DIGOXIN 250 MICROGRAMS TABLETS
Active substance(s): DIGOXIN / DIGOXIN / DIGOXIN
Digoxin 250 micrograms Tablets
Patient Information Leaflet
Read all of this leaflet carefully before you start using this medicine.
* Keep this leaflet. You may need to read it again.
* If you have any further questions, ask your doctor or pharmacist.
* This medicine has been prescribed for you. Do not pass it on to others. It
may harm them, even if their symptoms are the same.
* If any of the side effects gets serious, or if you notice any side effects not
listed in this leaflet, please tell your doctor or pharmacist.
Your medicine is called Digoxin 250 micrograms Tablets but will be referred
to as Digoxin throughout the rest of this leaflet.
In this leaflet:
1 What Digoxin is and what it is used for
2 Before you take Digoxin
3 How to take Digoxin
4 Possible side effects
5 How to store Digoxin
6 Further information
What Digoxin is and what it is used for
Digoxin contains a medicine called digoxin.
This belongs to a group of medicines called ‘cardiac glycosides’. They work
by slowing down the rate while increasing the force of your heart when it
It is used to treat certain heart problems, such as:
* heart failure
This is when your heart muscle can’t pump strongly enough to supply blood
around your whole body. It is not the same as a heart attack and does not
mean that your heart stops.
* certain types of irregular heart beats
These include ‘atrial flutter’ or ‘fibrillation’. They are caused by problems in
the way the upper chambers of your heart send electrical signals. They
cause your heart to beat too fast or in an uneven way.
Before you take Digoxin
Do not take Digoxin if:
* you are allergic (hypersensitive) to digoxin, digitoxin or any of the other
ingredients of Digoxin (listed in Section 6)
* you have been told that you have any of the following heart problems:
-- ‘Second degree’ or ‘intermittent complete heart block’
-- Certain types of ‘supraventricular arrhythmias’
-- ‘Ventricular tachycardia’ or ‘Ventricular fibrillation’
-- ‘Hypertrophic obstructive cardiomyopathy’
Your doctor should have checked your heart problem and decided that this
medicine will help you. If you are not sure, talk to your doctor or pharmacist
before taking Digoxin.
Take special care with Digoxin
Check with your doctor or pharmacist before using your medicine if:
* you have recently had a heart attack (myocardial infarction)
* you have been told that you have low potassium or magnesium levels in
your blood (hypokalaemia or hypomagnesaemia)
* you have been told that you have high calcium levels in your blood
* you have a heart problem caused by a lack of vitamin B, known as
* you have kidney problems
* you have a lung problem
* you have thyroid problems
* you have digestion problems.
If you are not sure if any of the above apply to you, talk to your doctor or
pharmacist before taking this medicine. Your doctor may change your dose
or you may need a different medicine.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken
any other medicines. This includes medicines obtained without a prescription
and herbal products.
In particular tell your doctor or pharmacist if:
* you have taken either digoxin or digitoxin in the last 2 weeks. Your doctor
may need to change your dose.
Taking Digoxin with other medicines can change how they work or how
Digoxin works. Tell your doctor or pharmacist if you are taking any of the
* medicines for stomach problems, including indigestion, diarrhoea and
being sick (vomiting)
* medicines for heart problems, including high blood pressure (hypertension)
and irregular heart beat (arrhythmia)
* medicines for breathing problems, like asthma
* medicines for cancer
* medicines for epilepsy
* medicines for anxiety or depression
* medicines for bacterial infections (antibiotics)
* medicines for fungal infections (antifungals)
* medicines for high cholesterol
* medicines for preventing organ transplant rejection
* medicines for problems with your immune system
* medicines for preventing blood clots during kidney dialysis
* water tablets (diuretics)
* the herbal remedy St John’s wort (Hypericum perforatum). This should not
be taken, when taking Digoxin. If you already take St John’s wort,
speak to your doctor, as soon as possible, before you stop taking St
If you are not sure if any of the above applies to you, talk to your doctor or
pharmacist before taking Digoxin.
Taking Digoxin with food
Digoxin can be taken with most foods. However, you should avoid taking it
with foods that are high in fibre (e.g. brown bread, cereals, fruit, vegetables
and pulses), also known as ‘roughage’, as the amount of Digoxin absorbed
into the body may be reduced.
Pregnancy and breast-feeding
Talk to your doctor before taking this medicine if you are pregnant, might
become pregnant or are breast-feeding.
Driving and using machines
You may feel dizzy, tired, have a headache or get blurred vision while taking
Digoxin. If this happens, do not drive or use any tools or machines.
Important information about some of the ingredients of Digoxin
This medicine contains lactose. If you have been told by your doctor that you
have an intolerance to some sugars, talk to your doctor before taking
How to take Digoxin
Always take Digoxin exactly as your doctor has told you. You should check
with your doctor or pharmacist if you are not sure.
Your doctor will have decided how much Digoxin is right for you:
* It depends on what heart problem you have and how serious it is.
* It also depends on your age, weight and how well your kidneys work.
* Your dose may go up or down depending on how you respond to the
medicine. Your doctor will do checks to see how well the medicine is
working. These may involve blood and urine tests.
Taking this medicine
* Tablets should be swallowed whole.
* You usually take this medicine in two stages:
Stage 1 - loading dose
The loading dose gets your Digoxin levels up to the correct level quickly. You
-- take one large single dose and then begin your maintenance dose or
-- take a smaller dose each day for a week and then begin your
Digoxin 250 micrograms Tablets
Patient Information Leaflet (continued)
Stage 2 - maintenance dose
After your loading dose you will take a much smaller dose every day, until
your doctor tells you to stop.
Adults and children over 10 years
* loading dose
-- Usually between 0.75 and 1.5 mg (3 and 6 tablets) as a single dose.
-- For some patients, this may be given in divided doses 6 hours apart.
-- Alternatively, between 0.25 and 0.75 mg (1 and 3 tablets) may be given
each day for a week.
* maintenance dose
-- Your doctor will decide this, depending on your response to Digoxin.
-- It is usually between 0.125 and 0.25 mg daily.
-- You may take a lower strength tablet for the maintenance dose.
Children under 10 years
-- This is worked out using your child’s weight
-- Usually between 0.025 and 0.045 mg per kg of body weight.
-- This should be given in divided doses between 4 and 8 hours apart.
* maintenance dose
-- The doctor will decide this, depending on your child’s response to
-- It is usually a 1/5 (fifth) or a 1/4 (quarter) of the loading dose, to be
If you use more Digoxin than you should
If you take too much or if somebody else takes your medicine by mistake,
go to the hospital immediately. You may get any of the side effects
and symptoms listed in Section 4, but these can be serious.
If you forget to use Digoxin
* If you forget to take a dose, take it as soon as you remember. However, if
it is almost time for the next dose, skip the missed dose.
* Do not take a double dose to make up for the one that you missed.
If you stop using Digoxin
Do not stop taking this medicine, as your heart problem may get worse. Talk
to your doctor if you want to stop.
If you have any further questions on taking this medicine, ask your doctor or
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse.
This includes any possible side effects not listed in this leaflet. You
can also report side effects directly via the Yellow Card Scheme at:
By reporting side effects you can help provide more information on
the safety of this medicine.
How to store Digoxin
KEEP OUT OF THE SIGHT AND REACH OF CHILDREN.
Do not store above 25°C.
Store in the original package in order to protect from moisture.
Do not take Digoxin after the expiry date, which is stated on the blister label
or carton. The expiry date refers to the last day of that month
If your medicine becomes discoloured or show any other signs of
deterioration, ask your pharmacist who will advise you what to do.
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines that are no longer
required. These measures will help to protect the environment.
What Digoxin contains:
Each tablet contains digoxin 250 micrograms.
The other ingredients are lactose, corn starch, rice starch,
corn starch hydrolysed and magnesium stearate.
What Digoxin looks like and contents of the pack
Digoxin are white, circular tablets with DO25 debossed on one side of the
score line and plain on the reverse.
Each pack contains 30 tablets.
Manufacturer and Licence Holder
Manufactured by Aspen Bad Oldesloe GmbH, Industriestrasse 32-36,
D23843 Bad Oldesloe, Germany and is procured from within the EU and
repackaged by the Product Licence Holder: Lexon (UK) Limited, Unit 18,
Oxleasow Road, East Moons Moat, Redditch, Worcestershire, B98 0RE.
If you have any questions or are not sure about anything, ask your doctor or
pharmacist. They will have additional information about this medicine and
will be able to advise you.
Digoxin 250 micrograms Tablets
Possible side effects
Like all medicines, Digoxin can cause side effects, although not
everybody gets them. In general, the side effects tend to happen if the dose
you are taking is too high, your doctor may adjust your dose.
Tell your doctor immediately if:
* you have palpitations, chest pain, shortness of breath or sweating.
These can be symptoms of a serious heart problem caused by new irregular
heart beats. If these happen, tell your doctor immediately.
Other side effects that you should tell your doctor about, include:
Common (affects less than 1 in 10 people)
* slow or irregular heart rate
* feeling sick, being sick or diarrhoea
* skin rash that may be itchy
* drowsiness or dizziness
* visual disturbances, with blurred or yellow-green sight.
Uncommon (affects less than 1 in 100 people)
Very Rare (affects less than 1 in 10,000 people)
* bruising or bleeding more easily than normal
* stomach pain caused by lack of blood supply or damage to your intestines
* mental disturbances, you may feel confused, indifferent or unable to judge
* weakness, tiredness or a general feeling of being unwell
* breast enlargement in men
* loss of appetite
Digoxin can very rarely cause serious irregular heart rates. Your doctor may
do regular checks to make sure Digoxin is working safely for you.
Revision date: 16/02/16
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Phone Lexon (UK) Limited, Tel: 01527 505414
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.