Product image of Lanoxin (Digoxin) supplied by GNH India

Lanoxin

Active Ingredient:
Digoxin
Origin:
EU

Lanoxin (Digoxin)

Digoxin, the active ingredient in Lanoxin, is a cardiac glycoside presented as an injectable solution for intravenous administration. It is used to manage atrial fibrillation, atrial flutter, and congestive heart failure in adult patients.

GNH India supplies Lanoxin as a licensed, GDP‑compliant international pharmaceutical product, providing reliable access to hospitals, pharmacies and clinics worldwide. The product conforms to EU market standards and is manufactured under strict quality controls.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Digoxin is employed in cardiac conditions that involve abnormal rhythm or reduced contractility.

  • Atrial fibrillation: helps control ventricular rate and may restore sinus rhythm.
  • Atrial flutter: reduces rapid atrial activity and improves ventricular response.
  • Congestive heart failure: increases myocardial contractility, enhancing cardiac output and relieving symptoms.

How It Works

  • Digoxin inhibits the Na⁺/K⁺‑ATPase pump on cardiac myocyte membranes, leading to an accumulation of intracellular Na⁺. The elevated Na⁺ reduces the activity of the Na⁺/Ca²⁺ exchanger, causing intracellular Ca²⁺ to rise. The increased Ca²⁺ enhances contractile force (positive inotropic effect) and the drug also slows atrioventricular nodal conduction, contributing to its antiarrhythmic properties.

Side Effects

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Vomiting: occasional episodes after dosing.
  • Diarrhea: loose stools may occur.
  • Fatigue: feeling of tiredness or weakness.
  • Blurred vision: visual disturbances, often transient.
  • Dizziness: light‑headed sensation.

Serious or Rare Side Effects

  • Cardiac arrhythmias: ventricular tachycardia or fibrillation.
  • Severe bradycardia: markedly slowed heart rate.
  • Heart block: advanced atrioventricular conduction delay.
  • Hyperkalemia: elevated serum potassium levels.
  • Allergic reactions: rash, itching, or anaphylaxis.
  • Visual halos: yellow‑green colored halos around lights.

Precautions & Warnings

Before initiating therapy, consider the following safety measures.

  • Monitor serum digoxin levels: ensure therapeutic range and avoid toxicity.
  • Assess renal function: dosage adjustment may be required in impairment.
  • Check electrolytes: especially potassium, as hypokalemia increases risk of toxicity.
  • Use caution in elderly patients: increased sensitivity to cardiac effects.
  • Avoid in patients with ventricular arrhythmias or high‑grade AV block.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Digoxin interacts with several medicines that can alter its concentration or cardiac effects.

Major Interactions (Avoid)

  • Amiodarone: markedly increases digoxin levels.
  • Quinidine: raises serum digoxin and may cause toxicity.
  • Verapamil: enhances digoxin concentration and slows AV conduction.
  • Beta‑blockers (e.g., propranolol): may potentiate bradycardia.
  • Loop diuretics (e.g., furosemide): cause hypokalemia, increasing toxicity risk.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers (diltiazem): may modestly raise digoxin levels.
  • ACE inhibitors: can affect renal handling of digoxin.
  • NSAIDs: may reduce renal clearance, elevating serum concentrations.

Frequently Asked Questions

Lanoxin contains digoxin, which is indicated for the management of atrial fibrillation, atrial flutter, and congestive heart failure. In these conditions it helps control heart rhythm, improves ventricular response, and increases cardiac contractility to alleviate symptoms of reduced cardiac output.

Digoxin works by inhibiting the Na⁺/K⁺‑ATPase pump on heart cells, leading to higher intracellular sodium. This reduces the sodium‑calcium exchange, causing calcium to accumulate inside the cells, which strengthens heart muscle contractions. It also slows conduction through the atrioventricular node, helping to regulate abnormal heart rhythms.

The dose of Lanoxin is individualized by the prescribing clinician based on factors such as the patient’s age, renal function, electrolyte status, and the severity of the cardiac condition. Blood levels of digoxin may be monitored to ensure therapeutic concentrations while minimizing toxicity.

Safety data for digoxin during pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers will assess each case carefully before prescribing.

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

Lanoxin (digoxin) belongs to the cardiac glycoside class, offering a positive inotropic effect and AV‑node slowing, which differs from class III agents like amiodarone that primarily prolong repolarization. Digoxin is especially useful in heart failure where increased contractility is desired, whereas many other antiarrhythmics lack this inotropic benefit.

Lanoxin should be stored at 2‑8 °C, protected from light, and must not be frozen or shaken. Keep the vial in its original packaging to maintain stability, and follow aseptic techniques when preparing for intravenous administration.

Lanoxin is supplied as an injectable solution for intravenous use. It can be given as a slow bolus injection or diluted in a compatible IV fluid for infusion, according to the prescriber’s instructions and the patient’s clinical status.

The most serious risks include cardiac toxicity such as life‑threatening arrhythmias (ventricular tachycardia, fibrillation), severe bradycardia, high‑grade heart block, and hyperkalemia. Early signs of toxicity—nausea, visual changes, or confusion—should prompt immediate medical evaluation.

Lanoxin is contraindicated in patients with ventricular arrhythmias, high‑grade atrioventricular block without a pacemaker, known hypersensitivity to digoxin, and in those with uncontrolled electrolyte disturbances, particularly severe hypokalemia or hyperkalemia.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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