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 in systolic heart failure and to control ventricular rate in atrial fibrillation and atrial flutter.
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 (systolic dysfunction): improves cardiac output and reduces symptoms of fatigue and dyspnea.
  • Atrial fibrillation: provides rate control by slowing atrioventricular nodal conduction.
  • Atrial flutter: assists in ventricular rate regulation and symptom relief.

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 cell, which enhances contractile force (positive inotropic effect). Additionally, elevated intracellular sodium influences autonomic tone, resulting in slowed atrioventricular nodal conduction and a modest reduction in heart rate.

Side Effects

Common Side Effects

  • Nausea or vomiting
  • Diarrhea or abdominal discomfort
  • Fatigue or weakness
  • Blurred vision or visual halos
  • Headache
  • Dizziness

Serious or Rare Side Effects

  • Life‑threatening arrhythmias (e.g., ventricular tachycardia)
  • Severe bradycardia or heart block
  • Marked electrolyte disturbances, especially hyperkalemia
  • Visual disturbances such as yellow‑green halos
  • Pulmonary edema in susceptible patients
  • Allergic skin reactions (rash, pruritus)

Precautions & Warnings

  • Before initiating therapy, clinicians should assess renal function, electrolyte status, and concomitant medications.
  • Renal function: adjust dose in patients with impaired clearance.
  • Electrolyte balance: monitor potassium and magnesium levels closely.
  • Thyroid disease: use cautiously in hyper‑ or hypothyroidism.
  • Elderly patients: consider lower starting doses due to increased sensitivity.
  • Therapeutic drug monitoring: obtain serum digoxin concentrations to avoid toxicity.
  • Store at ambient temperature: keep tablets in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Digoxin has a narrow therapeutic index and interacts with several agents that can increase its serum concentration or potentiate its cardiac effects.

Major Interactions (Avoid)

  • Amiodarone: markedly raises digoxin levels.
  • Quinidine: increases digoxin concentration and risk of toxicity.
  • Verapamil: may cause excessive AV nodal slowing.
  • Spironolactone: potentiates digoxin's effects.
  • Macrolide antibiotics (e.g., erythromycin, clarithromycin): elevate serum digoxin.

Moderate Interactions (Monitor Closely)

  • Loop and thiazide diuretics: alter potassium and magnesium, affecting digoxin safety.
  • Beta‑blockers: additive AV‑node suppression may require rate monitoring.
  • ACE inhibitors or ARBs: can enhance digoxin's therapeutic effect and necessitate dose review.

Frequently Asked Questions

Lanoxin contains digoxin, which is prescribed to improve heart muscle contractility in patients with systolic heart failure and to control the ventricular rate in atrial fibrillation or atrial flutter. It helps reduce symptoms such as shortness of breath, fatigue, and palpitations by enhancing cardiac output and slowing conduction through the atrioventricular node.

Digoxin inhibits the Na⁺/K⁺‑ATPase pump on cardiac cells, leading to increased intracellular sodium. This change reduces the activity of the sodium‑calcium exchanger, causing calcium to accumulate inside the cell, which strengthens heart muscle contractions. At the same time, digoxin enhances vagal tone, slowing atrioventricular nodal conduction and helping control heart rate.

The appropriate dose of Lanoxin is individualized by the prescribing clinician based on factors such as the patient’s age, renal function, electrolyte status, and therapeutic response. Dosage adjustments are guided by clinical assessment and, when necessary, serum digoxin concentration monitoring to maintain safe and effective drug levels.

Data on digoxin use in pregnancy are limited, and the drug is generally avoided unless the potential benefit outweighs the risk to the fetus. Digoxin does pass into breast milk in small amounts; therefore, caution is advised for nursing mothers, and a healthcare professional should evaluate the risk‑benefit profile before continuation.

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

Lanoxin (digoxin) offers a unique positive inotropic effect and rate‑control capability, which differs from beta‑blockers, ACE inhibitors, or ARBs that primarily reduce cardiac workload and remodel the heart. While digoxin can improve symptoms and exercise tolerance, it does not replace guideline‑directed therapies and is often used as an adjunct, especially when rate control is needed.

Store Lanoxin tablets at ambient temperature, preferably below 25 °C, in the original container to protect them from moisture and direct sunlight. Keep the medication out of reach of children and avoid exposure to extreme heat or humidity, which could affect tablet integrity.

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 helps maintain stable absorption. Patients should follow the prescribing clinician’s instructions regarding timing and any required dose adjustments.

The most critical risks involve digoxin toxicity, which can manifest as life‑threatening arrhythmias (e.g., ventricular tachycardia), severe bradycardia, heart block, and marked electrolyte disturbances such as hyperkalemia. Visual changes like yellow‑green halos and gastrointestinal symptoms may also signal toxicity and require immediate medical evaluation.

Lanoxin is contraindicated in patients with known hypersensitivity to digoxin, ventricular fibrillation, or advanced atrioventricular block without a pacemaker. Caution is also advised for individuals with severe renal impairment, uncontrolled electrolyte imbalances, or those taking interacting medications that could precipitate toxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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