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Get emergency medical help if you have signs of an allergic reaction to Lanoxinhivesdifficulty breathingswelling of your facelipstongueor throat.

If you are pregnant or breast-feedingthink you may be pregnant or are planning to have a babyask your doctor or pharmacist for advice before taking this medicine.

Signs and symptoms of digoxin toxicity include anorexianauseavomitingvisual changes and cardiac arrhythmiasfirst-degreesecond-degreeWenckebachor third-degree heart blockincluding asystoleatrial tachycardia with blockAV dissociationaccelerated junctionalnodalrhythmunifocal or multiform ventricular premature contractionsespecially bigeminy or trigeminyventricular tachycardiaand ventricular fibrillationToxicity is usually associated with digoxin levels2ng/ml although symptoms may also occur at lower levelsLow body weightadvanced age or impaired renal functionhypokalemiahypercalcemiaor hypomagnesemia may predispose to digoxin toxicityObtain serum digoxin levels in patients with signs or symptoms of digoxin therapy and interrupt or adjust dose if necessarysee ADVERSE REACTIONS and OVERDOSAGEAssess serum electrolytes and renal function periodically.

Allergic reactions of the skin may occurrashurticariaabnormal heart-beat nauseavomitingdiarrhoea central nervous system disturbances such as dizziness visual disturbancesblurred or yellow vision)

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