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Toloxin

Toloxin

(digoxin)

Toloxin (Digoxin) belongs to a class of medications called cardiac glycosides. It is used to treat mild-to-moderate Congestive Heart Failure and to treat certain types of abnormal heart rhythms.

Available form

Dosage

Tablet

0.0625MG, 0.125MG, 0.25MG

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Toloxin information

Dosage

Side Effects

Available Form

Contraindications

Precautions

Warnings

The dose varies widely depending on age, disease, weight, and kidney function. Higher doses are often given at the start of treatment to make sure there is enough medication in your body to achieve the desired effect. After this "loading dose", daily adult doses usually range between 0.0625 mg and 0.25 mg. Children's doses are individually determined by their doctor.

Toloxin (Digoxin) is normally taken once daily at the same time each day. Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is important to take Toloxin (Digoxin) exactly as prescribed by your doctor. If you miss a dose, and you remember it within 12 hours, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you miss 2 doses in a row, call your doctor for instruction.

Store Toloxin (Digoxin) at room temperature, protect it from light, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Toloxin (Digoxin). If you are concerned about side effects, discuss the risks and benefits of Toloxin (Digoxin) with your doctor.

The following side effects have been reported by at least 1% of people taking Toloxin (Digoxin). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

anxiety
decreased interest in sexual activity
enlarged breasts (in men)
dizziness
headache

weakness

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

signs of Depression (e.g., poor concentration, changes in weight, changes in sleep, decreased interest in activities, thoughts of suicide)

Stop taking the medication and seek immediate medical attention if any of the following occur:

signs of too much Toloxin (Digoxin) in the body:

abnormal or psychotic behavior
Diarrhea
extreme drowsiness or dizziness
fainting
loss of appetite
nausea
severe headache
slow heartbeat
unusually fast heart beat
vision changes (e.g., yellow-green or blurred vision)

signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)

Infants and children: The signs and symptoms listed above can also occur for infants and children, but heartbeat rate or heart rhythm side effects are more common initially than stomach upset, loss of appetite, changes in vision, or other side effects.

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Toloxin (Digoxin).

Kidney function: Kidney Disease or reduced kidney function may cause Toloxin (Digoxin) to build up in the body, causing side effects. If you have reduced kidney function or kidney disease, discuss with your doctor how Toloxin (Digoxin) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Toloxin (Digoxin), and whether any special monitoring is needed.

Magnesium levels: Low blood levels of magnesium increase the risk of side effects with Toloxin (Digoxin). It is important that magnesium levels be checked periodically when taking Toloxin (Digoxin).

Potassium levels: Low blood levels of potassium increase the risk of overdose with Toloxin (Digoxin). It is important that potassium levels be checked periodically, especially if you are taking medications that can change the levels of potassium in the blood (e.g., Hydrochlorothiazide, Furosemide).

Potential overdose: The difference between an effective dose and an overdose is less for this medication than for most. Therefore, it is important to take Toloxin (Digoxin) exactly as prescribed. If you develop loss of appetite, nausea, or vomiting while taking Toloxin (Digoxin), contact your doctor, as these may be signs that the dose is too high.

Thyroid function: The effect of Toloxin (Digoxin) on heart rhythm is affected by thyroid function. If you have thyroid disease, discuss with your doctor how Toloxin (Digoxin) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Toloxin (Digoxin), and whether any special monitoring is needed.

Pregnancy: Toloxin (Digoxin) should be taken by pregnant women only if clearly needed. The effects on the developing baby of the mother taking Toloxin (Digoxin) during pregnancy are currently unknown.

Breast-feeding: This medication passes into breast milk. It is generally believed that the amount of Toloxin (Digoxin) in breast milk that a breast-fed infant would receive is not likely to affect the infant. Talk to your doctor about whether you should continue breast-feeding.

Children: Toloxin (Digoxin) can be prescribed to children, however the dose needed by the child changes as the child gets older. Your child’s doctor will want to closely monitor the effectiveness of Toloxin (Digoxin) for your child. Keep Toloxin (Digoxin) out of the reach of children.

Seniors: As you age, your kidney function can decrease. If this happens you may need a lower dose of Toloxin (Digoxin).

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