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 oral tablet for oral use. It is used to improve cardiac contractility and control ventricular rate in patients with heart failure and atrial fibrillation. The drug exerts its effect by inhibiting the Na⁺/K⁺‑ATPase pump, leading to increased intracellular calcium and stronger myocardial contractions.

GNH India supplies Lanoxin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our distribution network ensures consistent quality and regulatory compliance across EU and global markets.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Lanoxin (digoxin) is indicated for conditions affecting cardiac function and rhythm.

  • Heart failure: improves cardiac output and reduces symptoms of congestion.
  • Atrial fibrillation: slows atrioventricular nodal conduction to control ventricular rate.
  • Atrial flutter: assists in rate control when other agents are unsuitable.

How It Works

  • Digoxin binds to and inhibits the sodium‑potassium ATPase (Na⁺/K⁺‑ATPase) on cardiac myocyte membranes. This inhibition raises intracellular sodium, which reduces the activity of the sodium‑calcium exchanger, leading to an accumulation of intracellular calcium. The increased calcium enhances contractile force of the heart muscle (positive inotropy). In addition, digoxin increases vagal tone, slowing conduction through the atrioventricular node and providing rate control in atrial arrhythmias.

Side Effects

Digoxin may cause a range of adverse reactions, varying from mild to potentially life‑threatening.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Fatigue: reduced energy and weakness.
  • Visual disturbances: blurred or yellow‑green vision.

Serious or Rare Side Effects

  • Cardiac arrhythmias: potentially fatal rhythm disturbances.
  • Severe bradycardia: dangerously low heart rate.
  • Hyperkalemia: elevated blood potassium levels.

Precautions & Warnings

When prescribing digoxin, clinicians should observe several safety measures to minimize toxicity.

  • Dose adjustment: tailor dose in renal impairment or elderly patients.
  • Serum level monitoring: check digoxin concentration regularly.
  • Electrolyte balance: correct hypokalemia, hypomagnesemia, and hypercalcemia before therapy.
  • Drug interactions: review concomitant medications that affect digoxin clearance.
  • Pregnancy and lactation: use only if benefit outweighs risk; category C.
  • Store at ambient temperature: keep tablets in original container, protect from moisture and light.

Avoid Interactions

Digoxin interacts with several medicines; awareness of the interaction level guides clinical decisions.

Major Interactions (Avoid)

  • Amiodarone: markedly increases digoxin levels, risk of toxicity.
  • Quinidine: raises digoxin concentration, may cause arrhythmias.
  • Verapamil: enhances digoxin effect, leading to bradycardia.

Moderate Interactions (Monitor Closely)

  • Diuretics (e.g., furosemide): may cause electrolyte disturbances that predispose to toxicity.
  • ACE inhibitors: can increase serum digoxin by reducing clearance.
  • Beta‑blockers: additive effect on heart rate and AV nodal conduction.

Frequently Asked Questions

Lanoxin contains digoxin, which is prescribed to improve the pumping ability of the heart in patients with chronic heart failure and to control the ventricular rate in atrial fibrillation or atrial flutter. It helps relieve symptoms such as shortness of breath, fatigue, and palpitations associated with these conditions.

Digoxin inhibits the sodium‑potassium ATPase enzyme on cardiac cells, causing an increase in intracellular sodium. This change reduces the activity of the sodium‑calcium exchanger, leading to higher calcium levels inside the heart muscle cells, which strengthens contractions. It also enhances vagal tone, slowing electrical conduction through the atrioventricular node and helping to control heart rate.

The appropriate dose of Lanoxin is individualized by the prescribing clinician based on factors such as the patient’s age, kidney function, body weight, and severity of the cardiac condition. Only a qualified healthcare professional should determine the exact regimen and any dose adjustments.

Lanoxin is classified as Pregnancy Category C, meaning risk to the fetus cannot be ruled out. It should be used only when the potential benefit justifies the potential risk. Limited data are available for breastfeeding; the decision to continue therapy should be made by the prescriber in consultation with the patient.

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 any cold‑chain requirements), and necessary import documentation.

Lanoxin belongs to the cardiac glycoside class, offering positive inotropic effects and rate control, which differs from beta‑blockers, ACE inhibitors, or diuretics that primarily reduce workload or fluid overload. While digoxin can be useful in selected patients, especially those with concomitant atrial fibrillation, its narrow therapeutic window requires careful monitoring compared with many newer agents.

Store Lanoxin tablets at ambient temperature, preferably below 25 °C. Keep them in the original container, protect from moisture and direct light, and ensure the packaging remains tightly closed until use. Do not store in the bathroom or near heat sources.

Lanoxin is taken orally, usually as a tablet swallowed whole with a glass of water. It may be taken with or without food, but consistency with meals is recommended to maintain stable absorption. Patients should follow the dosing schedule prescribed by their healthcare provider.

The most critical risks include cardiac arrhythmias such as ventricular tachycardia or fibrillation, severe bradycardia, and life‑threatening hyperkalemia. Early signs of toxicity—nausea, vomiting, visual changes, or confusion—should prompt immediate medical evaluation.

Lanoxin is contraindicated in patients with ventricular fibrillation, known hypersensitivity to digoxin or other cardiac glycosides, and in those with uncontrolled atrial or ventricular tachyarrhythmias. Caution is also advised for individuals with severe renal impairment, electrolyte disturbances, or those taking interacting medications that markedly raise digoxin levels.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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