← Search & browse all drugs
CARDIOVASCULAR SYSTEM › CARDIAC THERAPY › CARDIAC GLYCOSIDES › Digitalis glycosides
acetyldigoxin
C01AA02
Forms & Strengths
- Tablets: 0.2 mg, 0.4 mg
- Injection: 0.1 mg/mL
Adult Dosing
- Loading dose: 0.6-1.2 mg IV/PO in divided doses
- Maintenance dose: 0.1-0.4 mg/day PO, 0.1-0.2 mg/day IV
Pediatric Dosing
- Neonates and infants: 20-30 mcg/kg loading dose, 5-10 mcg/kg/day maintenance
- Children: 10-20 mcg/kg loading dose, 2.5-5 mcg/kg/day maintenance
Indications
- Treatment of atrial fibrillation
- Treatment of atrial flutter
- Treatment of heart failure
Mechanism of Action
- Inhibits sodium-potassium ATPase
- Increases intracellular calcium
- Increases cardiac contractility
Contraindications
- Ventricular fibrillation
- Hypersensitivity to digoxin or digitalis glycosides
- Wolff-Parkinson-White syndrome with atrial fibrillation
Adverse Reactions
- Nausea and vomiting
- Cardiac arrhythmias
- Fatigue and weakness
- Visual disturbances
Drug Interactions
- Quinidine: increases digoxin levels
- Verapamil: increases digoxin levels
- Beta blockers: increases risk of cardiac arrhythmias
Curated Content: Needs Vetting Before Put to Clinical Use