You can take digoxin during pregnancy under the supervision of a specialist
It is also not known whether digoxin can cause fetal harm when
Indications: Treatment of
First-line therapy in a non-hydropic fetus is digoxin; 4,8,10,14,17,19,20 however, in hydropic fetuses, it has limited utility
Digoxin is also used intrafetally or amniotically during abortions in the late second trimester and third trimester of pregnancy
Therapeutic class: Antiarrhythmic, ionotropic
2 mcg/L after nursing for 7 days, having decreased from a level of 0
1 It is defined as a fetal heart rate (HR) above 160 beats per minute (bpm) between 20 and 40 weeks gestational age
Most toxicity cases are seen in patients with a past medical history of atrial fibrillation and
Digoxin rapidly crosses the placenta and reaches equilibrium, with maternal and fetal sera having equal concentrations
This activity will highlight the mechanism of action
3 Antihypertensive treatment rationale in this group represents a departure from the nonpregnant adult Seventh Report of the Joint National Committee
Descriptions
Fetal/neonatal adverse reactions
Animal reproduction studies have not been conducted with digoxin
An increased digoxin dosage may be necessary during pregnancy because of enhanced renal clearance and
75 mg daily of digoxin during pregnancy and postpartum
11,14 Fetuses with poor ventricular Tell your doctor if you are pregnant
In patients taking Pregnant women with congestive heart failure are at increased risk for preterm birth
Advanced age, low body weight, impaired renal function and electrolyte abnormalities may predispose to toxicity
to alter digoxin pharmacokinetics
106, "Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles"1
Teratogenic Effects (Pregnancy Category C) Animal reproduction studies have not been conducted with digoxin
PO (Children 5–10 yr): Loading dose: 20–35 mcg/kg given as 50% of the dose initially and one quarter of the initial dose in each of 2 subsequent doses at 6–12 hr intervals