Drug interactions
Bumetanide + Digoxin
Severity: Major
Bumetanide and Digoxin: major interaction.
Last updated
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.
Summary
Bumetanide-induced hypokalemia and hypomagnesemia increase myocardial sensitivity to digoxin and can precipitate digoxin toxicity and arrhythmias. This is clinically important in heart failure patients who commonly take both.
What this interaction means in plain words
Bumetanide and Digoxin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Bumetanide belongs to Cardiovascular; Digoxin belongs to Cardiovascular.
Why it happens
Loop diuretic potassium and magnesium depletion enhances digoxin binding to Na+/K+-ATPase and arrhythmogenicity.
What to do
Monitor serum potassium and magnesium regularly and keep them in the normal range with replacement as needed. Check digoxin levels and renal function if toxicity symptoms occur.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Bumetanide and Digoxin, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Bumetanide
Other interactions of Digoxin
- Digoxin + Lily of the valley Contraindicated
- Digoxin + Squill Contraindicated
- Adagrasib + Digoxin Major
- Amiodarone + Digoxin Major
- Amlodipine-hydrochlorothiazide-valsartan + Digoxin Major
- Amphotericin b deoxycholate + Digoxin Major
Frequently asked questions
Can I take Bumetanide with Digoxin?
MediHelp rates the interaction as major. Bumetanide and Digoxin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Bumetanide-induced hypokalemia and hypomagnesemia increase myocardial sensitivity to digoxin and can precipitate digoxin toxicity and arrhythmias. This is clinically important in heart failure patients who commonly take both.
How serious is the interaction between Bumetanide and Digoxin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum potassium and magnesium regularly and keep them in the normal range with replacement as needed. Check digoxin levels and renal function if toxicity symptoms occur.
What other medicines interact with Bumetanide?
MediHelp also lists interactions of Bumetanide with, for example, Amifostine, Amikacin, Captopril-hydrochlorothiazide. The full list is on the Bumetanide page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
