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cardiac glycoside (digitalis glycoside)
Uses:
- digoxin is used clinically as an inotrope & AV node blocking agent
Adverse effects:
- acute
- nausea, vomiting, followed by bradycardia, arrhythmias, hypotension, hyperkalemia, & altered mental status
- chronic
- anorexia, nausea, vomiting, diarrhea, abdominal pain
- confusion, drowsiness, disorientation, delirium, headache, hallucinations, seizures
- photophobia, blurry vision, scotomas, chromatopsia, xanthopsia
- acute & chronic
- palpitations, chest pressure, dypnea, dizziness, lightheadedness
Management:
- digoxin antibody Fab framents (digoxin immune FAB) for suspected cardiac glycoside toxicity
Specific
digitoxin (Crystodigin)
digoxin (Lanoxin, Lanoxicaps, Digitek)
ouabain (Strodival)
General
cardiotonic agent
glycoside
References
- Sinert RH
Fast Five Quiz: Toxic Plants
Medscape. Nov 23, 2021
https://reference.medscape.com/viewarticle/963366