DIGOXIN-INJECTION, Lanoxin (cont.)

SIDE EFFECTS: Report promptly any loss of appetite, irregular heartbeat/palpitations, drowsiness, nausea, diarrhea or constipation, abdominal pain, vomiting, headache, fatigue, muscle weakness or vision changes. Unlikely but report promptly: dizziness, fainting, mood changes, confusion, mental or emotional changes. Very unlikely but report promptly: black stool, seizures. Notify your doctor immediately in the unlikely event an allergic reaction occurs. Symptoms of an allergic reaction include: difficulty breathing, skin rash, itching. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), heart problems, lung or kidney diseases, high blood pressure, low thyroid function (hypothyroid), low potassium levels. Limit alcohol intake (e.g., certain liquid medications containing alcohol) since the side effects of this medication may be increased by alcohol. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug is excreted into breast milk. Consult your doctor before breast-feeding. Caution is advised when this drug is used in the elderly.

DRUG INTERACTIONS: Tell your doctor of all nonprescription and prescription medication you may use, especially: water pills (diuretics), amphotericin, acarbose, corticosteroids (e.g., prednisone), corticotropin, edetate, laxatives, sodium polystyrene sulfonate (Kayexalate), glucagon, calcium (IV), quinidine, procainamide, propranolol, amiodarone, propafenone, certain calcium channel blockers (e.g., verapamil, diltiazem), itraconazole, indomethacin, succinylcholine. Also report the use of drugs that make you drowsy, such as: tranquilizers, narcotic pain relievers (e.g., codeine), sleeping pills, sedatives, anti-anxiety medicines, certain antihistamines, (e.g., diphenhydramine), muscle relaxants, anti-seizure drugs, St John's wort. Do not start or stop any medicine without doctor or pharmacist approval.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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