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LANOXIN LIQUID

Active substance(s): DIGOXIN

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It is used to treat certain heart problems, such as:



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.

2. Before you take Lanoxin liquid
Do not take Lanoxin liquid if:
• you are allergic (hypersensitive) to digoxin, digitoxin or any of the other ingredients of Lanoxin
liquid (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 Lanoxin liquid.

DATE:
02/08/12

DATE:

Take special care with Lanoxin liquid
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 (hypercalcaemia)
• you have a heart problem caused by a lack of vitamin B, known as ‘Beri-Beri disease’
• 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.

ARTWORKER:

6464/2314B
CODE:

UK PIL DATED MAY 2011

PRE-PRESS NO.:

Lanoxin liquid
PRODUCT:

DATE OF PROOF:

Q.A.
APPROVED:
04-1957

CUSTOMER
APPROVED:

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.

This product is made for use in children or the elderly, but it may be used by others. If you are a parent,
guardian or carer please read ‘you’ or ‘your’ as either ‘your child’ or ‘the patient’ in the rest of this leaflet.

CUSTOMER: Waymade

DT



Taking Lanoxin liquid with other medicines can change how they work or how Lanoxin liquid works. Tell
your doctor or pharmacist if you are taking any of the following:
• 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)
• laxatives
• steroids
• anaesthetics
• the herbal remedy St John’s wort (Hypericum perforatum). This should not be taken, when taking
Lanoxin liquid. If you already take St John’s wort, speak to your doctor, as soon as possible,
before you stop taking St John’s wort.
If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking Lanoxin
liquid.
Taking Lanoxin liquid with food
Lanoxin liquid can be taken with most foods. However, you should avoid taking it with foods that are high in
fibre, also known as ‘roughage’, as the amount of Lanoxin 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 Lanoxin. If this happens, do not
drive or use any tools or machines.
Important information about some of the ingredients of Lanoxin liquid
This medicine contains sugar. If you have been told by your doctor that you have an intolerance to some
sugars, talk to your doctor before taking Lanoxin liquid.
3. How to take Lanoxin liquid
Always take Lanoxin liquid 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 Lanoxin liquid 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.

WARNING!

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BRIDGED TO
CRESTOR 6464/2069 2070

1. What Lanoxin liquid is and what it is used for
Lanoxin liquid 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 beats.

PROOF HISTORY:
v.1 - waymade - 02/08/12

Leaflet Flat Size = 148 x 432

In this leaflet:
1. What Lanoxin liquid is and what it is used for
2. Before you take Lanoxin liquid
3. How to take Lanoxin liquid
4. Possible side effects
5. How to store Lanoxin liquid
6. Further information

THE COLOURS SHOWN ON THIS PROOF ARE FOR GENERAL REPRESENTATION PURPOSES ONLY. THEY ARE NOT ACCURATE AND MUST NOT BE
USED AS A COLOUR MATCH FOR THE FINISHED JOB. PLEASE REFER TO THE PANTONE COLOUR GUIDES FOR ACCURATE COLOUR REFERENCES.

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, your child or the patient. 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.

WARNING!

27mm

WE CANNOT ACCEPT RESPONSIBILITY FOR ANY ERRORS IN THIS PROOF AFTER APPROVAL. THE ARTWORK RECEIVED HAS BEEN SIGNIFICANTLY
ADJUSTED, REVISED OR RESET BY US FROM DISK OR HARD COPY. WHILST WE TAKE EXTREME CARE AT ALL TIMES TO ENSURE ACCURACY, THE FINAL RESPONSIBILITY
MUST BE TAKEN BY OUR CUSTOMER. IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING FULL APPROVAL OF DESIGN AND TEXT.

LANOXIN® LIQUID
(digoxin)
Patient Information Leaflet

Stage 2 - maintenance dose
After your loading dose you will take a much smaller dose every day, until your doctor tells you to stop.

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Adults and children over 10 years
• loading dose
- Usually between 0.75 and 1.5 mg (15 and 30 ml) 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 (5 and 15 ml) may be given each day for a week.
Leaflet Flat Size = 148 x 432



maintenance dose
- Your doctor will decide this, depending on your response to Lanoxin liquid.
- It is usually between 0.125 and 0.25 mg (2.5 and 5 ml) daily.

Children under 10 years
• loading dose
- This is worked out using your child’s weight
- Usually between 0.025 and 0.045 mg (0.5 and 0.9 ml) per kg of body weight.
- This should be given in divided doses between 4 and 8 hours apart.

PROOF HISTORY:
v.1 - waymade - 02/08/12



maintenance dose
- The doctor will decide this, depending on your child’s response to Lanoxin liquid.
- It is usually a 1/5 (fifth) or a 1/4 (quarter) of the loading dose, to be taken daily.

If you use more Lanoxin liquid 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 Lanoxin liquid
• 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.

UK PIL DATED MAY 2011

02/08/12
DATE OF PROOF:
6464/2314B

DT

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 clearly
• weakness, tiredness or a general feeling of being unwell
• breast enlargement in men
• loss of appetite
• headache.

CODE:

04-1957

Uncommon (affects less than 1 in 100 people)
• depression.

Lanoxin liquid

ARTWORKER:

DATE:

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.

PRODUCT:

CUSTOMER: Waymade

PRE-PRESS NO.:

Q.A.
APPROVED:

Other side effects that you should tell your doctor about, include:

Lanoxin liquid can very rarely cause serious irregular heart rates. Your doctor may do regular checks to
make sure Lanoxin liquid is working safely for you.
If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your
doctor or pharmacist.









5. How to store Lanoxin liquid
Lanoxin liquid should not be stored above 25°C.
Do not use after the expiry date printed on the carton, carton label or bottle label. The expiry
date refers to the last day of that month.
KEEP OUT OF SIGHT AND REACH OF CHILDREN.
Keep the bottle in the package to protect from light.
Do not dilute.
If your doctor tells you to stop taking the liquid, please take it to the pharmacist for safe disposal.
Only keep the liquid if your doctor tells you to.
If the liquid become discoloured or show any other signs of deterioration, you should seek the
advice of your pharmacist before taking it.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist
how to dispose of medicines no longer required. These measures will help to protect the
environment.

6. Further information
Your medicine is called Lanoxin liquid. Each ml of yellow, lime-flavoured aqueous solution contains 50
micrograms of the active ingredient digoxin.
Lanoxin liquid also contains the following:
sodium phosphate dibasic, sucrose, methylhydroxybenzoate, citric acid, propylene glycol, ethanol, lime
flavour, quinoline yellow (E104) and purified water.
Lanoxin liquid is available as glass bottles containing 60ml of liquid.
POM

PL No: 6464/2314

This product is manufactured by Glaxo Wellcome GmbH & Co., Bad Oldesloe, Germany and procured
within the EU and repackaged by the Product Licence holder who is:
Waymade plc, Miles Gray Road, Basildon, Essex SS14 3FR
Leaflet revision and issue date (Ref.) 22.6.2012
Lanoxin is a registered trademark of the GlaxoSmithKline group of companies

WARNING!

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.

WE CANNOT ACCEPT RESPONSIBILITY FOR ANY ERRORS IN THIS PROOF AFTER APPROVAL. THE ARTWORK RECEIVED HAS BEEN SIGNIFICANTLY
ADJUSTED, REVISED OR RESET BY US FROM DISK OR HARD COPY. WHILST WE TAKE EXTREME CARE AT ALL TIMES TO ENSURE ACCURACY, THE FINAL RESPONSIBILITY
MUST BE TAKEN BY OUR CUSTOMER. IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING FULL APPROVAL OF DESIGN AND TEXT.

4. Possible side effects
Like all medicines, Lanoxin liquid 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.

DATE:

CUSTOMER
APPROVED:

If you stop using Lanoxin liquid
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 pharmacist.

THE COLOURS SHOWN ON THIS PROOF ARE FOR GENERAL REPRESENTATION PURPOSES ONLY. THEY ARE NOT ACCURATE AND MUST NOT BE
USED AS A COLOUR MATCH FOR THE FINISHED JOB. PLEASE REFER TO THE PANTONE COLOUR GUIDES FOR ACCURATE COLOUR REFERENCES.

Stage 1 - loading dose
The loading dose gets your Lanoxin liquid levels up to the correct level quickly. You will either:
- 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 maintenance dose.

WARNING!

Taking this medicine
• It is important that you take the right amount. You should measure your dose using the pipette, a
syringe or a measuring cup.
• It should be swallowed without mixing with any other liquids.
• You usually take this medicine in two stages:

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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.

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