Digoxin Generic

Mail Order Pharmacy

1. Medication
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   US ONLY
2. Digoxin

   Generic for Lanoxin

   Rx

   125mcg

   30 tablets $8.1 USD

   30 tablets $8.1 USD - $0.27 USD/tablet
   Save $19.80

   Get started
   Get started
3. Digoxin

   Generic for Lanoxin

   Rx

   250mcg

   30 tablets $8.1 USD

   30 tablets $8.1 USD - $0.27 USD/tablet
   Save $19.80

   Get started
   Get started

Do you need a prescription for digoxin?

Yes, digoxin is only available with a valid physician Rx.

How much is digoxin without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase digoxin, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for digoxin in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a digoxin savings card?

Yes. Save up to 90% on your digoxin with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a digoxin coupon provider in the US?

No. Now Patient does not provide digoxin coupons or FREE digoxin samples.

Do you accept commercial, Medicare or Medicaid coverage for digoxin in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much digoxin?

US

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using digoxin. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much digoxin. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.

UK

If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

US brand name of digoxin and manufacturer

Digoxin is available in the US under various brand names, including Lanoxin and Digitek, which are manufactured by different pharmaceutical companies.

UK brand name of digoxin and manufacturer

Digoxin is available in the UK under various brand names, including Lanoxin and digoxin, and is manufactured by different generic manufacturers.

Availability of digoxin

Digoxin is available as a prescription medication in both the US and the UK.

FDA approval of digoxin

Digoxin has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of congestive heart failure and certain heart rhythm disorders.

Is digoxin available in the UK on NHS?

Yes, digoxin is available in the UK with a National Health Service (NHS) prescription. It is prescribed for the treatment of heart failure and certain heart rhythm disorders, and your healthcare provider can assess your condition and determine if digoxin is appropriate for you.

Mechanism of action

Digoxin comes from the foxgloves plant known as Digitalis lanata. It belongs to a class of medications called cardiac glycosides. It works by increasing the force of contraction of the heart muscle and slowing down the heart rate. This helps improve the efficiency of the heart’s pumping action and can be beneficial in conditions such as heart failure and certain arrhythmias.

Uses of digoxin

Digoxin is primarily used to treat cardiovascular problems such as heart failure and certain heart rhythm disorders, including atrial fibrillation and atrial flutter. It is often prescribed as part of a comprehensive treatment plan that may include other medications, lifestyle changes, and management of underlying conditions.

Dosage of digoxin

The dosage of digoxin may vary depending on the specific condition being treated, individual patient factors, and the healthcare provider’s assessment. It is important to follow the dosage instructions provided by your healthcare provider. Digoxin is available in tablet form with various strengths (e.g., 0.125 mg, 0.25 mg). The appropriate dose of digoxin will be determined by your healthcare provider based on your specific needs.
Store digoxin at room temperature, away from heat, moisture, and direct sunlight. Keep it out of reach of children and pets.

Forms of digoxin

Digoxin is available in tablet form for oral administration. The tablets come in various strengths.

Is it safe to take digoxin if I am pregnant or planning on becoming pregnant?

It is important to consult your healthcare provider if you are pregnant or planning to become pregnant before taking digoxin. The use of digoxin during pregnancy should be carefully considered, as it may pose risks to the unborn baby. Your healthcare provider can provide guidance based on your situation.

Is digoxin safe to use while breastfeeding?

Digoxin may pass into breast milk, and its use during breastfeeding should be discussed with your healthcare provider. The potential risks and benefits for both the mother and the baby should be evaluated, and a decision should be made based on the specific circumstances.

Warnings and precautions for digoxin

• Digoxin works by affecting the levels of certain electrolytes, primarily potassium and magnesium, in the body. Low levels of these electrolytes can increase the risk of digoxin toxicity. Therefore, it is crucial to maintain a balanced diet, adhere to any dietary restrictions provided by your healthcare provider, and have regular blood tests to monitor your electrolyte levels while taking digoxin
• Digoxin can affect thyroid function and may worsen symptoms in individuals with thyroid disorders. It is important to inform your healthcare provider if you have any thyroid conditions or if you experience any changes in your thyroid function while taking digoxin
• Digoxin is primarily eliminated from the body through the kidneys. Impaired kidney function can affect the clearance of digoxin from the body, leading to an increased risk of toxicity. If you have any kidney problems, your healthcare provider may need to adjust your digoxin dosage accordingly
• Make sure to inform your doctor about any other medications, over-the-counter drugs, or supplements you are taking. Some medications can cause adverse effects with digoxin and either decrease or increase its effectiveness. This includes herbal remedies, antacids, certain antibiotics, and antiarrhythmic medications

Interactions with other drugs

Here are some important drug interactions to be aware of when taking digoxin:

• Diuretics, also known as water pills, are medications commonly used to treat high blood pressure and heart failure. Some diuretics, such as thiazide diuretics (e.g., hydrochlorothiazide), can cause low potassium levels (hypokalemia), which may increase the risk of digoxin toxicity. Low potassium levels can enhance the effects of digoxin on the heart, leading to an irregular heartbeat or other serious cardiac problems. It is essential to monitor potassium levels regularly when taking digoxin with diuretics
• ACE inhibitors (e.g.lisinopril) and angiotensin receptor blockers (e.g. losartan) are commonly prescribed for high blood pressure and heart failure. These medications can increase the risk of high potassium levels (hyperkalemia) when taken with digoxin. Hyperkalemia can also lead to serious cardiac issues. Regular monitoring of potassium levels is crucial when combining digoxin with these medications
• Beta-blockers are often used to treat high blood pressure, heart failure, and certain arrhythmias. When taken with digoxin, beta-blockers can enhance the effects of digoxin on the heart, increasing the risk of side effects such as bradycardia (slow heart rate) or heart block. Close monitoring of heart rate and symptoms is necessary when combining digoxin with beta-blockers
• Calcium channel blockers, such as verapamil and diltiazem, are commonly prescribed for high blood pressure, angina, certain arrhythmias and other heart problems. These medications can also enhance the effects of digoxin on the heart, leading to potentially serious side effects. Regular monitoring of heart rate and symptoms is important when taking digoxin with calcium channel blockers
• Quinidine is an antiarrhythmic medication that is sometimes used in combination with digoxin to treat certain arrhythmias. However, the combination of quinidine and digoxin can increase the risk of digoxin toxicity. Close monitoring of digoxin levels and symptoms is necessary when taking these medications together
• Potassium-sparing diuretics, such as spironolactone and eplerenone, can increase potassium levels in the body. When combined with digoxin, which can also raise potassium levels, there is an increased risk of hyperkalemia. Regular monitoring of potassium levels is crucial when taking digoxin with potassium-sparing diuretics
• Some antibiotics, such as erythromycin and clarithromycin, can increase the concentration of digoxin in the blood, leading to a higher risk of digoxin toxicity. It is important to inform your healthcare provider about any antibiotics you are taking while on digoxin to prevent potential interactions
• Antacids that contain aluminium or magnesium, such as Maalox and Mylanta, can decrease the absorption of digoxin in the body, leading to reduced effectiveness. It is recommended to take digoxin at least two hours before or after taking antacids to prevent this interaction

Side effects of digoxin

Common side effects of digoxin may include nausea, vomiting, loss of appetite, headache, dizziness, and vision changes. It is important to contact your healthcare provider if you experience any severe or persistent side effects.
Some individuals may have an allergic reaction to digoxin. Signs of an allergic reaction may include rash, itching, swelling, severe dizziness, or trouble breathing. If you experience any of these symptoms, seek immediate medical attention.

Sources

• “Digoxin.” U.S. National Library of Medicine, MedlinePlus.
• “Digoxin.” NHS.
• “Digoxin.” BNF.