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Digoxin and Amiodarone: Drug Interaction Guide

Quick answer: This is a major interaction — avoid combining Digoxin and Amiodarone unless specifically directed by your doctor.

Interaction severity: Major — avoid combination

How Digoxin interacts with Amiodarone

Amiodarone doubles digoxin levels via P-glycoprotein inhibition.

What you should do

Reduce digoxin dose by 50% and monitor digoxin levels closely.

Key facts

Severity

Major — avoid combination

Mechanism

Amiodarone doubles digoxin levels via P-glycoprotein inhibition.

Action

Reduce digoxin dose by 50% and monitor digoxin levels closely.

Important medical disclaimer: This page provides educational information about drug interactions for general reference. It is not a substitute for professional medical advice, diagnosis, or treatment. Always discuss your specific medications with a qualified healthcare provider before starting, stopping, or changing any treatment. About our editorial team.

Frequently asked questions

Can I take Digoxin and Amiodarone together?

No — this combination should generally be avoided. Reduce digoxin dose by 50% and monitor digoxin levels closely.

What is the severity of this interaction?

The interaction between Digoxin and Amiodarone is classified as Major — avoid combination. Amiodarone doubles digoxin levels via P-glycoprotein inhibition.

What should I do if I'm prescribed both?

Reduce digoxin dose by 50% and monitor digoxin levels closely. Always consult your prescribing clinician — do not stop or change medications without medical guidance.

Last reviewed: by iMedic Medical Editorial Team. Our editorial process.