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Drug interactions

Digoxin + Moexipril

Severity: Moderate

Digoxin and Moexipril: moderate 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

ACE inhibitors have been reported to modestly raise digoxin concentrations in some patients, and ACE inhibitor-related renal function changes or electrolyte shifts may increase digoxin toxicity. The effect is variable and usually small.

What this interaction means in plain words

Digoxin and Moexipril can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Digoxin belongs to Cardiovascular; Moexipril belongs to Cardiovascular.

Evidence level: Low

Why it happens

Not firmly established; possibly reduced renal digoxin clearance due to altered renal hemodynamics.

What to do

Monitor digoxin concentration, renal function and potassium when starting or changing moexipril. Adjust the digoxin dose if toxicity signs appear.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Moexipril?

MediHelp rates the interaction as moderate. Digoxin and Moexipril can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. ACE inhibitors have been reported to modestly raise digoxin concentrations in some patients, and ACE inhibitor-related renal function changes or electrolyte shifts may increase digoxin toxicity. The effect is variable and usually small.

How serious is the interaction between Digoxin and Moexipril?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor digoxin concentration, renal function and potassium when starting or changing moexipril. Adjust the digoxin dose if toxicity signs appear.

What other medicines interact with Moexipril?

MediHelp also lists interactions of Moexipril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Moexipril 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.

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