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 treats heart failure and certain 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

Lanoxin (digoxin) acts on the cardiac conduction system and myocardial contractility to manage several cardiovascular conditions.

  • Heart failure: improves symptoms and reduces hospitalizations by increasing cardiac output.
  • Atrial fibrillation: helps control ventricular rate by slowing atrioventricular conduction.
  • Atrial flutter: assists in rate control and may aid conversion to sinus rhythm.

How It Works

  • Digoxin inhibits the Na⁺/K⁺‑ATPase pump on cardiac myocytes, 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 myocardial contractility. In parallel, digoxin augments vagal tone, slowing atrioventricular nodal conduction and thereby exerting anti‑arrhythmic effects.

Side Effects

Adverse reactions may range from mild to life‑threatening and should be monitored during therapy.

Common Side Effects

  • Nausea or vomiting
  • Diarrhea
  • Fatigue or weakness
  • Blurred vision or color disturbances
  • Dizziness or headache
  • Loss of appetite

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 such as yellow‑green halos
  • Confusion or hallucinations

Precautions & Warnings

Use of digoxin requires careful assessment of patient‑specific factors and monitoring.

  • Renal impairment: adjust dose and monitor serum digoxin levels.
  • Electrolyte disturbances: correct potassium, magnesium, and calcium abnormalities before initiating therapy.
  • Thyroid disease: use cautiously in hyper‑ or hypothyroidism.
  • Pregnancy: category C; discuss potential risks and benefits with the prescriber.
  • Elderly patients: increased sensitivity; start with lower doses and monitor closely.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

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

Major Interactions (Avoid)

  • Amiodarone: markedly increases digoxin levels.
  • Quinidine: raises digoxin concentration and risk of toxicity.
  • Verapamil or diltiazem: potentiate digoxin’s effects on AV conduction.
  • Spironalactone: may increase serum digoxin.
  • Certain macrolide antibiotics (e.g., erythromycin): elevate digoxin levels.

Moderate Interactions (Monitor Closely)

  • Thiazide diuretics: can cause electrolyte shifts affecting digoxin.
  • ACE inhibitors or ARBs: may enhance digoxin’s therapeutic effect.
  • NSAIDs: may reduce renal clearance of digoxin.
  • Thyroid hormone replacement: may alter digoxin requirements.
  • Antacids containing aluminum or magnesium: may affect absorption.

Frequently Asked Questions

Lanoxin, whose active ingredient is digoxin, is prescribed for patients with chronic heart failure and for rate control in atrial fibrillation or atrial flutter. It helps improve cardiac output in heart failure and slows atrioventricular conduction to manage rapid heart rhythms.

Digoxin blocks the Na⁺/K⁺‑ATPase pump on heart muscle cells, leading to higher intracellular sodium. This change reduces the sodium‑calcium exchanger activity, causing calcium buildup that strengthens heart contractions. Additionally, digoxin increases vagal tone, which slows conduction through the atrioventricular node and helps control abnormal heart rhythms.

The appropriate dose of Lanoxin is individualized by the prescribing clinician based on factors such as age, kidney function, electrolyte status, and concurrent medications. Dosage decisions are made after evaluating the patient’s clinical condition and may be adjusted during therapy.

Lanoxin is classified as pregnancy category C, meaning 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; the decision to continue therapy should be made by the healthcare provider after weighing benefits and risks.

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.

Unlike many anti‑arrhythmics that primarily block ion channels, digoxin exerts its effect by enhancing vagal tone and increasing myocardial contractility. This dual action makes it useful for both heart failure and rate control, whereas drugs such as beta‑blockers or calcium‑channel blockers mainly reduce heart rate without improving contractility.

Lanoxin tablets should be stored at temperatures below 25 °C. Keep them in the original container, protect from moisture and direct sunlight, and ensure the packaging remains tightly closed to maintain product stability.

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

The most serious risks include digoxin toxicity, which can manifest as severe arrhythmias, marked bradycardia, heart block, and life‑threatening ventricular tachycardia. Toxicity is more likely with renal impairment, electrolyte disturbances, or drug interactions that raise serum digoxin levels.

Lanoxin is contraindicated in patients with known hypersensitivity to digoxin or other cardiac glycosides, in those with ventricular fibrillation, and in individuals with severe uncontrolled electrolyte imbalances. Caution is also advised for patients with significant AV block without a pacemaker.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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