- Drug Class
- Cardiac Glycoside
- Mechanism of Action (MOA)
- Inhibits Na⁺/K⁺-ATPase → ↑ intracellular Ca²⁺ (positive inotropy); ↑ vagal tone → ↓ AV conduction.
- Clinical Notes
- Narrow therapeutic index. Toxicity: nausea, visual halos/yellow vision, arrhythmia — worsened by hypokalemia. Reverse with digoxin-immune Fab.
All pharmacology