Product image of Lanicor Ampullen (Digoxin) supplied by GNH India

Lanicor Ampullen

Active Ingredient:
Digoxin
Origin:
EU

Lanicor Ampullen (Digoxin)

Digoxin, the active ingredient in Lanicor Ampullen, is a cardiac glycoside presented as an injectable ampoule for intravenous use. It is employed in the management of heart failure and certain atrial arrhythmias, such as atrial fibrillation and atrial flutter, by improving cardiac contractility and modulating conduction.

GNH India supplies Lanicor Ampullen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and healthcare institutions worldwide, with robust quality assurance and regulatory compliance to meet global market requirements, including cold‑chain logistics for injectable products.

Manufacturer / TM Owner

Teofarma S.R.L.

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Indications & Clinical Uses

Digoxin is used in cardiac conditions where modulation of contractility and conduction is required.

  • Heart failure: improves ventricular contractility and reduces symptoms of congestion.
  • Atrial fibrillation: provides rate control by slowing atrioventricular nodal conduction.
  • Atrial flutter: assists in ventricular rate control during flutter episodes.

How It Works

  • Digoxin binds to the extracellular domain of the Na⁺/K⁺‑ATPase pump on cardiac myocytes, inhibiting its activity. This inhibition raises intracellular sodium, which indirectly increases intracellular calcium via the Na⁺/Ca²⁺ exchanger. The elevated calcium enhances contractile force (positive inotropy) and also augments vagal tone, leading to slowed atrioventricular nodal conduction. The net effect is a modest increase in cardiac output and a reduction in heart rate, particularly useful in patients with reduced ejection fraction.

Side Effects

Digoxin may cause a range of adverse reactions, varying from mild to potentially life‑threatening.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Visual disturbances: blurred vision or color halos.
  • Fatigue: feeling of tiredness or weakness.
  • Dizziness: light‑headed sensation.

Serious or Rare Side Effects

  • Cardiac arrhythmias: potentially dangerous rhythm disturbances.
  • Severe bradycardia or heart block: marked slowing of heart rate.
  • Hyperkalemia: elevated blood potassium levels.
  • Allergic reactions: rash, itching, or anaphylaxis.

Precautions & Warnings

When using Digoxin, several precautions should be observed to minimize toxicity and ensure safe therapy.

  • Dose adjustment: tailor the dose to renal function and age to avoid accumulation.
  • Therapeutic monitoring: measure serum digoxin concentrations and electrolytes regularly.
  • Electrolyte balance: correct hypokalemia, hypomagnesemia, and hypercalcemia before treatment.
  • Cardiac monitoring: observe for new arrhythmias, especially in patients with pre‑existing conduction disorders.
  • Contraindications: avoid use in patients with ventricular fibrillation or severe digitalis toxicity.
  • Store at ambient temperature: keep ampoules in the original packaging, protect from light and moisture, and do not freeze.

Avoid Interactions

Digoxin’s pharmacokinetics and electrophysiologic effects can be altered by several concomitant medicines.

Major Interactions (Avoid)

  • Amiodarone: markedly increases digoxin levels, raising toxicity risk.
  • Quinidine: potentiates digoxin’s effect on cardiac conduction, leading to arrhythmias.
  • Spironolactone: may elevate serum digoxin concentrations through reduced renal clearance.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: additive bradycardic effect, requiring heart‑rate monitoring.
  • Diuretics (e.g., furosemide): can cause electrolyte disturbances that predispose to digoxin toxicity.
  • Calcium channel blockers (e.g., verapamil): may increase digoxin levels modestly; monitor serum concentrations.

Frequently Asked Questions

Lanicor Ampullen contains digoxin, which is indicated for the treatment of chronic heart failure and for rate control in atrial fibrillation or atrial flutter. It helps improve cardiac contractility and slows atrioventricular conduction, aiding symptom management in these conditions.

Digoxin inhibits the Na⁺/K⁺‑ATPase pump on cardiac cells, leading to an increase in intracellular sodium. This change reduces the activity of the Na⁺/Ca²⁺ exchanger, causing calcium to accumulate inside the cell. The higher calcium concentration strengthens myocardial contraction and enhances vagal tone, which together lower heart rate and improve cardiac output.

The specific dose of digoxin administered via Lanicor Ampullen is individualized by the prescribing clinician based on factors such as the patient’s renal function, age, weight, and severity of disease. Physicians determine the appropriate loading and maintenance doses and adjust them according to therapeutic drug‑monitoring results.

Digoxin is classified as Pregnancy Category C, meaning risk to the fetus cannot be ruled out. It should only be used when the potential benefit justifies the potential risk. Limited data are available for breastfeeding, and the decision should be made by a healthcare professional weighing maternal benefit against possible infant exposure.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Lanicor Ampullen. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling if needed), and any required import documentation.

Compared with beta‑blockers or calcium‑channel blockers, digoxin provides rate control primarily through enhanced vagal tone rather than direct beta‑adrenergic blockade. It is especially useful in patients with reduced left‑ventricular function where negative inotropic effects of some alternatives are undesirable. However, digoxin requires careful monitoring for toxicity, whereas many other agents have broader therapeutic windows.

Lanicor Ampullen should be stored at ambient temperature, protected from light and moisture, and kept in its original packaging. The ampoules must not be frozen or shaken vigorously. Follow any specific handling instructions provided with the shipment to maintain product integrity.

The product is supplied as a sterile injectable ampoule for intravenous use. It is typically reconstituted with a compatible diluent according to the label instructions and administered slowly by a qualified healthcare professional, often as an initial loading dose followed by maintenance infusions, as directed by the prescriber.

The most critical risks involve digitalis toxicity, which can manifest as severe cardiac arrhythmias, profound bradycardia, heart block, or ventricular fibrillation. Elevated serum potassium (hyperkalemia) and electrolyte imbalances can exacerbate toxicity. Prompt recognition and measurement of serum digoxin levels are essential to prevent life‑threatening events.

Digoxin is contraindicated in patients with ventricular fibrillation, known hypersensitivity to digoxin or other cardiac glycosides, and in those with severe digitalis toxicity. Caution is also advised for individuals with significant renal impairment, uncontrolled electrolyte disturbances, or pre‑existing high‑grade AV block without a pacemaker.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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