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<p class="heading">Patient Education Opportunity!</p>
<p class="subheading">Recognize Digoxin Toxicity</p>
<p class="text">This patient is on digoxin. Watch for toxicity due to drug interactions, organ function changes, or dehydration. Symptoms include nausea, vomiting, and arrhythmias. Click to Learn More:</p>
<a href="https://digifab.health/en-us/digoxin-toxicity/early-recognition.html" class="button">Learn More</a>
<p class="text">For full Prescribing Information, <a href="https://digifab.health/getmedia/f821face-fe6e-4105-8090-5b81816942f0/DigiFab-PI_P12011E_A4-Updated-June2017.pdf">click here</a></p>
<p class="text" align="right"><small>US-DGF-2400033</small></p>
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<p><strong>INDICATIONS AND USAGE</strong></p>
<p>DIGIFab is indicated for the treatment of patients with life-threatening or potentially life-threatening digoxin toxicity or overdose, including:</p>
<ul>
<li>Known suicidal or accidental consumption of fatal doses of digoxin: 10 mg or more in adults, or 4 mg in children, or ingestion that causes serum concentrations ≥10 ng/mL;</li>
<li>Chronic ingestions causing serum digoxin concentrations >6 ng/mL in adults or 4 ng/mL in children;</li>
<li>Life-threatening toxicity such as severe arrhythmias, progressive bradycardia, or high serum potassium levels with signs of toxicity.</li>
</ul>
<p><strong>IMPORTANT SAFETY INFORMATION</strong></p>
<p>Warnings and Precautions:</p>
<ul>
<li>Consider toxic effects of other drugs if symptoms are not relieved by DIGIFab.</li>
<li>Monitor for rapid drops in serum potassium concentration.</li>
<li>Monitor cardiac function and provide additional support if needed.</li>
<li>Anaphylaxis and hypersensitivity reactions are possible. Monitor for signs and treat immediately if they occur.</li>
<li>Patients with known allergies to sheep protein or previous exposure to Fab are at risk for anaphylactic reactions.</li>
<li>Do not administer to patients with a known history of hypersensitivity to papaya or papain unless benefits outweigh risks.</li>
<li>Monitor patients with severe renal failure for prolonged periods for possible recurrence of toxicity.</li>
</ul>
<p><strong>Laboratory Tests</strong></p>
<ul>
<li>DIGIFab may interfere with digitalis immunoassay measurements. Obtain serum digoxin samples before administration if possible.</li>
<li>Total serum digoxin concentration may rise after administration, but it will be bound to Fab fragment and not reactive with receptors.</li>
</ul>
<p><strong>Adverse Reactions</strong></p>
<ul>
<li>Common adverse reactions (>7%) include worsening congestive heart failure, hypokalemia, and worsening atrial fibrillation.</li>
</ul>
<p>For full Prescribing Information, <a href="https://digifab.health/getmedia/f821face-fe6e-4105-8090-5b81816942f0/DigiFab-PI_P12011E_A4-Updated-June2017.pdf">click here</a>.</p>
<p>June 2017</p>
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