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Tell your doctor and pharmacist what prescription and nonprescription drugs you are taking, especially acetaminophen tylenol, others , digoxin lanoxin , iron-containing medications including multivitamins , isoniazid nydrazid , methotrexate rheumatrex , niacin, rifampin rifadin, rimactane , and vitamins and herbal products.
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Certain products which affect the heartamiodaroneflecainideprazosinpropafenonequinidinecertain antibioticserythromycinclarithromycintetracyclinegentamicintrimethoprimitraconazoleused to treat fungal infectionsspironolactonea drug which increases the amount of urine you producealprazolama sedative which may be used to treat anxietyindomethacinused to treat inflammationquininemay be used to prevent malaria infectionpropanthelineused to prevent muscle spasmsnefazodonean antidepressantatorvastatinlowers blood cholesterolcyclosporinean immunosuppressant often used to prevent transplant rejectionepoprostenolused to treat pulmonary arterial hypertensiontolvaptanused to treat low blood sodium levelsconivaptanused to treat low blood sodium levelscarvedilolused to treat mild to severe congestive heart failure and high blood pressureritonavirused to treat HIV infection and AIDStaleprevirused to treat hepatitis C infectiondronedaroneused to treat irregular heart-beatranolazineused to treat chest paintelmisartanused to treat high blood pressurelapatinibused to treat breast cancerticagrelorused to prevent heart attack or strokeverapamilused to treat high blood pressurefelodipineused to treat high blood pressuretiapamilused to treat chest painP-glycoprotein inhibitors.
Digoxin can precipitate vasoconstriction and may promote production of pro-inflammatory cytokinestherefore should be avoided in patients with myocarditis.
The recommended maintenance doseto be given twice dailyis presented in Table 5.
Some products have ingredients that could worsen your heart failureTell your pharmacist what products you are usingand ask how to use them safelyespecially cough-and-cold productsdiet aidsor NSAIDs such as ibuprofen/naproxen
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lanoxin increases myocardial contractility in pediatric patients with heart failure.
