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In hyperophic cariomyopathy.outflow obstruction may worsen due to positive inotropic effects of digoxin. avoid use unless used to control ventricular response with atrial fibrillation. in the absence of atrial fibrillation.digoxin is potentially harmful in the treatment of dyspnea in patients with hypertrophic cardiomyopathy.
FF 17 – American Medical Association – Statline. Briefs on Important Issues from the Capitol – Washington Office.
fast.slow.or uneven heart rate. bloody or black.tarry stools. blurred vision.yellowed vision. or confusion.hallucinations.unusual thoughts or behavior.
Not necessary to routinely reduce or hold digoxin therapy prior to elective electrical cardioversion for atrial fibrillation. however.exclusion of digoxin toxicity is necessary prior to cardioverstion. whithhold digoxin and delay caridioversion until toxicity subsides if signs of digoxin excess exist.Sounds like ‘di-JOKS-in’
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the addition of a tetracycline to digoxin therapy has been reported to increase the serum digoxin concentration by 100 .