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Digoxin

Generic Name
Digoxin
Brand Names
Digox, Lanoxin
Drug Type
Small Molecule
Chemical Formula
C41H64O14
CAS Number
20830-75-5
Unique Ingredient Identifier
73K4184T59

Overview

Digoxin is one of the oldest cardiovascular medications used today. It is a common agent used to manage atrial fibrillation and the symptoms of heart failure. Digoxin is classified as a cardiac glycoside and was initially approved by the FDA in 1954. This drug originates from the foxglove plant, also known as the Digitalis plant, studied by William Withering, an English physician and botanist in the 1780s. Prior to this, a Welsh family, historically referred to as the Physicians of Myddvai, formulated drugs from this plant. They were one of the first to prescribe cardiac glycosides, according to ancient literature dating as early as the 1250s.

Indication

Digoxin is indicated in the following conditions: 1) For the treatment of mild to moderate heart failure in adult patients. 2) To increase myocardial contraction in children diagnosed with heart failure. 3) To maintain control ventricular rate in adult patients diagnosed with chronic atrial fibrillation. In adults with heart failure, when it is clinically possible, digoxin should be administered in conjunction with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor for optimum effects.

Associated Conditions

  • Myocardial contractility
  • Ventricular Arrhythmia
  • Mild to moderate heart failure

Clinical Trials

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Title
Posted
Study ID
Phase
Status
Sponsor
2020/02/13
Phase 1
Completed
2020/01/18
Phase 1
Completed
2020/01/03
Phase 2
Withdrawn
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
2019/12/20
Phase 1
Completed
2019/10/28
Phase 2
Active, not recruiting
2019/09/19
Phase 1
Completed
2019/07/05
Phase 1
Completed
2019/04/26
Early Phase 1
Completed
University Hospital, Basel, Switzerland
2019/04/10
Phase 1
Completed
2019/03/26
Phase 1
Active, not recruiting
Danae Hamouda, MD

FDA Drug Approvals

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Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
DEPT HEALTH CENTRAL PHARMACY
53808-0165
ORAL
125 ug in 1 1
11/30/2009
NuCare Pharmaceuticals, Inc.
66267-443
ORAL
0.125 mg in 1 1
1/22/2020
Carilion Materials Management
68151-1602
ORAL
125 ug in 1 1
2/23/2012
A-S Medication Solutions
50090-0962
ORAL
250 ug in 1 1
2/13/2012
Sandoz Inc
0781-3059
INTRAMUSCULAR, INTRAVENOUS, PARENTERAL
250 ug in 1 mL
10/9/2018
Rebel Distributors Corp
21695-678
ORAL
0.125 mg in 1 1
10/1/2010
Carilion Materials Management
68151-1603
ORAL
250 ug in 1 1
2/23/2012
Hikma Pharmaceuticals USA Inc.
0143-1241
ORAL
250 ug in 1 1
8/30/2023
American Health Packaging
60687-551
ORAL
250 ug in 1 1
10/4/2023
VistaPharm, LLC
66689-327
ORAL
0.05 mg in 1 mL
11/29/2022

EMA Drug Approvals

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No EMA approvals found for this drug.

HSA Drug Approvals

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NMPA Drug Approvals

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PPB Drug Approvals

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TGA Drug Approvals

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No TGA approvals found for this drug.

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