Drug interactions

amiodarone + digoxin

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Overview

Severity: Major · Evidence level: High

↑ digoxin exposure → bradyarrhythmias.

Mechanism of action

P-gp inhibition.

Clinical management

Reduce digoxin dose ~50%; monitor levels.

Drug reference

References

Frequently asked questions

Can I take amiodarone with digoxin?

The interaction is rated: Major. ↑ digoxin exposure → bradyarrhythmias.

How serious is the interaction between amiodarone and digoxin?

The interaction is rated: Major. Evidence level: High.

How is the interaction between amiodarone and digoxin managed?

Reduce digoxin dose ~50%; monitor levels.

Why do amiodarone and digoxin interact?

P-gp inhibition.

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