Lanoxin Pg 50mcg/ml Elixir

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Brand Aspen
Manufacturer Aspen
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Lanoxin Pg 50mcg/ml Elixir is a prescription-only medicine (POM) presented as a medicine, with Digoxin 50mcg/ml as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Measure and give Lanoxin Pg 50mcg/ml Elixir using the oral dosing syringe or dropper provided with the product – never use a household teaspoon or kitchen measuring device, as these are not accurate enough for this medicine’s narrow safety margin. Give the measured dose directly into the mouth, or mixed with a small amount of water if advised by your doctor. Never give a double dose to make up for a missed one – contact your doctor or pharmacist promptly for specific advice if a dose is missed.

Dosage

The dose of Lanoxin Pg 50mcg/ml Elixir is highly individualised based on the patient’s age, body weight, kidney function, and the condition being treated, and is determined and adjusted only by the prescribing doctor. Because digoxin has a narrow therapeutic index (the difference between an effective dose and a toxic dose is small), regular blood tests to check digoxin levels, kidney function, and electrolytes (especially potassium) are an essential part of treatment, and doses are never adjusted by the patient or caregiver.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Nausea or vomiting
  • Dizziness or lightheadedness
  • Headache
  • Fatigue or weakness
  • Changes in vision (blurred or yellow vision)
  • Irregular heartbeat
  • Loss of appetite

Contraindications

  • Known hypersensitivity to digoxin or any ingredient in this product
  • Ventricular fibrillation
  • Second- or third-degree heart block or sick sinus syndrome, unless the patient has a functioning pacemaker
  • Hypertrophic obstructive cardiomyopathy, unless specifically directed by a cardiologist
  • Low blood potassium (hypokalaemia), which significantly increases the risk of digoxin toxicity

Drug / Food Interactions

  • Diuretics (water tablets) that lower potassium or magnesium can significantly increase the risk of digoxin toxicity
  • Amiodarone, verapamil, and quinidine can raise digoxin blood levels substantially, often requiring a digoxin dose reduction
  • Antacids and some medicines that alter stomach acidity (including proton pump inhibitors) can change how much digoxin is absorbed
  • Always inform every doctor, dentist, and pharmacist that you take digoxin, as many commonly prescribed medicines can affect its levels

Quick Tips

  • Never take (or give) a double dose to make up for one that was missed – contact your doctor or pharmacist for specific advice instead
  • Attend all scheduled blood tests to monitor digoxin levels, kidney function, and electrolytes, especially potassium
  • Learn the signs of digoxin toxicity – nausea, visual changes (especially a yellow-green tinge), confusion, or an irregular heartbeat – and seek medical attention immediately if they occur
  • Keep all cardiology follow-up appointments, as the dose may need adjustment over time, especially in growing children
  • Tell every healthcare provider you see that you are taking digoxin before starting any new medicine, including over-the-counter products
  • Store this medicine safely out of reach of children, as an accidental extra dose can be dangerous

Ingredients / Active Ingredients

  • Digoxin 50mcg/ml

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Not Safe

This medicine is not safe during breastfeeding and should be avoided.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

No Data

No data is available regarding the interaction of alcohol with this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Frequently Asked Questions

Product Specifications

BrandAspen
ManufacturerAspen
ClassificationPrescription medicine
Ingredients / Active IngredientsDigoxin
Volume60ml
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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