The Frequent Use of Digoxin

CEimpact Podcast

One of the oldest medications in our pharmacopeia is digoxin. It may be used for atrial fibrillation and heart failure, although not as a first-line agent. Despite this, digoxin use is on the rise. Join host, Geoff Wall, as he evaluates why more prescribers are using digoxin.

The GameChanger
No new randomized controlled trials have been published to justify the increased use of digoxin. However, when used, providers should routinely monitor digoxin levels.
Host
Geoff Wall, PharmD, BCPS, FCCP, BCGP
Professor of Pharmacy Practice, Drake University
Internal Medicine/Critical Care, UnityPoint Health
Reference
Gazzaniga G, Menichelli D, Scaglione F, et al. Effect of digoxin on all-cause and cardiovascular mortality in patients with atrial fibrillation with and without heart failure: an umbrella review of systematic reviews and 12 meta-analyses. Eur J Clin Pharmacol. 2023 Apr;79(4):473-483. doi: 10.1007/s00228-023-03470-y. Epub 2023 Mar 6. PMID: 36872367; PMCID: PMC10039090.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039090/

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CPE Information

Learning Objectives
Upon successful completion of this knowledge-based activity, participants should be able to:
1. Apply information on the potential uses and harms of digoxin
2. Apply a strategy for monitoring digoxin in heart failure patients
0.05 CEU/0.5 Hr
UAN: 0107-0000-23-400-H01-P
Initial release date: 12/18/2023
Expiration date: 12/18/2024
Additional CPE details can be found here.

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Capitoli

1. The Frequent Use of Digoxin (00:00:00)

2. Digoxin's Comeback in Clinical Practice (00:00:08)

3. The Controversy Surrounding Digoxin Usage (00:08:35)

4. Rigorous Studies on Digoxin Use (00:18:47)