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Drug interactions

Digoxin + Fleroxacin

Severity: Minor

Digoxin and Fleroxacin: 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

Antibacterials that alter gut flora can reduce bacterial inactivation of digoxin and raise its levels in some patients. Fleroxacin has limited supporting data, so the effect is uncertain.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Possible suppression of intestinal bacteria that metabolize digoxin, increasing its bioavailability.

What to do

Monitor for signs of digoxin toxicity and check levels if symptoms arise. Adjust digoxin dose according to levels.

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 Fleroxacin?

MediHelp rates the interaction as minor. Digoxin and Fleroxacin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Antibacterials that alter gut flora can reduce bacterial inactivation of digoxin and raise its levels in some patients. Fleroxacin has limited supporting data, so the effect is uncertain.

How serious is the interaction between Digoxin and Fleroxacin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for signs of digoxin toxicity and check levels if symptoms arise. Adjust digoxin dose according to levels.

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.

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