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Endogenous substances of unknown compositiondigoxin-like immunoreactive substancesDLIScan interfere with standard radioimmunoassays for digoxinThe interference most often causes results to be falsely positive or falsely elevatedbut sometimes it causes results to be falsely reducedSome assays are more subject to these failings than othersSeveral LC/MS/MS methods are available that may provide less susceptibility to DLIS interferenceDLIS are present in up to half of all neonates and in varying percentages of pregnant womenpatients with hypertrophic cardiomyopathypatients with renal or hepatic dysfunctionand other patients who are volume-expanded for any reasonThe measured levels of DLISas digoxin equivalentsare usually low0.2 to 0.4 ng/mLbut sometimes they reach levels that would be considered therapeutic or even toxic.

The loading dose gets your Lanoxin levels up to the correct level quicklyYou will either:

The balance of certain natural minerals in your bloodcalciummagnesiumpotassiumcan affect how this drug works in your bodyCertain drugs such aswater pillsdiureticsmay affect the normal balance of these mineralsTell your doctor or pharmacist if you are taking awater pillor if you have a history of mineral imbalanceAsk your doctor or pharmacist whether you should take a nutritional supplement or follow a special diet.

You should not stop using Lanoxin suddenlyStopping suddenly may make your condition worse.

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