Product image of Lanitop® (Metildigoxin) supplied by GNH India

Lanitop®

Active Ingredient:
Metildigoxin
Origin:
EU

Lanitop® (Metildigoxin)

Metildigoxin, the active ingredient in Lanitop, is a cardiac glycoside presented as an oral tablet for oral use. It is employed to increase cardiac contractility in patients with certain forms of heart failure and to aid rate control in atrial arrhythmias.
GNH India supplies Lanitop as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals and clinics worldwide.

Manufacturer / TM Owner

Esteve Pharmaceuticals Gmbh

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Indications & Clinical Uses

  • Metildigoxin is used in cardiac conditions that benefit from enhanced myocardial contractility and rhythm control.
  • Congestive heart failure: improves ventricular pumping efficiency and reduces symptoms of fluid overload.
  • Atrial fibrillation: helps control ventricular rate by increasing vagal tone.
  • Atrial flutter: assists in rate control and may aid conversion to sinus rhythm.

How It Works

  • Metildigoxin binds to and inhibits the Na⁺/K⁺‑ATPase pump on cardiac myocyte membranes, 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 of the heart muscle and improves cardiac output.

Side Effects

Adverse reactions may occur with Metildigoxin therapy.

Common Side Effects

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

Serious or Rare Side Effects

  • Life‑threatening arrhythmias (e.g., ventricular tachycardia)
  • Severe bradycardia or heart block
  • Hyperkalemia
  • Visual halos (yellow‑green)
  • Allergic skin reactions
  • Confusion or hallucinations

Precautions & Warnings

  • When prescribing Metildigoxin, clinicians should consider several safety factors.
  • Renal impairment: dose may need adjustment and serum levels should be monitored.
  • Electrolyte imbalance: monitor potassium and magnesium closely.
  • Thyroid disease: increased sensitivity may occur.
  • Elderly patients: higher risk of toxicity; start with lower doses.
  • Therapeutic drug monitoring: regular serum Metildigoxin concentrations are recommended.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Metildigoxin can interact with several medicines, requiring careful management.

Major Interactions (Avoid)

  • Amiodarone: markedly raises serum Metildigoxin levels.
  • Quinidine: increases concentration and toxicity risk.
  • Verapamil: enhances cardiac effects and may precipitate arrhythmias.

Moderate Interactions (Monitor Closely)

  • Loop or thiazide diuretics: may cause electrolyte disturbances that potentiate toxicity.
  • Beta‑blockers: additive bradycardic effect.
  • ACE inhibitors: may affect renal function and electrolyte balance.
  • NSAIDs: can reduce renal clearance of Metildigoxin.
  • SSRIs: potential for QT‑interval prolongation.

Frequently Asked Questions

Lanitop contains Metildigoxin, a cardiac glycoside indicated for the management of congestive heart failure to improve cardiac output, and for rate control in atrial fibrillation or atrial flutter. It may also be used in selected cases to facilitate conversion to sinus rhythm under specialist supervision.

Metildigoxin inhibits the Na⁺/K⁺‑ATPase pump on heart muscle cells, leading to increased intracellular sodium. This change reduces calcium extrusion via the sodium‑calcium exchanger, resulting in higher intracellular calcium concentrations that strengthen myocardial contraction and enhance cardiac output.

The appropriate dose of Lanitop is individualized based on the patient’s clinical condition, renal function, electrolyte status, and response to therapy. The prescribing physician determines the exact regimen and may adjust it after therapeutic drug monitoring.

Safety data for Metildigoxin in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Lanitop, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Lanitop (Metildigoxin) is chemically related to digoxin, the most widely used cardiac glycoside. Both share a similar mechanism of increasing intracellular calcium, but Metildigoxin may have a slightly different pharmacokinetic profile, potentially offering alternative dosing flexibility in certain patient populations.

Lanitop tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container. Protect them from moisture, heat and direct sunlight to maintain potency throughout the shelf life.

Lanitop is administered orally, usually with a glass of water. It may be taken with or without food, but consistency with respect to meals is recommended to avoid fluctuations in absorption.

The most serious risks include life‑threatening arrhythmias such as ventricular tachycardia, severe bradycardia or heart block, and marked electrolyte disturbances like hyperkalemia. Visual disturbances such as yellow‑green halos and confusion may also signal toxicity and require immediate medical attention.

Lanitop is contraindicated in patients with known hypersensitivity to Metildigoxin or other cardiac glycosides, those with uncontrolled ventricular arrhythmias, severe sinus node dysfunction without a pacemaker, and in individuals with acute myocardial infarction where increased contractility could be harmful.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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