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 use. It treats heart failure and certain atrial arrhythmias, such as atrial fibrillation and atrial flutter, in adult patients.

GNH India supplies Lanoxin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

  • Digoxin is used in the management of cardiac conditions that involve reduced contractility or abnormal atrial rhythms.
  • Heart failure: improves cardiac output and reduces symptoms of congestion.
  • Atrial fibrillation: slows atrioventricular nodal conduction to control ventricular rate.
  • Atrial flutter: provides rate control by decreasing AV nodal conduction.

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 cell, which enhances contractile force (positive inotropic effect) and slows atrioventricular nodal conduction, aiding rate control in atrial arrhythmias.

Side Effects

Common Side Effects

  • Nausea or vomiting
  • Diarrhea
  • Blurred or yellow‑green vision
  • Fatigue or headache

Serious or Rare Side Effects

  • Life‑threatening arrhythmias (e.g., ventricular tachycardia)
  • Severe bradycardia or heart block
  • Allergic reactions such as rash or anaphylaxis
  • Hyperkalemia, especially in renal impairment

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Serum level monitoring: check digoxin concentration to avoid toxicity.
  • Renal function assessment: adjust use in patients with impaired clearance.
  • Electrolyte review: correct hypokalemia, hypomagnesemia, or hypercalcemia.
  • Elderly patients: start with lower doses and monitor closely.
  • Contraindicated in patients with known ventricular arrhythmias.
  • Store at 2‑8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

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

Major Interactions (Avoid)

  • Amiodarone: markedly increases digoxin levels.
  • Quinidine: raises serum digoxin and may precipitate toxicity.
  • Verapamil: enhances digoxin concentration and slows AV conduction.
  • Spironolactone: can elevate digoxin levels, increasing toxicity risk.

Moderate Interactions (Monitor Closely)

  • Loop or thiazide diuretics: may cause electrolyte shifts that predispose to toxicity.
  • ACE inhibitors or ARBs: can increase digoxin concentration indirectly.
  • NSAIDs: may reduce renal clearance of digoxin.
  • Diltiazem: modestly raises digoxin levels.
  • Thyroid hormone therapy: may potentiate digoxin's cardiac effects.

Frequently Asked Questions

Lanoxin, which contains digoxin, is prescribed for adult patients with heart failure to improve cardiac output, and for atrial fibrillation or atrial flutter to help control ventricular rate by slowing atrioventricular nodal conduction.

Digoxin inhibits the Na⁺/K⁺‑ATPase pump on heart muscle cells, leading to increased intracellular calcium. This enhances the strength of each heartbeat (positive inotropic effect) and slows conduction through the AV node, which helps regulate heart rhythm in atrial arrhythmias.

The specific dose of Lanoxin is individualized by the prescribing clinician based on factors such as the patient’s weight, renal function, electrolyte status, and therapeutic response. Only a qualified healthcare professional should determine the appropriate regimen.

Lanoxin is classified as Pregnancy Category C, indicating that risk cannot be ruled out. It should only be used if the potential benefit justifies the potential risk to the fetus. Limited data are available for breastfeeding, so a clinician should evaluate the risk‑benefit ratio before use.

To place an order, submit an enquiry on the Lanoxin 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 (including cold‑chain handling) and necessary import documentation.

Lanoxin belongs to the cardiac glycoside class, offering a unique positive inotropic effect not provided by most modern heart‑failure drugs such as ACE inhibitors or beta‑blockers. While it can improve symptoms in selected patients, its narrow therapeutic window and potential for toxicity mean it is usually reserved for those who remain symptomatic despite standard therapy.

Lanoxin must be stored refrigerated at 2‑8 °C. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. If the product reaches room temperature, it should be used promptly and not re‑refrigerated.

Lanoxin is supplied as an injectable solution for intravenous use. Administration is performed by a qualified healthcare professional, typically as a slow IV push or infusion, following the dosing instructions provided by the prescriber and institutional protocols.

The most serious risks include life‑threatening cardiac arrhythmias such as ventricular tachycardia, severe bradycardia, or complete heart block, as well as digoxin toxicity manifested by gastrointestinal symptoms, visual disturbances, and electrolyte imbalances, particularly hyperkalemia.

Lanoxin is contraindicated in patients with known ventricular arrhythmias, advanced atrioventricular block without a pacemaker, and those with severe renal impairment that cannot be adequately monitored. It should also be avoided in individuals with hypersensitivity to digoxin or any component of the formulation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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