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Precautions

Do NOT use Lanoxin if:

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• you are allergic to the ingredient in Lanoxin and other digitalis medicines

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• you might have beriberi heart disease

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• you might have certain types of heart rhythm problems, including ventricular fibrillation.

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Contact your physician or health care provider immediately if these apply to you.

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Some health concerns may connect to Lanoxin. Tell a medical expert or pharmacist for those who have any health concerns, in particular when any with the following affect you:

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• if you might be pregnant, intending to become pregnant, or are breast-feeding

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• if you happen to be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• when you have allergies to medicines, foods, or other substances

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• when you have severe heart failure, inflammation of one's heart, coronary heart, cardiac arrest, heart block, extra heart beats (PVCs), certain abnormal heart rhythms, or fainting because of heart problem

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• when you have severe kidney, liver, or lung problems, or even a thyroid problem

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• in case you have low blood amounts of calcium, magnesium, or potassium, or high blood amounts of potassium or calcium.

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Some medicines may communicate with Lanoxin. Tell your medical provider if you are taking some other medicines, especially any of the following:

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• Amiodarone, amphotericin B, anticholinergics (eg, propantheline), beta-blockers (eg, propranolol), bupivacaine, calcium, certain stimulants (eg, albuterol, amphetamine, pseudoephedrine), cyclosporine, diltiazem, diphenoxylate, diuretics (eg, hydrochlorothiazide, furosemide), indomethacin, itraconazole, macrolides (eg, erythromycin), propafenone, quinidine, quinine, spironolactone, succinylcholine, tetracyclines (eg, doxycycline), thioamines (eg, methimazole), or verapamil because they may increase the chance of Lanoxin's unwanted effects, especially on the center

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• Acarbose, certain anticancer medicines, cholestyramine, colestipol, kaolin-pectin, metoclopramide, penicillamine, rifampin, sulfasalazine, or thyroid hormones (eg, levothyroxine) because they may decrease Lanoxin's effectiveness

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• Oral aminoglycosides (eg, neomycin) because what and unwanted effects of Lanoxin might be increased or decreased

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• Spironolactone since it may interfere with certain tests for digoxin blood levels and provide false readings.

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This is probably not a total listing of all interactions that could occur. Ask your medical provider if Lanoxin may communicate with other medicines that you simply take. Check with your doctor before you start, stop, or customize the dose of any medicine.

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Important safety information:

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• Lanoxin could potentially cause dizziness or blurred vision. These effects could be worse if you get it with alcohol or certain medicines. Use Lanoxin with caution. Do not drive or perform other possible unsafe tasks unless you understand how you reply to it.

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• Tell a medical expert or dentist that you simply take Lanoxin when you have any medical or dental care, emergency care, or surgery.

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• Lab tests, including electrocardiogram (ECG), electrolytes, and blood digoxin levels, could be performed when you use Lanoxin. These tests might be used to monitor your problem or check for negative effects. Be sure to keep all doctor and lab appointments.

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• Use Lanoxin with caution inside elderly; they might be more sensitive to its effects.

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• Use Lanoxin with warning in infants who are premature or immature; they might be more responsive to its effects.

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• Poisoning may exist in children who accidently swallow Lanoxin or receive too much medicine. In case of an overdose, call your doctor or poison control center immediately.

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• Pregnancy and breast-feeding: If you become pregnant, get hold of your doctor. You will need to discuss the benefits and risks utilizing Lanoxin while you are pregnant. Lanoxin can be found in breast milk. If you might be or will be breast-feeding while you use Lanoxin, check together with your doctor. Discuss any possible risks for a baby.

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