Digoxin for atrial fibrillation
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Examples
| Brand Name | Generic Name |
| Lanoxin | digoxin |
Digoxin is used to control heart rate. It is also used to increase the strength of ventricular contractions in people with left-sided heart failure.
How It Works
Digoxin helps slow the heart rate by blocking the number of electrical impulses that pass through the AV node into the lower heart chambers (ventricles).
Digoxin can also strengthen ventricular contractions so that the heart is able to pump more blood with each beat.
Why It Is Used
Digoxin slows heart rate and strengthens heart contractions in people who have atrial fibrillation. Digoxin can also be used to treat heart failure and therefore is useful in treating people with both atrial fibrillation and heart failure.
How Well It Works
Digoxin may be used along with other medications to treat atrial fibrillation. Digoxin alone may not adequately control heart rate in people with active lifestyles.
Digoxin may improve symptoms of atrial fibrillation by:
- Slowing the heart rate.
- Strengthening heart contractions in people who have heart failure.
Side Effects
High doses may cause digoxin poisoning. Symptoms of digoxin poisoning include:
- Confusion.
- Nausea.
- Loss of appetite.
- Visual disturbances.
- Cardiac arrhythmias.
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
What To Think About
Regular blood tests may be needed to monitor digoxin levels to prevent poisoning. Other medications may affect the level of digoxin in the blood.
Digoxin does not:
- Lower blood pressure like some other drugs used for atrial fibrillation do.
- Prevent recurrences of atrial fibrillation.
- Control heart rate very well during exercise. Beta-blockers or calcium channel blockers are better for controlling heart rate during exercise.
Smaller doses of digoxin must be used in older people or people with kidney problems.
People who have Wolff-Parkinson-White syndrome with atrial fibrillation cannot be treated with digoxin.
Complete the new medication information form (PDF) (What is a PDF document?) to help you understand this medication.
Credits
| Author | Robin Parks, MS |
| Editor | Kathleen M. Ariss, MS |
| Associate Editor | Pat Truman, MATC |
| Primary Medical Reviewer | Caroline S. Rhoads, MD - Internal Medicine |
| Specialist Medical Reviewer | Laurence Epstein, MD - Cardiac Electrophysiologist |
| Last Updated | January 18, 2007 |
| Last updated: | January 18, 2007 |
|---|---|
| Author: | Robin Parks, MS |
| Reviewed By: | Caroline S. Rhoads, MD - Internal Medicine, Laurence Epstein, MD - Cardiac Electrophysiologist |
| Editors: | Kathleen M. Ariss, MS, Pat Truman, MATC |
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