Drug interactions

digoxin + verapamil

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.

Overview

Severity: Major · Evidence level: High

↑ digoxin levels → toxicity.

Mechanism of action

P-gp inhibition.

Clinical management

Reduce dose/monitor levels, ECG, and symptoms.

Drug reference

References

Frequently asked questions

Can I take digoxin with verapamil?

The interaction is rated: Major. ↑ digoxin levels → toxicity.

How serious is the interaction between digoxin and verapamil?

The interaction is rated: Major. Evidence level: High.

How is the interaction between digoxin and verapamil managed?

Reduce dose/monitor levels, ECG, and symptoms.

Why do digoxin and verapamil interact?

P-gp inhibition.

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

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