Doctor insights on:
Digoxin Vs Digitalis
It is a heart drug...A purified product of the foxglove plant. It has effects which include strengthening the contraction of the heart muscle, slowing conduction of the heart's electrical impulse through the av node and thereby helping to slow the heart rate during atrial fibrillation. Because of potential toxicity, its use has been largely replaced ...Read more
Reverses Ht Failure: Toprol xl (specifically that formulation, not metoprolol tartrate) and Carvedilol (generic or Coreg (carvedilol) brand name) have been shown in large, well controlled clinical trials to slow and sometimes reverse the damage of heart failure. They operate by blocking a malfunctioning feedback loop of hormones and signaling molecules, ultimately by blocking the effect of adrenaline on the heart. Good question! ...Read more
Recall digitek (digoxin): Class action lawsuit.Get a more detailed answer ›
Half life: Atenolol has a shorter half life than metoprolol, only about 12 hours. Metoprolol can be taken once daily where for full effectivness atenolol should be taken twice daily. People often forget the second dose of anything so in my mind a once a day drug is better. ...Read moreSee 1 more doctor answer
The $$$$ Digibind (digoxin immune fab)..: Digitalis has been in used for many years...Started in ancient time (the foxglove plant)--and can useful in select patients. Since we have other medical options, digitalis is not that frequently used these days--but we still do. In case of acute/severe toxicity, Digibind (digoxin immune fab) is an antidote available for use, but it is an expensive medication. Consult your doc...Good luck. ...Read more
Is digoxin gold standard in treating hf and a-fib? Cardiologist of my mom prefers digoxin over angiotensin-converting-enzyme inhibitors.
No: I think digoxin therapy should only be considered in patients who continue to have signs and symptoms in spite of proven available other therapies, such as b-blockers, acei/arb's and diuretics. The other area where digoxin may be helpful is af rate control although recent negative data in regards to mortality raise some concerns. ...Read more
Digoxin: we have used it for hundreds of years, recently it has been falling into disfavor. It needs to be used with great care and this may be why recent usage problems are seen. It is an ancient poison so it can't be taken lightly. ...Read more
Digibind (digoxin immune fab): And stopping the drug until the effects of the toxicity is over. ...Read more
Difference of Verapamil & Diltiazem? Does Diltiazem cause more Vasodilation? "an intermediate class between phenylalkylamine and dihydropyridines"???
Too many individual: response variables; https://en.wikipedia.org/wiki/Calcium_channel_blocker offers reasonable overview. Yet, be aware: all the calcium channel blockers, except amlodipine (neutral), in observational databases, ?mortality. Best outcomes & lowest mortality rates: optimize NMR lipoproteins, HbA1c = 5.0%, ACE inhibitors (Aceon/Altace) or ARBs combined with carvedilol, carefully adjusted to responses. ...Read more