Nebulizer inhalation solution: -2.5 mg three or four times a day by nebulization, over approximately 5 to 15 minutes. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of digoxin in the elderly. To do so may increase the chance of side effects. To do so may increase the chance for breathing problems. However, since one-third of patients with clinical toxicity have concentrations less than 2.0 ng/mL, values below 2.0 ng/mL do not rule out the possibility that a certain sign or symptom is related to digoxin therapy. However, infants are more likely to be very sensitive to the effects of digoxin which may require an individual dose for infants receiving digoxin. Accordingly, ultimate dosage selection must be based upon clinical assessment of the patient.We comply with the HONcode standard for trustworthy health information - Measurement of the serum digoxin level will confirm the need for such dosing changes. Portions of this document last updated: Sept. 01, 2020Copyright © 2020 IBM Watson Health. Our general interest e-newsletter keeps you up to date on a wide variety of health topics.Inhaled budesonide is used to prevent asthma attacks. Do not use more of it and do not use it more often than your doctor ordered. Mixing of LANOXIN Injection Pediatric with other drugs in the same container or simultaneous administration in the same intravenous line is not recommended.In selecting a dose of digoxin, the following factors must be considered:In general, the dose of digoxin used should be determined on clinical grounds. The following information includes only the average doses of this medicine. Advertising revenue supports our not-for-profit mission.Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Children over 10 years of age require adult dosages in proportion to their body weight. Do not change your dose or stop using this medicine without first checking with your doctor. About two-thirds of adults considered adequately digitalized (without evidence of toxicity) have serum digoxin concentrations ranging from 0.8 to 2.0 ng/mL. No more than 200 mcg (2 mL) should be injected into a single site.LANOXIN Injection Pediatric can be administered undiluted or diluted with a 4-fold or greater volume of Sterile Water for Injection, 0.9% Sodium Chloride Injection, or 5% Dextrose Injection. Also, do not stop taking this medicine without telling your doctor. An open vial of medicine must be used right away.Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. The inhalation solution and nebulizer will come with patient instructions. Intramuscular injection can lead to severe pain at the injection site, thus intravenous administration is preferred. Do not freeze.Store unopened vials of this medicine at room temperature, away from heat and direct light. These recommendations assume the presence of normal renal function.The loading dose should be administered in several portions, with roughly half the total given as the first dose.

In the newborn period, renal clearance of digoxin is diminished and suitable dosage adjustments must be observed. Follow your doctor's orders or the directions on the label. However, measurement of serum digoxin concentrations can be helpful to the clinician in determining the adequacy of digoxin therapy and in assigning certain probabilities to the likelihood of digoxin intoxication. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Because of altered digoxin distribution and elimination, projected peak body stores for patients with renal insufficiency should be conservative (i.e., 6 to 10 mcg/kg) (see PRECAUTIONS).Digitalizing and daily maintenance doses for each age group are given in Table 5 and should provide therapeutic effect with minimum risk of toxicity in most patients with heart failure and normal sinus rhythm. However, digoxin may produce clinical benefits even at serum concentrations below this range. Digoxin (Lanoxin) is a medicine used for various heart conditions including arrhythmias and congestive heart failure. Inhalation capsules: -1 inhalation (200 mcg) orally every 4 to 6 hours. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Read the directions carefully before using this medicine. Available for Android and iOS devices.

If the drug must be administered by the intramuscular route, it should be injected deep into the muscle followed by massage.