GlobalRPh Renal Dosing Masterv6.6
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Digoxin - intravenous injection

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Digoxin - intravenous injection

Product / population
Adult IV maintenance excerpt from label Table 3; no pediatric dosing or loading algorithm.
Renal method
Label-corrected creatinine clearance to 70 kg or 1.73 m2, plus lean body weight.
Source revision
6/2025
Retrieved
2026-09-10
Local review status
Selected source sections stored locally. Not a complete monograph or independent clinical approval.

Documented differences and cautions on this drug

All record notes are retained here, including notes about sources not selected in this review.

Before use: Digoxin - intravenous injection

Renal function alone is insufficient: use the route-specific matrix with lean body weight, clinical response, interactions, electrolytes and measured concentrations. Digoxin immune Fab is an antidote, not another digoxin formulation.

What to reconcile: Use the IV matrix and full injection precautions; keep dose units in mcg and separate this from immune Fab.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references
Official

Digoxin - intravenous injection

Open original reference

DailyMed / NLM exact product labeling · Adult IV maintenance excerpt from label Table 3; no pediatric dosing or loading algorithm.

Renal method: Label-corrected creatinine clearance to 70 kg or 1.73 m2, plus lean body weight.
Source date: 6/2025
Retrieved: 2026-09-10

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.
Before using this finding

Confirm corrected renal measure, lean weight, route and specimen timing. The complete matrix is a source table, not a patient-specific dose recommendation.

Selected source sections stored locally. Not a complete monograph or independent clinical approval.

Renal guidance and important limits

Limits that apply to these rows

Adult reference: CrCl in this table is corrected to 70 kg or 1.73 m2, not an interchangeable unindexed clearance. These are maintenance doses, not loading doses.

Give IV doses over at least 5 minutes. Oral and IV doses are not interchangeable 1:1. Sample before the next dose or at least 6 hours later; interpret with symptoms, electrolytes and interactions.

Open complete source table: Digoxin IV maintenance matrix - mcg ONCE daily
Digoxin IV maintenance matrix - mcg ONCE daily
Corrected CrCl (mL/min)40 kg lean weight (mcg once daily)50 kg lean weight (mcg once daily)60 kg lean weight (mcg once daily)70 kg lean weight (mcg once daily)80 kg lean weight (mcg once daily)90 kg lean weight (mcg once daily)100 kg lean weight (mcg once daily)Days to steady state without loading
1064809611212814416019
20729010812614416218016
308010012014016018020014
408811013215417619822013
509612014416819221624012
6010413015618220823426011
7011214016819622425228010
801201501802102402703009
901281601922242562883208
1001361702042382723063407

Label values assume average body composition; use both corrected CrCl and lean weight. No interpolation, automatic selection or rounding is performed.

Read the retained text before reformatting

Digoxin IV maintenance matrix - mcg ONCE daily

Corrected CrCl (mL/min)40 kg lean weight (mcg once daily)50 kg lean weight (mcg once daily)60 kg lean weight (mcg once daily)70 kg lean weight (mcg once daily)80 kg lean weight (mcg once daily)90 kg lean weight (mcg once daily)100 kg lean weight (mcg once daily)Days to steady state without loading
1064809611212814416019
20729010812614416218016
308010012014016018020014
408811013215417619822013
509612014416819221624012
6010413015618220823426011
7011214016819622425228010
801201501802102402703009
901281601922242562883208
1001361702042382723063407

Label values assume average body composition; use both corrected CrCl and lean weight. No interpolation, automatic selection or rounding is performed.

Adult reference: CrCl in this table is corrected to 70 kg or 1.73 m2, not an interchangeable unindexed clearance. These are maintenance doses, not loading doses.

Give IV doses over at least 5 minutes. Oral and IV doses are not interchangeable 1:1. Sample before the next dose or at least 6 hours later; interpret with symptoms, electrolytes and interactions.

RDM64-official-digoxin-injection-797c6716ea-C1 · Source locator: Sections 2.1, 2.3 Table 3 including footnotes, 2.5-2.6 and 8.6.

Source-specific limits

Adult reference: CrCl in this table is corrected to 70 kg or 1.73 m2, not an interchangeable unindexed clearance. These are maintenance doses, not loading doses.

Give IV doses over at least 5 minutes. Oral and IV doses are not interchangeable 1:1. Sample before the next dose or at least 6 hours later; interpret with symptoms, electrolytes and interactions.

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3933b07f-5857-4a80-b502-e3214bdf9330
Retrieved
2026-09-10
Exact label title
Digoxin - intravenous injection
DailyMed Set ID
3933b07f-5857-4a80-b502-e3214bdf9330
Label revision
6/2025
Renal-function method
Label-corrected creatinine clearance to 70 kg or 1.73 m2, plus lean body weight.
Source date/version
6/2025
Hash meaning
Local authored summary, not source HTML/XML/PDF bytes
Local summary SHA-256
4b485e20ee38fcfc893365e3adb1894f7a3f0ac4307017bb2e994002a9cfdfd7

Document the clinical decision separately

This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.

GlobalRPh v6.6 | RDM66-DIRECT-PHP-20260911 | Local library date 2026-09-11. Selected-card identity does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=digoxin-injection&s1=RDM64-official-digoxin-injection-797c6716ea&h1=042670dff3d046522320305da5bd742aea767860d2f10b324e40f5bcbd534240