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Take the missed dose as soon as you rememberSkip the missed dose if your next dose is less than 12 hours awayDo not take extra medicine to make up the missed dose.

The safety and effectiveness of LANOXIN in the control of ventricular rate in children with atrial fibrillation in children have not been established.

In selecting a LANOXIN dosing regimenit is important to consider factors that affect digoxin blood levelse.gbody weightagerenal functionconcomitant drugssince toxic levels of digoxin are only slightly higher than therapeutic levelsDosing can be either initiated with a loading dose followed by maintenance dosing if rapid titration is desired or initiated with maintenance dosing without a loading dose.

If you are taking this medicineyour doctor may ask you to have regular blood tests to determine the amount of Lanoxin in the bloodThis may be useful in the case of patients with kidney disordersIf you develop digoxin toxicitythis can lead to various forms of heart rhythm disturbancessome of which resemble the rhythm disturbances for which the product was prescribedIf you have abnormal heart rhythmheart blockand you are taking this medicinecontact your doctor immediately if you feel one or more of the following symptomsfaintingshort-lasting loss of consciousnessdizziness or light-headednessfatiguetirednessshortness of breathchest painirregular heart-beat or confusionIf you have a sinoatrial disordera disorder in the conduction of electrical impulses in the heart such as Sick Sinus Syndromein some patients with a sinoatrial disorder this medicine can cause a slow and/or irregular heart-beatSometimes this will cause tirednessweakness and dizziness and when your heartbeat is very slow you may faintIf you have recently suffered a heart attackWhen heart failure occurs along with the collection of an abnormal protein in the heart tissuecardiac amyloidosisan alternative therapy may be prescribed by the doctorIf you have myocarditisinflammation of the heart musclethis may cause vasoconstrictionnarrowing of the blood vesselson rare occasionsYour doctor may prescribe you a different medicineIf you have Beri-beri diseasecaused by a vitamin B1 deficiencyIf you have constrictive pericarditisinflammation of the sac which contains the heartIf you are taking diureticsdrugs which promote urine production and help reduce the amount of water in your bodywith or without an ACE inhibitormainly used to treat high blood pressureyour doctor will prescribe a lower dose of LanoxinDo not stop taking Lanoxin without talking to your doctorIf you have a heart test called an ECGelectrocardiogramtell the person doing the test that you are taking Lanoxin as it can affect the meaning of the resultsIf you have severe respiratorylungdiseaseas you may have an increased sensitivity to LanoxinIf you have low levels of oxygen reaching certain parts of your bodylow levels of potassiumabnormally low levels of magnesium or increased levels of calcium in your blood If you have thyroid diseasesuch as an under-active or over-active thyroidas you might require changes in the dose of this medicineIf you have malabsorption syndromeyou cannot absorb minerals from your food properlyor if you have ever had gastrointestinal reconstruction surgeryIf you will receive electric shock treatment to correct an abnormal heart-beat.

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