Lanoxin Elixir 0.05 mg/ ml 60 ml

Product Description:

• Lanoxin PG Elixir is a digoxin oral solution 0.05mg/ml that is used to treat arrhythmias and heart failure.


• In addition, the Lanoxin PG Elixir can also help improve symptoms of heart failure such as shortness of breath and fatigue.


• Digoxin Elixir work by correcting irregular heartbeats and strengthening the force of the heart-beat.


• If you are suffering from any of these conditions, ask your doctor if this elixir could be right for you.

How To Use:

How to take Digoxin oral solution:

• This medicine is available as an oral solution which is taken orally.


• Digoxin oral solution , 0.05 mg in 1 ml, is supplied with a graduated pipette and this should be used for measurement of all doses.


• Digoxin oral solution should not be diluted. Always use this medicine exactly as your doctor has told you. Check with your doctor if you are not sure.

Your doctor will have decided how much of this medicine is right for you:

• It depends on what heart problem you have and how serious it is.


• It also depends on your age, weight and how well your kidneys work.


• While you are taking this medicine, your doctor will take regular blood tests.


• This is to determine how you are responding to treatment.


• Your doctor will adjust your dose based on your blood test results and on how you are responding to treatment.


• This is why you must strictly adhere to the treatment course prescribed your doctor.


• If you have taken another cardiac glycoside in the past 2 weeks, your doctor may prescribe a lower dose.


• If you feel that the effect of this medicine is too strong or too weak, talk to your doctor or pharmacist.

Taking this medicine

You usually take this medicine in two stages:

Stage 1 – loading dose:

The loading dose gets your Digoxin oral solution levels up to the correct level quickly. You will either:

• Take one large single dose and then begin your maintenance dose

OR

• Take a smaller dose each day for a week and then begin your maintenance dose

Stage 2 – maintenance dose

• After your loading dose you will take a much smaller dose every day, until your doctor tells you to stop.

Oral Administration:

Adults and children over 10 years:

Loading dose:

• Usually between 0.75 and 1.5 mg as a single dose


• For some patients, this may be given in divided doses 6 hours apart


• Alternatively, between 0.25 and 0.75 mg may be given each day for a week

Maintenance dose:

• Your doctor will decide this, depending on your response to Digoxin oral solution


• It is usually between 0.125 and 0.25 mg daily

Children under 10 years:

Loading dose:

• This is worked out using your child’s weight


• Usually between 0.025 and 0.045 mg per kg of body weight


• This should be given in divided doses between 4 and 8 hours apart

Maintenance dose:

• The doctor will decide this, depending on your child’s response to Digoxin oral solution.


• It is usually a 1/5 (fifth) or a 1/4 (quarter) of the loading dose, to be taken daily.

Elderly:

• Elderly people may be given a lower dose than the usual adult dose.


• This is because older people may have reduced kidney function.


• Your doctor will check the levels of Digoxin oral solution in your blood and may change your dose if necessary.


• If you use more Digoxin oral solution than you should


• If you have taken too much of the Digoxin oral solution , or a child has taken the medicine by accident, contact your doctor, hospital or poison centre to evaluate the risks and get more information.


• The main symptoms of Digoxin oral solution toxicity are heart rhythm disturbances and gastrointestinal symptoms which may happen before heart rhythm disturbances.


• Gastrointestinal symptoms include loss of appetite, nausea and vomiting.


• Other symptoms of Digoxin oral solution toxicity include dizziness, fatigue, a general feeling of being unwell and various neurological disturbances including visual disturbances (more yellow-green than usual).


• The neurological and visual symptoms may persist even after other signs of toxicity have been resolved.


• In chronic toxicity, non-heart related symptoms, such as weakness and a general feeling of being unwell, may be the main symptoms.

If you forget to use Digoxin oral solution:

• Do not take a double dose to make up for the forgotten dose.

If you stop using Digoxin oral solution:

• Your doctor will tell you how long you should take Digoxin.


• Do not stop your treatment early without consulting your doctor.


• If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Warnings And Precautions:

Talk to your doctor, pharmacist or nurse before using this medicine:

• If you are taking this medicine, your doctor may ask you to have regular blood tests to determine the amount of Digoxin oral solution in the blood.


• This may be useful in the case of patients with kidney disorders.


• If you develop digoxin toxicity, this can lead to various forms of heart rhythm disturbances, some of which resemble the rhythm disturbances for which the product was prescribed.

If you have abnormal heart rhythm (heart block) and you are taking this medicine, contact your doctor immediately if you feel one or more of the following symptoms:

• Fainting, short-lasting loss of consciousness, dizziness or light-headedness, fatigue (tiredness), shortness of breath, chest pain, irregular heart-beat or confusion.


• If you have a sinoatrial disorder (a disorder in the conduction of electrical impulses in the heart such as sick sinus syndrome).


• in some patients with a sinoatrial disorder this medicine can cause a slow and/or irregular heart-beat.


• Sometimes this will cause tiredness, weakness and dizziness and when your heartbeat is very slow you may faint.


• If you have recently suffered a heart attack.


• When heart failure occurs along with the collection of an abnormal protein in the heart tissue (cardiac amyloidosis), an alternative therapy may be prescribed by the doctor.


• If you have myocarditis (inflammation of the heart muscle) this may cause vasoconstriction (narrowing of the blood vessels) on rare occasions.


• Your doctor may prescribe you a different medicine.


• If you have Beri-beri disease (caused by a vitamin B1 deficiency).


• If you have constrictive pericarditis (inflammation of the sac which contains the heart).


• If you are taking diuretics (drugs which promote urine production and help reduce the amount of water in your body) with or without an ACE inhibitor (mainly used to treat high blood pressure), your doctor will prescribe a lower dose of Digoxin oral solution.


• Do not stop taking Digoxin oral solution without talking to your doctor.


• If you have a heart test called an ECG (electrocardiogram), tell the person doing the test that you are taking Digoxin oral solution as it can affect the meaning of the results.


• If you have severe respiratory (lung) disease (as you may have an increased sensitivity to Digoxin oral solution).


• If you have low levels of oxygen reaching certain parts of your body, low levels of potassium, abnormally low levels of magnesium or increased levels of calcium in your blood.


• If you have thyroid disease (such as an under-active or over-active thyroid) as you might require changes in the dose of this medicine.


• If you have malabsorption syndrome (you cannot absorb minerals from your food properly) or if you have ever had gastrointestinal reconstruction surgery.


• If you will receive electric shock treatment to correct an abnormal heart-beat.

Ingredients:

• The active ingredient in the elixir, digoxin, belongs to a group of medicines called cardiac glycosides.

Product Details:

• Brand: Lanoxin