If your pulse becomes fast, irregular, or a pulse below 60 beats per minute. Chest pain, or pain that goes to the shoulder, neck, or jaw. Bloody or black stools. Drowsiness or confusion.
When should you not give digoxin?
A beta-blocker or calcium antagonist (either alone or in combination with digoxin) is indicated when digoxin is ineffective for ventricular rate control. Digoxin is ineffective in restoring sinus rhythm, preventing paroxysms or controlling rate in paroxysmal AF. The elderly are at an increased risk of digoxin toxicity.
What are the contraindications of digoxin?
Digoxin is contraindicated in the following conditions[5]:
- Acute myocardial infarction.
- Hypersensitivity to the drug.
- Ventricular fibrillation.
- Myocarditis.
- Hypomagnesemia.
- Hypokalemia.
- Wolf-Parkinson-White syndrome.