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 enhances myocardial contractility and exerts vagomimetic effects, thereby improving cardiac output in heart failure and controlling ventricular response in atrial fibrillation and related arrhythmias in adult patients.

GNH India supplies Lanoxin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and transplant centres worldwide, adhering to EU GMP standards and providing reliable cold‑chain logistics for this injectable product.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

  • Lanoxin (digoxin) acts on the cardiac conduction system and myocardial contractility to manage specific cardiovascular conditions.
  • Heart failure: improves cardiac output and reduces symptoms of congestion.
  • Atrial fibrillation: slows ventricular rate and may help restore sinus rhythm.
  • Atrial flutter: assists in rate control and symptom relief.

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 contractile force. Additionally, digoxin stimulates vagal tone, producing a negative chronotropic effect that helps regulate heart rhythm. These combined inotropic and autonomic effects contribute to its therapeutic benefit in selected heart conditions.

Side Effects

Digoxin may cause a range of adverse reactions, which are categorized by frequency.

Common Side Effects

  • Nausea
  • Fatigue
  • Blurred vision

Serious or Rare Side Effects

  • Cardiac arrhythmias (including ventricular tachycardia)
  • Severe bradycardia or heart block
  • Visual disturbances (yellow‑green halos)

Precautions & Warnings

  • When using Lanoxin, clinicians should consider several safety factors.
  • Renal impairment: adjust dose and monitor serum digoxin levels.
  • Electrolyte disturbances: correct potassium and magnesium before therapy.
  • Thyroid disease: monitor thyroid function as digoxin may affect it.
  • Pregnancy: use only if benefit outweighs risk; safety category unknown.
  • Elderly patients: start with lower dose and observe for toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Digoxin interacts with several medicines; awareness of interaction severity guides management.

Major Interactions (Avoid)

  • Amiodarone: markedly increases digoxin serum concentration.
  • Quinidine: potentiates digoxin effect and risk of toxicity.
  • Verapamil: enhances digoxin levels and may cause bradyarrhythmias.

Moderate Interactions (Monitor Closely)

  • Diuretics (e.g., furosemide): may cause electrolyte shifts affecting digoxin.
  • ACE inhibitors (e.g., enalapril): can increase digoxin levels.
  • Antibiotics (e.g., erythromycin, clarithromycin): may raise digoxin concentrations.

Frequently Asked Questions

Lanoxin contains digoxin, which is prescribed to improve cardiac output in patients with chronic heart failure and to control ventricular rate in atrial fibrillation or atrial flutter. It is used when clinicians need an inotropic agent that also provides rate‑controlling properties in adult patients.

Digoxin inhibits the Na⁺/K⁺‑ATPase pump on heart muscle cells, raising intracellular sodium. This change reduces the sodium‑calcium exchanger activity, leading to calcium buildup inside the cells, which strengthens heart contractions. At the same time, digoxin enhances vagal tone, slowing the heart rate and helping to regulate abnormal rhythms.

The appropriate dose of Lanoxin is individualized by the prescribing clinician based on the patient’s age, weight, renal function, electrolyte status and therapeutic goals. Dosage adjustments are made after evaluating serum digoxin concentrations and clinical response; no fixed regimen can be stated without a medical prescription.

The pregnancy safety category for digoxin is not definitively established. Use during pregnancy or lactation is reserved for situations where the potential benefit to the mother outweighs any possible risk to the fetus or infant. Clinicians should discuss uncertainties and consider alternative therapies when possible.

To request 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, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling) and any necessary import documentation.

Lanoxin (digoxin) belongs to the cardiac glycoside class, whereas alternatives such as milrinone are phosphodiesterase‑3 inhibitors and amiodarone is a class III antiarrhythmic. Digoxin provides both inotropic support and rate control, while milrinone offers pure inotropy without significant rate‑slowing, and amiodarone primarily addresses rhythm conversion without enhancing contractility.

Lanoxin must be stored at 2 °C to 8 °C, protected from light, and never frozen or shaken. The product should remain in its original container until use, and any unused portion should be discarded according to local regulations for injectable medicines.

Lanoxin is supplied as an injectable solution for intravenous administration. It is typically given as a slow IV push or infusion under clinical supervision, with dosing calculated by the prescriber. Continuous cardiac monitoring is recommended during and after administration to detect any adverse rhythm changes.

The most critical risks include life‑threatening cardiac arrhythmias such as ventricular tachycardia, severe bradycardia or heart block, and visual disturbances like yellow‑green halos that may signal toxicity. Early recognition of nausea, vomiting or electrolyte imbalance is essential, and serum digoxin levels should be monitored regularly.

Lanoxin is contraindicated in patients with ventricular fibrillation, known hypersensitivity to digoxin or other cardiac glycosides, and in those with severe conduction disorders such as high‑grade AV block without a pacemaker. Caution is also advised for individuals with significant renal impairment, uncontrolled electrolyte disturbances, or thyroid disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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