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Digoxin and St John's wort

Authoring team

St John's wort interacts with digoxin and may lead to reduced digoxin levels.

Suggested management schedule of patient already taking St John's wort:

  • check digoxin level and stop St John's wort

  • note that there may be a rise in digoxin levels on stopping St John's wort

  • it may be necessary to adjust the digoxin dose

Reference:

  • CEM/CMO/2000/4

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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