Issues for Surgery |
For treatment of heart failure – risk of exacerbation of heart failure symptoms if omitted. Potential for digoxin toxicity if continued. |
Advice in the Perioperative period |
Post-operative Advice Consider monitoring serum digoxin levels if toxicity suspected (see Interaction(s) with Common Anaesthetic Agents, Interaction(s) with other Common Medicines used in the Perioperative Period and Further Information). |
Interaction(s) with Common Anaesthetic Agents |
Cisatracurium can increase the risk of bradycardia1. Sympathomimetics Bradycardia
|
Interaction(s) with other Common Medicines used in the Perioperative Period |
Whilst single perioperative doses should not pose a problem, continued post-operative treatment may require close monitoring. Consult current product literature. Non-Steroidal Anti-inflammatory Drugs (NSAIDs) Digoxin levels should be monitored whenever an NSAID is initiated or discontinued2, 4. Antimicrobials |
Further Information |
Cardiac Surgery |
References |
|