Product image of Lanoxin Md (Digoxin) supplied by GNH India

Lanoxin Md

Active Ingredient:
Digoxin
Origin:
EU

Lanoxin Md (Digoxin)

Digoxin, the active ingredient in Lanoxin Md, is a cardiac glycoside presented as an unspecified strength/oral tablet for oral use. It is used to improve cardiac contractility in heart failure and to control ventricular rate in atrial fibrillation.

GNH India supplies Lanoxin Md 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

Digoxin acts on the cardiac conduction system and myocardial contractility, making it valuable in several cardiovascular conditions.

  • Heart failure: enhances myocardial contractility and reduces symptoms of congestion.
  • Atrial fibrillation: slows ventricular response to improve rate control.
  • Cardiac arrhythmias: provides rate control in certain supraventricular tachyarrhythmias.

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 intracellular calcium accumulation, which strengthens myocardial contraction. Additionally, digoxin augments vagal tone, slowing atrioventricular nodal conduction and helping to control heart rate in atrial fibrillation.

Side Effects

Adverse reactions to digoxin can vary in frequency and severity.

Common Side Effects

  • Nausea or vomiting
  • Diarrhea
  • Fatigue or weakness
  • Blurred vision or color disturbances
  • Headache
  • Dizziness

Serious or Rare Side Effects

  • Cardiac arrhythmias (including ventricular tachycardia)
  • Severe bradycardia or heart block
  • Hyperkalemia
  • Allergic skin reactions
  • Visual disturbances such as yellow‑green halos
  • Confusion or hallucinations

Precautions & Warnings

When prescribing digoxin, clinicians should consider several safety factors.

  • Renal impairment: adjust dose and monitor serum digoxin levels.
  • Electrolyte imbalance: correct potassium and magnesium abnormalities before initiation.
  • Thyroid disease: use with caution as hypothyroidism may increase sensitivity.
  • Elderly patients: start with lower doses due to increased susceptibility to toxicity.
  • Concomitant medications: review for potential interactions that may raise digoxin concentrations.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Digoxin has notable interactions that require careful management.

Major Interactions (Avoid)

  • Amiodarone: markedly increases digoxin plasma concentrations.
  • Quinidine: raises digoxin levels and may precipitate toxicity.
  • Verapamil: enhances digoxin exposure and can lead to bradyarrhythmias.

Moderate Interactions (Monitor Closely)

  • Loop and thiazide diuretics: may cause hypokalemia, increasing digoxin toxicity risk.
  • Beta‑blockers: additive effects on AV‑node conduction.
  • Macrolide antibiotics (e.g., erythromycin, clarithromycin): can elevate digoxin levels.

Frequently Asked Questions

Lanoxin Md contains digoxin, which is prescribed to improve heart muscle contractility in patients with heart failure and to control ventricular rate in atrial fibrillation. It helps reduce symptoms such as shortness of breath and fatigue associated with these conditions.

Digoxin inhibits the Na⁺/K⁺‑ATPase pump on cardiac cells, leading to increased intracellular calcium. This boost in calcium enhances the strength of heart muscle contractions. Additionally, digoxin increases vagal tone, slowing conduction through the atrioventricular node and helping to regulate heart rate in atrial fibrillation.

The appropriate dose of Lanoxin Md is individualized by the prescribing clinician based on factors such as the patient’s age, renal function, and severity of disease. Dosage adjustments are made to achieve therapeutic serum digoxin concentrations while minimizing toxicity.

Safety data for digoxin in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant. Clinicians should discuss risks and benefits with the patient and consider alternative therapies when appropriate.

To place an order, submit an enquiry on the Lanoxin Md 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 import documentation.

Digoxin is a cardiac glycoside that directly increases myocardial contractility and provides rate control, unlike many modern heart‑failure agents that primarily modulate neurohormonal pathways (e.g., ACE inhibitors, beta‑blockers). It is often used as an adjunct when symptoms persist despite guideline‑directed therapy, but it requires careful monitoring for toxicity.

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

Lanoxin Md 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 consultation.

The most serious risks include cardiac arrhythmias such as ventricular tachycardia, severe bradycardia, and heart block, which can be life‑threatening. Other critical concerns are digoxin toxicity manifested by nausea, visual disturbances, and electrolyte imbalances, particularly low potassium levels.

Digoxin is contraindicated in patients with known hypersensitivity to the drug, those with uncontrolled ventricular arrhythmias, and individuals with severe renal impairment without appropriate dose adjustment. Caution is also advised for patients with existing AV‑node block or severe electrolyte disturbances.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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