Original Article

Simple Method to Predict Digoxin Serum Concentration

Authors: STEPHEN W. SHEARER MS, WILLIAM T. SAWYER MS, SAMUEL B. PETTEWAY Jr. BS

Abstract

ABSTRACT: The predictability of a method of determining serum digoxin concentration was assessed in a retrospective study of 35 hospitalized patients taking digoxin orally for maintenance therapy. Simple pharmacokinetic expressions were used to estimate digoxin concentration. Clinically, the mean measured digoxin concentration (1.35 ng/ml) was in close agreement with the mean predicted value (1.36 ng/ml). There was also a strong statistical correlation between measured and predicted values (r =.82). The predictability of serum digoxin concentration was statistically equivalent in men and women. Our results indicate that a reasonably accurate prediction of digoxin concentration is possible using simple mathematical formulas that require only routine clinical data.

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References