Names and pronunciation
(di-jox′in im-myoon′ FAB) DigiFab
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Drug reference
(di-jox′in im-myoon′ FAB) DigiFab
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Func. class.: Antidote—digoxin specific
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USES: Life-threatening digoxin toxicity
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CONTRAINDICATIONS: Mild digoxin toxicity, hypersensitivity to this product, papain or ovine protein
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DOSAGE AND ROUTES 1 (40 mg) DigiFab binds 0.5 mg digoxin Digoxin toxicity (known amount) (tablets, oral solution, IM) • Adult and child: IV dose (mg) = dose ingested (mg) × 0.8/1000 × 38- or 40-mg vial Toxicity (known amount) (capsule, IV) • Adult and child: IV dose = dose in- D gested (mg)/0.5 × 38- or 40-mg vial Toxicity (known amount) by serum digoxin concentrations (SDCs) • Adult and child: IV SDC (ng/mL) × kg of weight/100 × 38- or 40-mg vial Digoxin toxicity (unknown amount) • Adult and child >20 kg: IV 228 mg (6 vials) • Infant and child <20 kg: IV 38 mg (1 vial) Acute ingestion • Adult: IV 380 mg (10 vials) Life-threatening ingestion • Adult: IV 760 mg (20 vials) Skin test • Adult: ID 0.1 mL of 1:100 dilution, check after 20 min HIGH ALERT
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• Adult and child: IV dose (mg) = dose ingested (mg) × 0.8/1000 × 38- or 40-mg vial Toxicity (known amount) (capsule, IV)
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• Adult and child: IV dose = dose in- D gested (mg)/0.5 × 38- or 40-mg vial Toxicity (known amount) by serum digoxin concentrations (SDCs)
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• Adult and child: IV SDC (ng/mL) × kg of weight/100 × 38- or 40-mg vial Digoxin toxicity (unknown amount)
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• Adult and child >20 kg: IV 228 mg (6 vials)
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• Infant and child <20 kg: IV 38 mg (1 vial) Acute ingestion
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• Adult: IV 380 mg (10 vials) Life-threatening ingestion
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• Adult: IV 760 mg (20 vials) Skin test
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• Adult: ID 0.1 mL of 1:100 dilution, check after 20 min HIGH ALERT
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