Product image of Lanoxin 125 (Digoxin) supplied by GNH India

Lanoxin 125

Active Ingredient:
Digoxin
Origin:
EU

Lanoxin 125 (Digoxin)

Digoxin, the active ingredient in Lanoxin 125, is a cardiac glycoside presented as a 125 µg oral tablet. It is used to improve cardiac contractility and control heart rate in patients with heart failure and atrial fibrillation.\n\nGNH India supplies Lanoxin 125 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable access to this essential cardiac medication while adhering to stringent quality and regulatory standards.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

1
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Indications & Clinical Uses

  • Digoxin is employed in the management of cardiac conditions that involve reduced contractility or abnormal rhythm.\n\n- Heart failure: improves ventricular contractility and reduces symptoms of fluid overload.\n- Atrial fibrillation: slows atrioventricular node conduction to control ventricular rate.\n- Atrial flutter: helps regulate ventricular response during rapid atrial rates.

How It Works

  • Digoxin binds to and inhibits the Na+/K+‑ATPase pump on cardiac myocyte membranes, leading to an increase in intracellular sodium. This alteration reduces the activity of the sodium‑calcium exchanger, causing calcium accumulation inside the cells, which enhances contractile force (positive inotropy). Additionally, digoxin stimulates vagal tone, slowing conduction through the atrioventricular node and reducing heart rate.

Side Effects

  • Common Side Effects:\n- Nausea: mild to moderate gastrointestinal upset.\n- Vomiting: occasional emesis, especially after dose initiation.\n- Diarrhea: loose stools may occur.\n- Fatigue: general tiredness or weakness.\n- Blurred vision: visual disturbances such as halos.\n- Dizziness: light‑headedness or vertigo.\n\nSerious or Rare Side Effects:\n- Cardiac arrhythmias: potentially life‑threatening rhythm disturbances.\n- Severe bradycardia: markedly slow heart rate requiring medical attention.\n- AV block: impaired atrioventricular conduction.\n- Hyperkalemia: elevated serum potassium levels.\n- Allergic reactions: rash, itching, or anaphylaxis.\n- Visual disturbances: yellow‑green color vision changes.

Precautions & Warnings

  • Digoxin requires careful monitoring in several clinical situations.\n\n- Renal impairment: adjust dose and monitor serum digoxin levels.\n- Electrolyte imbalance: correct potassium and magnesium before therapy.\n- Thyroid disease: use with caution due to altered metabolism.\n- Elderly patients: increased sensitivity; monitor for toxicity.\n- Drug interactions: review concomitant medications for potential effects.\n- Store at ambient temperature: keep below 25 °C, retain in original container, protect from moisture.

Avoid Interactions

  • Digoxin interacts with many medicines that can alter its plasma concentration or cardiac effects.\n\nMajor Interactions (Avoid):\n- Amiodarone: increases digoxin levels, raising toxicity risk.\n- Quinidine: raises digoxin concentrations.\n- Verapamil: may cause bradycardia and elevated digoxin levels.\n- Spironolactone: potentiates digoxin effect.\n- Macrolide antibiotics (e.g., erythromycin): elevate digoxin levels.\n\nModerate Interactions (Monitor Closely):\n- Diuretics (loop or thiazide): cause electrolyte shifts affecting digoxin activity.\n- Beta‑blockers: additive effect on heart rate and conduction.\n- ACE inhibitors: may modestly increase digoxin concentrations.

Frequently Asked Questions

Lanoxin 125 contains digoxin, which is indicated for the treatment of chronic heart failure to improve cardiac contractility and for rate control in atrial fibrillation. It helps reduce symptoms such as shortness of breath and fatigue in heart failure, and it slows the ventricular response in atrial fibrillation.

Digoxin exerts its effect by inhibiting the Na+/K+‑ATPase pump on cardiac cells, leading to increased intracellular sodium. This change reduces the activity of the sodium‑calcium exchanger, causing calcium buildup inside the myocytes, which strengthens heart muscle contraction. Additionally, digoxin enhances vagal tone, slowing conduction through the atrioventricular node and reducing heart rate.

The appropriate dose of Lanoxin 125 is individualized and determined by the prescribing clinician based on the patient’s age, renal function, electrolyte status, and therapeutic response. The prescriber will calculate the dose, often starting with a low amount and adjusting according to serum digoxin concentrations and clinical effect.

Digoxin is classified as Pregnancy Category C, meaning risk cannot be ruled out. It should only be used during pregnancy if the potential benefit justifies the potential risk to the fetus. Limited data exist for breastfeeding; the drug does pass into breast milk, so a risk‑benefit assessment is required before use.

To order Lanoxin 125, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, requesting verification of trade or institutional credentials. The sales team will then respond with pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Lanoxin 125 (digoxin) provides rate control primarily through enhanced vagal tone and a modest positive inotropic effect, which distinguishes it from beta‑blockers and calcium‑channel blockers that reduce heart rate by blocking sympathetic activity. Digoxin is especially useful in patients with concurrent heart failure, whereas beta‑blockers are preferred when no heart‑failure component exists.

Lanoxin 125 tablets should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original packaging to protect them from moisture and light. Do not store in a refrigerator or freezer, and keep out of reach of children.

Lanoxin 125 is taken orally as a tablet. The tablet should be swallowed whole with a glass of water and may be taken with or without food, according to the prescriber’s instructions. Consistency in timing each dose helps maintain stable blood levels.

The most serious risks involve digoxin toxicity, which can manifest as life‑threatening cardiac arrhythmias such as ventricular tachycardia, severe bradycardia, or atrioventricular block. Early signs of toxicity include nausea, vomiting, visual disturbances (yellow‑green halos), and confusion, and they require immediate medical evaluation.

Lanoxin 125 is contraindicated in patients with ventricular fibrillation, known hypersensitivity to digoxin, severe conduction disturbances (e.g., second‑ or third‑degree AV block without a pacemaker), and in those with uncontrolled electrolyte abnormalities, particularly severe hypokalemia or hyperkalemia.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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