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 treat heart failure and atrial fibrillation by improving cardiac contractility and controlling heart rate.
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 specific cardiovascular conditions.

  • Heart failure: improves cardiac output and reduces symptoms of congestion.
  • Atrial fibrillation: helps control ventricular rate and may restore sinus rhythm.
  • Atrial flutter: assists in controlling ventricular response during rapid atrial rates.

How It Works

  • Digoxin binds to and 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 cells, which enhances myocardial contractility (positive inotropic effect) and augments vagal tone, slowing atrioventricular conduction.

Side Effects

Adverse reactions to digoxin can vary in frequency and severity.

Common Side Effects

  • Nausea or vomiting
  • Diarrhea
  • Loss of appetite
  • Fatigue
  • Blurred vision or color perception changes
  • Headache

Serious or Rare Side Effects

  • Cardiac arrhythmias, including ventricular tachycardia
  • Severe bradycardia or heart block
  • Hyperkalemia
  • Visual disturbances such as yellow‑green halos
  • Allergic reactions, including rash or angioedema

Precautions & Warnings

When prescribing or dispensing digoxin, several safety considerations are essential.

  • Renal function monitoring: adjust dose in patients with impaired clearance.
  • Electrolyte balance: correct hypokalemia, hypomagnesemia, or hypercalcemia before therapy.
  • Serum digoxin level: periodic measurement to avoid toxicity.
  • Pregnancy: use only if benefits outweigh risks (Category C).
  • Concomitant cardiac conditions: avoid in patients with ventricular fibrillation.
  • Store at ambient temperature: keep in the original container, 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 concentrations and risk of toxicity.
  • Verapamil: enhances digoxin exposure and may precipitate arrhythmias.

Moderate Interactions (Monitor Closely)

  • Diuretics (especially thiazides): may cause electrolyte disturbances that predispose to toxicity.
  • ACE inhibitors: can increase serum digoxin by reducing renal clearance.

Frequently Asked Questions

Lanoxin, whose active ingredient is digoxin, is prescribed primarily for heart failure and for controlling the heart rate in atrial fibrillation or atrial flutter. It helps improve cardiac contractility in heart failure and slows ventricular response in certain arrhythmias.

Digoxin inhibits the Na⁺/K⁺‑ATPase pump on heart muscle cells, leading to increased intracellular sodium. This change reduces calcium extrusion, raising intracellular calcium levels, which strengthens heart contractions and enhances vagal tone, thereby slowing conduction through the atrioventricular node.

The appropriate dose of Lanoxin is determined individually by the prescribing clinician based on factors such as the patient’s age, kidney function, electrolyte status, and serum digoxin concentration. Dosage adjustments are made to achieve therapeutic levels while minimizing toxicity.

Lanoxin is classified as Pregnancy Category C, meaning risk cannot be ruled out. It should be used only if the potential benefit justifies the potential risk to the fetus. Limited data are available for breastfeeding; a decision should be made in consultation with a healthcare professional.

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, and any necessary import documentation.

Unlike beta‑blockers or ACE inhibitors that modify neurohormonal pathways, digoxin provides a direct positive inotropic effect and rate control. It is often used as an adjunct when symptoms persist despite standard therapy, offering a unique mechanism that can improve exercise tolerance in selected patients.

Lanoxin tablets should be stored at ambient temperature, below 25 °C, in the original packaging. Keep the product away from moisture, heat, and direct sunlight to maintain stability and potency throughout its shelf life.

Lanoxin is taken orally, usually as a tablet, with or without food as directed by the prescriber. The exact timing and frequency depend on the individualized dosing regimen established by the treating clinician.

The most critical concerns are digoxin toxicity, which can manifest as life‑threatening cardiac arrhythmias, severe bradycardia, or heart block. Electrolyte imbalances, especially low potassium or magnesium, increase this risk, making regular monitoring essential.

Lanoxin is contraindicated in patients with ventricular fibrillation, known hypersensitivity to digoxin, or uncontrolled ventricular arrhythmias. Caution is also advised for individuals with severe renal impairment, significant electrolyte disturbances, or those taking interacting medications without close supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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