Digoxin Dosage

Digoxin Dosing for Children

The usual digoxin dosage in children 5 to 10 years of age is based on the child's body weight and kidney function. Typical amounts for children in this age range vary from 62.5 to 312.5 mcg per day, split up into two doses, depending on weight and kidney function.
In general, it is recommended that the total daily dose in children be divided up throughout the day, rather than taking it all in one daily dose.
In the event your child's healthcare provider determines that a rapid response to digoxin is needed, your child may be given a loading dose (a larger initial dose). The loading dose will be based on your child's body weight.
Loading doses are often given by injection. The digoxin pediatric injection is no longer made; however, brand-name Lanoxin pediatric injection is still available. If injectable digoxin is used, it will normally be given by a trained healthcare provider, such as a nurse. Your child will then be switched over to an oral form of digoxin (digoxin tablets or elixir) for continued treatment.

General Information on Taking Digoxin

Some considerations to keep in mind during treatment with digoxin include the following:
  • Digoxin comes in tablet, elixir (oral liquid), and injectable forms. The tablets and elixir are usually taken by mouth once a day. Children may need to take digoxin more often than once a day.
  • Use the specially marked measuring dropper to measure the correct dosage of digoxin elixir, unless the dose is less than 0.2 mL. In that case, your healthcare provider will give you a different measuring device. Your healthcare provider will tell you how much of the medication to use.
  • A trained healthcare provider, such as a nurse, normally gives digoxin injections. The injections are usually given into a vein (intravenous [IV] injection), but may rarely be given into a muscle (intramuscular [IM] injection).
  • You can take digoxin with or without food. Try taking it with food if it bothers your stomach.
  • Try to take digoxin at the same time each day to maintain an even level in your blood.
  • For the medication to work properly, it must be taken as prescribed.
  • If you are unsure about anything related to your digoxin dosage, please talk with your healthcare provider or pharmacist.
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