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QuickView for Digitoxin (compound)


PubChem
Name: Digitoxin
PubChem Compound ID: 10078873
Description: A cardiac glycoside sometimes used in place of DIGOXIN. It has a longer half-life than digoxin; toxic effects, which are similar to those of digoxin, are longer lasting. (From Martindale, The Extra Pharmacopoeia, 30th ed, p665)
Molecular formula: C41H64O13
Molecular weight: 764.939 g/mol
DrugBank
Identification
Name: Digitoxin
Name (isomeric): DB01396
Drug Type: small molecule
Description: A cardiac glycoside sometimes used in place of DIGOXIN. It has a longer half-life than digoxin; toxic effects, which are similar to those of digoxin, are longer lasting. (From Martindale, The Extra Pharmacopoeia, 30th ed, p665)
Synonyms:
Digitoksin; Digitalin; Digitoxoside; Digitoxinum
Brand: Unidigin, Tardigal, Crystodigin
Category: Cardiotonic Agents, Antiarrhythmic Agents, Enzyme Inhibitors, Anti-Arrhythmia Agents
CAS number: 71-63-6
Pharmacology
Indication: For the treatment and management of congestive cardiac insufficiency, arrhythmias and heart failure.
Pharmacology:
Digitoxin is a cardiac glycoside sometimes used in place of DIGOXIN. It has a longer half-life than digoxin; toxic effects, which are similar to those of digoxin, are longer lasting (From Martindale, The Extra Pharmacopoeia, 30th ed, p665). Unlike digoxin (which is eliminated from the body via the kidneys), it is eliminated via the liver, so could ...
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Mechanism of Action:
Digitoxin inhibits the Na-K-ATPase membrane pump, resulting in an increase in intracellular sodium and calcium concentrations. Increased intracellular concentrations of calcium may promote activation of contractile proteins (e.g., actin, myosin). Digitoxin also acts on the electrical activity of the heart, increasing the slope of phase 4 depolariza...
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Biotransformation: Hepatic.
Toxicity: Digitoxin exhibits similar toxic effects to the more-commonly used digoxin, namely: anorexia, nausea, vomiting, diarrhoea, confusion, visual disturbances, and cardiac arrhythmias.
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Avoid avocado.
Limit garlic, ginger, gingko, and horse chestnut.
Avoid milk, calcium containing dairy products, iron, antacids, or aluminum salts 2 hours before or 6 hours after using antacids while on this medication.
Avoid salt substitutes containing potassium.
Avoid bran and high fiber foods within 2 hours of taking this medication.
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Drug interaction:
HydrochlorothiazidePossible electrolyte variations and arrhythmias
MetolazonePossible electrolyte variations and arrhythmias
QuinidineQuinine/quinidine increases the effect of digoxin
QuinineQuinine/quinidine increases the effect of digoxin
IndapamidePossible electrolyte variations and arrhythmias
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