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July 1, 1984Clinical Pharmacology & Therapeutics

Digoxin-quinidine-spironolactone interaction

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Why the study?

Does the combination of quinidine and spironolactone alter digoxin kinetics compared to digoxin alone in normal subjects?

Population

6 normal subjects

Comparison

Digoxin 1.0-mg intravenous dose combined with… vs Digoxin 1.0-mg intravenous dose alone

Design

Other

Authors

PFPaul E. FensterUniversity of California, San FranciscoWHW HagerUnited States Department of Veterans AffairsMGMatthew M. GoodmanGeorgia State University

Discussion

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Implication

May require digoxin dose adjustment with coadministration; leaves open effects in heart failure populations.

Structured PICO

Does the combination of quinidine and spironolactone alter digoxin kinetics compared to digoxin alone in normal subjects?

P
Population
6 normal subjects
I
Intervention
Digoxin 1.0-mg intravenous dose combined with quinidine, spironolactone, or both quinidine and spironolactone
C
Comparator
Digoxin 1.0-mg intravenous dose alone
O
Outcome
Digoxin kinetics (systemic, renal, and nonrenal clearances, and elimination t 1/2)surrogate

The combination of quinidine and spironolactone significantly alters digoxin kinetics, necessitating dose reduction and careful monitoring when these drugs are co-administered.

Limitations

  • Did not assess clinical consequences of the interaction

Cite This Study

Fenster et al. (1984) studied this question.

synapsesocial.com/papers/6a707aaac92390ac2d07c8eehttps://doi.org/10.1038/clpt.1984.141
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Also Consider

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

  1. 1Digoxin-Quinidine Interaction1979 · 291 citations
  2. 2Spironolactone‐induced changes in digoxin kinetics1978 · 89 citations
  3. 3Pharmacokinetics of digoxin in patients subjected to the quinidine‐ digoxin interaction.1981 · 72 citations
  4. 4Quinidine-Digoxin Interaction1979 · 247 citations
  5. 5Quinidine-Digoxin Interaction1980 · 55 citations