Does Fingolimod Interact with Digoxin?
Fingolimod and Digoxin have a major drug interaction according to U.S. FDA drug labeling data. Drug that slows heart rate/AV conduction. Concomitant use during fingolimod initiation may result in severe bradycardia or heart block. The mechanism involves additive bradycardic and av conduction effects. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Major
- Fingolimod Class
- Sphingosine 1-phosphate Receptor Modulator
- Digoxin Class
- Cardiac Glycoside
- Management
- Close medical supervision required
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Fingolimod and Digoxin occurs because additive bradycardic and av conduction effects. Clinically, this means drug that slows heart rate/av conduction. concomitant use during fingolimod initiation may result in severe bradycardia or heart block. This is classified as a major interaction, meaning it could cause serious harm if not properly managed. Your healthcare provider may need to adjust dosages, substitute one medication, or increase monitoring frequency.
What To Tell Your Doctor or Pharmacist
If you are taking Fingolimod and your doctor is considering prescribing Digoxin (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask how frequently you should be monitored while these are co-prescribed
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider