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Drug interactions

Digoxin + Salsalate

Severity: Minor

Digoxin and Salsalate: 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

Salsalate is a non-acetylated salicylate with no well-documented direct interaction with digoxin. NSAID-like effects on renal function at high doses could theoretically raise digoxin levels.

What this interaction means in plain words

Digoxin and Salsalate 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

No established mechanism; possible reduction of renal function and clearance at high doses.

What to do

Monitor renal function and digoxin concentration if salsalate is used long-term at high doses.

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 Salsalate?

MediHelp rates the interaction as minor. Digoxin and Salsalate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Salsalate is a non-acetylated salicylate with no well-documented direct interaction with digoxin. NSAID-like effects on renal function at high doses could theoretically raise digoxin levels.

How serious is the interaction between Digoxin and Salsalate?

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 renal function and digoxin concentration if salsalate is used long-term at high doses.

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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