If using Amiodarone 1st: start low dose digoxin ≤ 0.125 mg
If using Digoxin 1st: ↓ Digoxin dose 50%
Monitor
- Symptoms of digoxin toxicity (nausea, anorexia, HR)
- Check for other drugs that ↓HR
- Switch to BB or Non-DHP CCB if digoxin is being used for rate control
Avoid use together or ↓ CNI dose
Monitor transplant drug level troughs
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