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It may be desirable to reduce the dose of or discontinue lanoxin for 1 to 2 days prior to electrical cardioversion of atrial fibrillation to avoid the induction of ventricular arrhythmias, but physicians must consider the consequences of increasing the ventricular response if digoxin is decreased or withdrawn.

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Your doctor may recommend a low-sodiumlow-saltdiet and a potassium supplementAsk your pharmacist or doctor for a list of foods that are low in sodium and high in potassiumFollow all diet directions carefully.

You should not stop using digoxin suddenlyStopping suddenly may make your condition worse.

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Visit heartandstroke.ca/get-healthyLearn how to keep your heart healthy with current information and advice from Heart and Stroke Foundation experts.

Digoxin is generally prescribed in combination with diureticsan ACE inhibitor and a beta-blockerIf you experience an increase in side effects after taking your medications togethercontact your doctorYou may need to change the times you are taking each medicationIf you are taking QuestranQuestran Lightor Colestidtake it at least two hours after digoxin to prevent interactionsConsult with your doctor before taking the following over-the-counter medicationsas they can interfere with the effects of digoxinantacidsasthma remediescoldcough or sinus medicinelaxativesmedicines for diarrheaor diet medicationsFollow your doctor’s dietary advicewhich may includefollowing a low-sodium diettaking a potassium supplementor including high-potassium foodssuch as bananas and orange juicein your diet.

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