A patient who has been taking digoxin 0.25 mg daily for 6 months reports that it is not working as well as it did initially.The primary care NP should:

Question

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Clinicians should be aware that generic digoxin marketed by different companies may not be bioequivalent to the branded digoxin (Lanoxin).Patients with hyperkalemia would show intensified effects,not diminished effects of digoxin.Patients with diminished effects may have received a generic brand.It is not correct to increase the dose of digoxin without first obtaining a digoxin level.Because this patient is reporting decreased effects,it is unnecessary to suspect toxicity.

A Patient Who Has Been Taking Digoxin 0