Tatiana Foltánová, Mária Göbová, Miriam Verčinská, Lívia Magulová
Digoxin is the only prescribed cardioglycoside. It is a drug with high interaction potential and it is present in the Beers list of potentially inappropriate drugs for elderly patients. Another limitation of digoxin use in clinical practice is its low therapeutic index. However, it is often prescribed to elderly patients at high cardiovascular risk. We present a case of an old high risk cardiovascular patient admitted to the hospital due to digoxin toxicity. Complex attitude to patient’s commorbidity and pharmacotherapy together with measuring digoxin concentrations led to individual dosing, increased safety and effectiveness of digoxin pharmacotherapy.