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May 31, 1979New England Journal of Medicine

Digoxin-Quinidine Interaction

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Why the study?

Does quinidine alter the pharmacokinetics of digoxin in subjects?

Population

6 subjects

Comparison

Quinidine administered along with digoxin vs Digoxin alone

Design

Other

Authors

WHW HagerUnited States Department of Veterans AffairsPFPaul E. FensterUniversity of California, San FranciscoMMMichael MayersohnUniversity of Arizona

Discussion

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Implication

Supports closer digoxin monitoring with quinidine co-use; leaves open optimal dose adjustments in broader populations.

Structured PICO

Does quinidine alter the pharmacokinetics of digoxin in subjects?

P
Population
6 subjects
I
Intervention
Quinidine administered along with digoxin
C
Comparator
Digoxin alone (implied by baseline pharmacokinetic values)
O
Outcome
Pharmacokinetics of digoxin (elimination half-life, total body clearance, renal clearance, and volume of distribution)surrogate

Quinidine significantly alters digoxin pharmacokinetics by reducing its clearance and volume of distribution, explaining the clinically observed increase in digoxin plasma concentrations.

Cite This Study

Hager et al. (1979) studied this question.

synapsesocial.com/papers/6a70702ef44fa9f079de147ehttps://doi.org/10.1056/nejm197905313002202
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of quinidine on plasma concentrations of digoxin.1978 · 154 citations
  2. 2COMBINED ACTIONS OF QUINIDINE AND DIGITALIS ON THE HEART1932 · 31 citations
  3. 3Renal Tubular Secretion of Digoxin1974 · 185 citations
  4. 4Myocardial distribution of digoxin and renal function1974 · 78 citations
  5. 5Effect of quinidine on plasma concentration of digoxin.1978 · 64 citations