Lanoxin Pediatric

Name: Lanoxin Pediatric

Lanoxin Pediatric brand name
Lanoxin Pediatric dosage
Lanoxin Pediatric dosage forms
Lanoxin Pediatric used to treat
Lanoxin Pediatric is used to treat
Lanoxin Pediatric side effects
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Lanoxin Pediatric the effects of
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Commonly used brand name(s)

In the U.S.

Digitek
Digox
Lanoxicaps
Lanoxin
Lanoxin Pediatric

In Canada

Digitaline Nativelle

Available Dosage Forms:

Tablet
Capsule, Liquid Filled
Solution
Elixir

Therapeutic Class: Cardiovascular Agent

Pharmacologic Class: Cardiac Glycoside

Chemical Class: Digitalis Glycoside

Uses For Lanoxin Pediatric

Digoxin is used to treat congestive heart failure, usually in combination with a diuretic (water pill) and an angiotensin-converting enzyme (ACE) inhibitor. It is also used to treat a heart rhythm problem called atrial fibrillation.

Digoxin belongs to the class of medicines called digitalis glycosides. It is used to improve the strength and efficiency of the heart, or to control the rate and rhythm of the heartbeat. This leads to better blood circulation and reduced swelling of the hands and ankles in patients with heart problems.

This medicine is available only with your doctor's prescription.

Before Using Lanoxin Pediatric

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies on the relationship of age to the effects of digoxin have not been performed in the pediatric population. However, infants are more likely to be very sensitive to the effects of digoxin which may require an individual dose for infants receiving digoxin.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of digoxin in the elderly. However, elderly patients are more likely to have age-related kidney or heart problems which may require caution and an adjustment in the dose for patients receiving digoxin.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Amifampridine

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Acarbose
Aceclofenac
Acemetacin
Activated Charcoal
Alprazolam
Aluminum Carbonate, Basic
Aluminum Hydroxide
Aluminum Phosphate
Amiodarone
Amlodipine
Amtolmetin Guacil
Aspirin
Atorvastatin
Azithromycin
Bemetizide
Bendroflumethiazide
Benzthiazide
Bismuth
Boceprevir
Bromfenac
Bufexamac
Buthiazide
Calcium
Calcium Carbonate
Canagliflozin
Captopril
Carvedilol
Celecoxib
Chan Su
Chlorothiazide
Chlorthalidone
Cholestyramine
Choline Salicylate
Cinnarizine
Clarithromycin
Clevidipine
Clonixin
Clopamide
Cobicistat
Colestipol
Conivaptan
Crizotinib
Cyclopenthiazide
Cyclothiazide
Daclatasvir
Demeclocycline
Dexibuprofen
Dexketoprofen
Diclofenac
Diflunisal
Dihydroxyaluminum Aminoacetate
Dihydroxyaluminum Sodium Carbonate
Diltiazem
Dipyrone
Dofetilide
Dopamine
Dronedarone
Droxicam
Eliglustat
Ephedrine
Epinephrine
Erythromycin
Etodolac
Etofenamate
Etoricoxib
Felbinac
Felodipine
Fenoprofen
Fepradinol
Feprazone
Fingolimod
Floctafenine
Flufenamic Acid
Flurbiprofen
Gentamicin
Hydrochlorothiazide
Hydroflumethiazide
Ibuprofen
Indapamide
Indomethacin
Isavuconazonium Sulfate
Isradipine
Itraconazole
Kaolin
Ketoprofen
Ketorolac
Kyushin
Lapatinib
Ledipasvir
Lily of the Valley
Lornoxicam
Loxoprofen
Lumiracoxib
Magaldrate
Magnesium Carbonate
Magnesium Hydroxide
Magnesium Oxide
Magnesium Trisilicate
Manidipine
Meclofenamate
Mefenamic Acid
Meloxicam
Methyclothiazide
Metoclopramide
Metolazone
Mifepristone
Minocycline
Moricizine
Morniflumate
Nabumetone
Naproxen
Nefazodone
Nepafenac
Nicardipine
Nifedipine
Niflumic Acid
Nilvadipine
Nimesulide
Nimesulide Beta Cyclodextrin
Nimodipine
Nisoldipine
Nitrendipine
Norepinephrine
Oleander
Oxaprozin
Oxyphenbutazone
Oxytetracycline
Parecoxib
Pheasant's Eye
Phenylbutazone
Phenytoin
Piketoprofen
Piroxicam
Polythiazide
Pranoprofen
Proglumetacin
Propafenone
Propantheline
Propyphenazone
Proquazone
Quinethazone
Quinidine
Quinine
Rabeprazole
Ranolazine
Rifampin
Ritonavir
Rofecoxib
Rolapitant
Salicylic Acid
Salsalate
Saquinavir
Simeprevir
Sodium Bicarbonate
Sodium Salicylate
Sotalol
Spironolactone
Squill
St John's Wort
Succinylcholine
Sucralfate
Sulindac
Telaprevir
Telmisartan
Tenoxicam
Tetracycline
Tiaprofenic Acid
Tolfenamic Acid
Tolmetin
Tolvaptan
Trichlormethiazide
Trimethoprim
Valbenazine
Valdecoxib
Vandetanib
Vemurafenib
Venetoclax
Verapamil
Vilazodone
Xipamide

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Acebutolol
Albuterol
Alprenolol
Aminosalicylic Acid
Arbutamine
Atenolol
Azosemide
Bepridil
Betaxolol
Bevantolol
Bisoprolol
Bucindolol
Bupropion
Canrenoate
Carteolol
Cascara Sagrada
Celiprolol
Colchicine
Cyclosporine
Darunavir
Dilevalol
Disopyramide
Epoprostenol
Esmolol
Etravirine
Exenatide
Flecainide
Flibanserin
Fluoxetine
Gatifloxacin
Hydroxychloroquine
Indecainide
Labetalol
Lenalidomide
Mepindolol
Metipranolol
Metoprolol
Mibefradil
Miglitol
Mirabegron
Nadolol
Nebivolol
Neomycin
Omeprazole
Oxprenolol
Pancuronium
Penbutolol
Pindolol
Propranolol
Rifapentine
Roxithromycin
Simvastatin
Sulfasalazine
Talinolol
Telithromycin
Tertatolol
Ticagrelor
Timolol
Trazodone
Velpatasvir

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

food

Proper Use of digoxin

This section provides information on the proper use of a number of products that contain digoxin. It may not be specific to Lanoxin Pediatric. Please read with care.

To keep your heart working properly, take this medicine exactly as directed even though you may feel well. Do not take more of it than your doctor ordered and do not miss any doses. Take the medicine at the same time each day. This medicine works best when there is a constant amount in the blood.

When you are taking this medicine, it is very important that you get the exact amount of medicine that you need. The dose of digoxin will be different for different patients. Your doctor will determine the proper dose of digoxin for you. Follow your doctor's orders or the directions on the label.

Measure the oral solution correctly using the marked measuring dropper that comes with the package or an oral syringe. Do not use teaspoons and tablespoons that are used for serving and eating food. They do not measure exact amounts.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For heart failure or atrial fibrillation:
- For oral dosage form (solution):
  - Adults, teenagers, and children 10 years of age and older—Dose is based on age, body weight, and medical condition and must be determined by your doctor. At first, the dose is usually 10 to 15 micrograms (mcg) per kilogram (kg) of body weight. Your doctor may adjust your dose as needed. However, the maintenance dose is usually 3 to 4.5 mcg per kg of body weight per day.
  - Children 5 to 10 years of age—Dose is based on age, body weight, and medical condition and must be determined by your doctor. At first, the dose is usually 20 to 35 micrograms (mcg) per kilogram (kg) of body weight. Your doctor may adjust your dose as needed. However, the maintenance dose is usually 5.6 to 11.3 mcg per kg of body weight per day.
  - Children 2 to 5 years of age—Dose is based on age, body weight, and medical condition and must be determined by your doctor. At first, the dose is usually 30 to 45 micrograms (mcg) per kilogram (kg) of body weight. Your doctor may adjust your dose as needed. However, the maintenance dose is usually 9.4 to 13.1 mcg per kg of body weight per day.
  - Infants 1 month to 24 months of age—Dose is based on age, body weight, and medical condition and must be determined by your doctor. At first, the dose is usually 35 to 60 micrograms (mcg) per kilogram (kg) of body weight. Your doctor may adjust your dose as needed. However, the maintenance dose is usually 11.3 to 18.8 mcg per kg of body weight per day.
  - Full-term babies—Dose is based on age, body weight, and medical condition and must be determined by your doctor. At first, the dose is usually 25 to 35 micrograms (mcg) per kilogram (kg) of body weight. Your doctor may adjust your dose as needed. However, the maintenance dose is usually 7.5 to 11.3 mcg per kg of body weight per day.
  - Premature babies—Dose is based on age, body weight, and medical condition and must be determined by your doctor. At first, the dose is usually 20 to 30 micrograms (mcg) per kilogram (kg) of body weight. Your doctor may adjust your dose as needed. However, the maintenance dose is usually 4.7 to 7.8 mcg per kg of body weight per day.
- For oral dosage form (tablets):
  - Adults—Your doctor will give your first few doses intravenously (rapid digitalization) and then, you'll be switched to oral tablets for maintenance therapy. A maintenance dose of 0.125 to 0.5 milligram (mg) once a day will be given depending on your body weight and medical condition.
  - Teenagers and children older than 10 years of age—Dose is based on body weight and must be determined by your doctor.
  - Children younger than 10 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

If you miss a dose of this medicine, and you remember it within 12 hours, take it as soon as you remember. However, if you do not remember until later, skip the missed dose and go back to your regular dosing schedule. If you have any questions about this or if you miss doses for 2 or more days in a row, check with your doctor.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Lanoxin Pediatric Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Dizziness
fainting
fast, pounding, or irregular heartbeat or pulse
slow heartbeat

Rare

Black, tarry stools
bleeding gums
blood in the urine or stools
bloody vomit
pinpoint red spots on the skin
rash with flat lesions or small raised lesions on the skin
severe stomach pain
unusual bleeding or bruising

Incidence not known

Chest pain or discomfort
nausea
shortness of breath
sweating
swelling of the feet and lower legs
troubled breathing
unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

Agitation or combativeness
anxiety
confusion
depression
diarrhea
expressed fear of impending death
hallucinations
rash
vomiting