Old patients are especially at risk of developing digoxin toxicity and therefore should be commenced on a low dose. There is an increased risk of toxicity in hypokalaemia and renal failure. Blood levels should be measured regularly.
Possible side effects include:
If patient becomes toxic then stop digoxin, treat any arrhythmias and check potassium. Secretion of digoxin can be increased by using digoxin-specific antibodies.
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