HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Can Digoxin Taken For Atrial Fibrillation Be Stopped Abruptly?

Posted on Fri, 23 May 2014

Question: I have a fib and recently my doctor decided to try digoxin. since beginning I have noticed some nausea and a lowering of my BP. Is it safe to stop taking this med without a gradual downward tapering of it?

Answered by Dr. Kerry Pottinger (1 hour later)

Brief Answer:
Discuss with your doctor before altering/stopping.

Detailed Answer:
Hi,
Thank you for using Healthcare Magic.
Nausea is a recognised side-effect of digoxin, occurring in 1 in a 100 people. There are a number of drugs that can be used in atrial fibrillation. Therefore, there is likely to be an alternative. However, I suggest you do not alter the dose or stop the digoxin without prior discussion with your doctor.
Drugs used in the treatment of atrial fibrillation may either return the heart to a normal rhythm or control the rate. Your doctor will know which type of drug is right for your particular case as a possible alternative to digoxin. Therefore, I recommend you see your doctor to explore the alternatives.
I hope this is of help to you. If you have any further questions, please do not hesitate to contact me.
Regards,
Dr K A Pottinger,
MBChB FRCA

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Kerry Pottinger (3 hours later)

Does the drug mfg recommend tapering down rather than abruptly stopping taking digoxin ?

Answered by Dr. Kerry Pottinger (15 hours later)

Brief Answer:
No need to reduce gradually.

Detailed Answer:
Hi,
Thank you for the further question. If digoxin is to be stopped, it does not need to be reduced gradually. However, I would recommend discussing with your doctor before changing the dose.
I hope this helps you.
Regards,
Dr K A Pottinger

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar