Digoxin Flashcards
1
Q
absorption
A
about 80% of drug is absorbed in small intestine
2
Q
distribution
A
extensively distributed in tissues and has large volume of distribution
3
Q
metabolism
A
only small fraction metabolised in liver
- CYP450 system doesn’t play major role
4
Q
excretion
A
renally, mainly as unchanged in urine
5
Q
MOA
A
- Cardiac glycoside
- works by increasing force of myocardial contraction and reducing conductivity in the AV node
- induces an increase in Na+
- which drives the influx of calcium
- causing increased contractility in the heart
6
Q
indications
A
- maintenance for AF or flutter
- heart failure
- emergency loading dose for AF or flutter
7
Q
adverse effects
A
- arrhythmias
- cardiac conduction disorder
- cerebral impairment
8
Q
interactions
A
- diltiazem
- verapamil
- furosemide