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Drug interactions

Digoxin + Epoprostenol

Severity: Minor

Digoxin and Epoprostenol: minor 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

Epoprostenol has been reported to raise serum digoxin levels slightly, though the clinical impact appears limited. Patients should still be watched for signs of digoxin toxicity.

What this interaction means in plain words

Digoxin and Epoprostenol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Digoxin belongs to Cardiovascular; Epoprostenol belongs to Genitourinary.

Evidence level: Low

Why it happens

The mechanism is not established.

What to do

Check digoxin levels when starting epoprostenol if clinically indicated. Reduce the digoxin dose if levels are elevated or toxicity appears.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Digoxin with Epoprostenol?

MediHelp rates the interaction as minor. Digoxin and Epoprostenol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Epoprostenol has been reported to raise serum digoxin levels slightly, though the clinical impact appears limited. Patients should still be watched for signs of digoxin toxicity.

How serious is the interaction between Digoxin and Epoprostenol?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check digoxin levels when starting epoprostenol if clinically indicated. Reduce the digoxin dose if levels are elevated or toxicity appears.

What other medicines interact with Digoxin?

MediHelp also lists interactions of Digoxin with, for example, Lily of the valley, Squill, Adagrasib. The full list is on the Digoxin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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