My husband was diagnosed with atrial fibrillation, diabetes,hypertension, dyslipidemia ,hospitalized for a stroke he was discharged on coumadin 4 mg od atorvastatin 80mg , diamicron cr 30 mg od ,metformin 500mg bid ,metoprolol 50mg bid and digoxin 0.25 mg od added recently . My husband is 81 years .He feels extremely cold and tired and he was better before the addition of coumadin . Our G.P. is on holidays (no replacement) I would like to avoid him to go to E.R .I thought of skipping digoxin