Product image of Lanoxin 250 (Digoxin) supplied by GNH India

Lanoxin 250

Active Ingredient:
Digoxin
Origin:
EU

Lanoxin 250 (Digoxin)

Digoxin, the active ingredient in Lanoxin 250, is a cardiac glycoside presented as a 0.25 mg tablet for oral use. It treats heart failure and atrial fibrillation in adult patients by increasing myocardial contractility and moderating atrioventricular conduction. GNH India supplies Lanoxin 250 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to Good Distribution Practice and provides full regulatory documentation for global markets.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Digoxin is used in cardiovascular conditions that involve impaired cardiac output or abnormal atrial rhythm.

  • Heart failure: improves symptoms, exercise tolerance and cardiac output.
  • Atrial fibrillation: helps control ventricular rate in patients with rapid atrial response.
  • Atrial flutter: assists in rate control when other therapies are insufficient.

How It Works

  • Digoxin binds to and inhibits the Na⁺/K⁺‑ATPase pump on cardiac myocyte membranes, leading to an increase in intracellular sodium. The elevated sodium reduces the activity of the sodium‑calcium exchanger, causing intracellular calcium accumulation, which enhances myocardial contractility. In the conduction system, digoxin increases vagal tone, slowing atrioventricular nodal conduction and reducing ventricular response to atrial arrhythmias.

Side Effects

Common Side Effects

  • Nausea or vomiting
  • Diarrhea
  • Loss of appetite
  • Fatigue
  • Blurred or yellow‑green vision
  • Dizziness

Serious or Rare Side Effects

  • Life‑threatening arrhythmias (e.g., ventricular tachycardia)
  • Severe bradycardia or heart block
  • Hyperkalemia
  • Allergic skin reactions (rash, pruritus)
  • Visual disturbances with halos or color changes
  • Confusion or hallucinations

Precautions & Warnings

Before initiating therapy, clinicians should consider patient‑specific factors and monitor for toxicity.

  • Renal impairment: adjust dose and monitor serum levels.
  • Electrolyte disturbances: correct potassium, magnesium and calcium abnormalities.
  • Thyroid disease: use with caution as digoxin sensitivity may change.
  • Pregnancy (Category C): weigh maternal benefit against fetal risk.
  • Elderly patients: start with lower dose due to increased sensitivity.
  • Store at ambient temperature: keep below 25 °C, in the original container, protected from moisture.

Avoid Interactions

Digoxin has several clinically important drug interactions that require attention.

Major Interactions (Avoid)

  • Amiodarone: markedly increases digoxin concentrations.
  • Quinidine: can cause digoxin toxicity.
  • Verapamil or diltiazem: potentiate digoxin effects and raise serum levels.

Moderate Interactions (Monitor Closely)

  • Loop or thiazide diuretics: may cause electrolyte shifts that predispose to toxicity.
  • ACE inhibitors or ARBs: can enhance digoxin's effect on the heart.
  • NSAIDs: may reduce renal clearance of digoxin.
  • Antacids containing aluminum or magnesium: may decrease digoxin absorption.

Frequently Asked Questions

Lanoxin 250 contains digoxin, which is prescribed for managing heart failure and for controlling ventricular rate in patients with atrial fibrillation or atrial flutter. It helps improve cardiac output in heart failure and slows conduction through the atrioventricular node in rhythm disorders.

Digoxin inhibits the Na⁺/K⁺‑ATPase pump on heart cells, leading to increased intracellular sodium. This change reduces calcium extrusion, raising intracellular calcium levels, which strengthens heart muscle contraction. Additionally, digoxin enhances vagal tone, slowing atrioventricular nodal conduction and helping control rapid heart rhythms.

The appropriate dose of Lanoxin 250 is determined by the prescribing clinician based on the patient’s age, renal function, electrolyte status and therapeutic response. Dosage adjustments are made to achieve target serum digoxin concentrations while minimizing toxicity.

Lanoxin 250 is classified as Pregnancy Category C, meaning risk to the fetus cannot be ruled out. It should only be used when the potential maternal benefit outweighs possible risks. Limited data are available for breastfeeding; the decision should be made by a healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Unlike diuretics or ACE inhibitors that primarily reduce fluid overload or blood pressure, digoxin directly increases myocardial contractility and modulates heart rate. It is often used as an adjunct to standard therapy, especially when rate control in atrial fibrillation is needed, whereas other agents may not provide this dual action.

Lanoxin 250 tablets should be stored at ambient temperature, below 25 °C, in their original packaging. Protect the tablets from moisture and direct sunlight to maintain potency throughout the shelf life.

Lanoxin 250 is taken orally, usually with or without food, as directed by a healthcare professional. The tablet should be swallowed whole with a glass of water. Patients should follow the prescribed schedule and not alter the dose without medical advice.

The most serious risks include digoxin toxicity, which can manifest as severe arrhythmias, bradycardia, heart block, hyperkalemia, and visual disturbances such as colored halos. Prompt medical attention is required if symptoms of toxicity appear.

Lanoxin 250 should be avoided in patients with known hypersensitivity to digoxin, severe ventricular arrhythmias, advanced atrioventricular block without a pacemaker, and in those with uncontrolled electrolyte imbalances. Clinicians must assess each individual’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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