroke volume, and, thus, cardiac output), negative chronotropic action (it decreases heart rate), and negative dromotropic action (it decreases electrical conduction …
What are nursing considerations for digoxin?
Nursing Considerations Across the Lifespan Serum digoxin levels should be monitored, with a normal therapeutic range from 0.8 to 2 ng/mL. Serum potassium levels should also be closely monitored for patients on digoxin because hypokalemia increases the effect of digoxin and can result in digoxin toxicity.
Can you give digoxin with hyperkalemia?
Because digoxin binds to the K+ site of the Na+/K+-ATPase pump, low serum potassium levels increase the risk of digoxin toxicity. Conversely, hyperkalemia diminishes digoxin’s effectiveness.
Can you give digoxin with high potassium?
Pathophysiology – Digoxin Toxicity Digoxin toxicity causes hyperkalemia, or high potassium. The sodium/potassium ATPase pump normally causes sodium to leave cells and potassium to enter cells. Blocking this mechanism results in higher serum potassium levels.
Does digoxin interact with metoprolol?
metoprolol digoxin Using metoprolol together with digoxin may slow your heart rate and lead to increased side effects. Contact your doctor if you experience nausea, vomiting, decreased appetite, diarrhea, confusion, seizures, visual changes, fatigue, irregular heartbeats, and abnormally fast or slow heartbeats.
Can you take ibuprofen and digoxin together?
ibuprofen digoxin You may need dose adjustments or special tests in order to safely take both medications together. This combination may increase digoxin levels. You should notify your doctor if you have symptoms of nausea, loss of appetite, visual changes, slow pulse, or irregular heartbeats.
Can you give digoxin with low blood pressure?
Use of digoxin as a treatment for HFrEF lacks new data; most of its use in modern HFrEF management focuses on its role as a rate control agent for atrial fibrillation (AF) in those with low blood pressure.
Can digoxin be given in hypokalemia?
In states of hypokalemia, or low potassium, digoxin toxicity is actually worsened because digoxin normally binds to the ATPase pump on the same site as potassium. When potassium levels are low, digoxin can more easily bind to the ATPase pump, exerting the inhibitory effects.
Can digoxin be given with beta-blockers?
According to current guidelines, digoxin may be used as additive therapy with beta-blockers and/or ACE inhibitors/angiotensin receptor blockers (ACEIs/ARBs) in the management of CHF. Digoxin possesses negative chronotropic properties and has been shown to decrease morbidity in patients with AF.
Can you take atenolol and digoxin together?
In light of this and similar studies, we concluded that preoperative digoxin and atenolol combination can be safely used in our patient population.
What painkillers can I take with digoxin?
If you need to buy a painkiller it’s fine to take paracetamol or co-codamol with digoxin. But you should avoid taking anti-inflammatories like aspirin, ibuprofen or naproxen unless these have been prescribed by your doctor.
Can I take paracetamol with digoxin?
Interactions between your drugs No interactions were found between digoxin and Paracetamol. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
