Digoxin 0.25 mg: uses, price & cheaper substitutes
Prescription required (Schedule H)
Common uses: Heart failure – helps a weak heart pump more strongly; Atrial fibrillation and other fast, irregular heart rhythms – slows and steadies the heart rate.
Listed MRPs range from ₹0.60 to ₹1.42 per tablet across 5 listings. Use only on a doctor's prescription.
Price comparison
| Brand | Manufacturer | Pack | MRP | ₹ / tablet | As on |
|---|---|---|---|---|---|
| Digoxin Tablets IP 0.25 mgJan Aushadhi | Jan Aushadhi (PMBJP) | 10 | ₹8.44 | ₹0.84 | 19 October 2026 |
| Zeenoxin | Zeelab Pharmacy Pvt Ltd | 10 | ₹6.00 | ₹0.60 | 19 October 2026 |
| Digon 0.25 | Tas Med India Pvt Ltd | 15 | ₹19.69 | ₹1.31 | 19 October 2026 |
| Lanoxin | Glaxo SmithKline Pharmaceuticals Ltd | 10 | ₹14.18 | ₹1.42 | 19 October 2026 |
| Dixin | Samarth Life Sciences Pvt Ltd | 10 | ₹14.17 | ₹1.42 | 19 October 2026 |
MRPs as printed/listed on the date shown; actual price may vary.
Uses
- Heart failure – helps a weak heart pump more strongly.
- Atrial fibrillation and other fast, irregular heart rhythms – slows and steadies the heart rate.
- Sometimes used in atrial flutter or after a heart attack under a cardiologist.
How to take it
Take it once a day at the same time, with or without food, swallowed with water – many doctors advise a fixed time so that your blood level stays steady. Always stick to the same brand, because digoxin tablets from different makers can be absorbed differently and even a small change in dose matters. Your doctor will check your pulse, ECG, kidney function, potassium and sometimes the digoxin blood level, because the gap between a helpful dose and a harmful one is narrow. Learn to check your pulse: if it is unusually slow, or you feel sick, lose your appetite, or see yellow-green halos around lights, contact your doctor the same day – these can be signs of too much digoxin. Do not stop it without medical advice.
Side effects
Common
- Nausea, loss of appetite or diarrhoea.
- Dizziness or drowsiness.
- Blurred vision or things looking yellow-green.
- Skin rash.
Serious
Stop and get medical help urgently if you notice any of these.
- Very slow, fast or irregular heartbeat, fainting or breathlessness – go to a hospital.
- Persistent vomiting, confusion or seeing halos – signs of digoxin toxicity.
- Swelling of the hands or feet or rapid weight gain – worsening heart failure.
- Severe allergic reaction – swelling of the face or throat, difficulty breathing.
Safety information
Alcohol
Alcohol adds to drowsiness and can upset heart rhythm; keep it minimal.
Pregnancy
Can be used in pregnancy when needed, with dose monitoring; tell your doctor if you are pregnant or breastfeeding.
Kidney problems
Digoxin is removed by the kidneys – a lower dose and regular blood levels are essential if your kidneys are weak or you are elderly.
Liver problems
No usual dose change for liver disease, but tell your doctor.
Children
Used in children only under a paediatric cardiologist, with doses worked out by weight, usually as a liquid.
Missed dose
Take it as soon as you remember unless the next dose is nearly due – then skip it. Never take a double dose.
Interactions
- Water tablets like furosemide and hydrochlorothiazide – lower potassium and make digoxin toxicity more likely.
- Amiodarone, verapamil, diltiazem, spironolactone and some antibiotics (clarithromycin, erythromycin) – raise digoxin levels.
- Antacids, omeprazole and calcium supplements – change absorption; take antacids a few hours apart.
- Beta blockers such as metoprolol can slow the heart too much when combined.
- St John's wort, rifampicin and phenytoin lower digoxin levels.
Frequently asked questions
What is Lanoxin used for?
Lanoxin contains digoxin 0.25 mg. It strengthens the heartbeat in heart failure and slows the heart rate in atrial fibrillation and similar fast rhythms.
Why should I always take the same brand of digoxin?
Different brands can be absorbed slightly differently, and with digoxin even a small change in blood level can cause toxicity or loss of effect. Stick with one brand and tell your doctor if the chemist substitutes another.
What are the signs of too much digoxin?
Nausea, loss of appetite, vomiting, confusion, blurred or yellow-tinged vision, and a very slow or irregular pulse. Contact your doctor the same day if you notice these – a blood test can check the level.
Can I take Lanoxin with Lasix (furosemide)?
They are often prescribed together in heart failure, but furosemide lowers potassium, which makes digoxin side effects more likely. Your doctor will check potassium and may add a supplement.
Does Lanoxin need blood tests?
Yes. Kidney function, potassium and sometimes the digoxin blood level are checked regularly, along with an ECG, because the safe dose range is narrow.
Can I take Lanoxin with alcohol?
Keep it minimal. Alcohol adds to drowsiness and can trigger irregular heart rhythms.
Should I check my pulse while taking digoxin?
Yes. Your doctor will tell you what range is expected. If your pulse is unusually slow or irregular, or you feel faint, contact your doctor before the next dose.
Is Lanoxin safe for the elderly?
Older people usually need a lower dose because their kidneys clear digoxin more slowly. Regular monitoring is especially important.
Is digoxin a prescription medicine?
Yes. Digoxin is a Schedule H medicine and should be used only under a doctor's supervision with regular monitoring. It is also under NPPA price control.
Sources
- MedlinePlus – Digoxin (19 October 2026)
- NHS – Side effects of digoxin (19 October 2026)
- NPPA Pharma Sahi Daam (ceiling prices) (19 October 2026)
- PMBI Jan Aushadhi Product & MRP List (19 October 2026)
Medyzen Editorial Team · Last updated
This page is general information, not medical advice. Do not start, stop or change a medicine without asking a doctor or pharmacist. Terms