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Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription herbal products you may use, especially of digoxin, live bacterial vaccines, penicillins, warfarin.

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This drug may make you dizzy or blur your visionAlcohol or marijuana can make you more dizzyDo not driveuse machineryor do anything that needs alertness or clear vision until you can do it safelyLimit alcoholic beveragesTalk to your doctor if you are using marijuana.

Drugs such as gentamicintetracyclineranolazineRanexaverapamilCalanVerelanVerelan PMIsoptinIsoptin SRCovera-HSquinidineQuinagluteQuinideamiodaroneCordaroneindomethacinIndocinIndocin-SRalprazolamXanaxXanax XRNiravamspironolactoneAldactoneand itraconazoleSporanoxcan increase digoxin levels and the risk of toxicityThe co-administration of digoxin and beta-blockersfor example propranololInderalInderal LAor calcium channel blockers or CCBsfor exampleverapamilwhich also reduce heart ratecan cause serious heart rate slowingDiuretic-inducedfor exampleby furosemideLasixreduction in blood potassium or magnesium levels may predispose patients to digoxin-induced abnormal heart rhythmsSaquinavirInviraseand ritonavirNorvirincrease the amount of digoxin in the body and may cause digoxin toxicityMirabegronMybetriqincreases digoxin blood levelsThe lowest dose of digoxin should be used if by people who are also using mirabegronOmeprazolePrilosecand other drugs that reduce stomach acidity may increase blood levels of digoxin.

A serious heart condition such assick sinus syndromeorAV blockunless you have a pacemaker

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patients who use zithromax with digoxin and phenytoin should be carefully monitored for drug interactions.

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