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If you have heart failure and are taking sennosidesincrease the amount of stools you produce to help you have bowel movementsalong with Lanoxin you may have a moderately increased risk of digoxin toxicity.

It may be desirable to reduce the dose of or discontinue digoxin for 1 to 2 days prior to electrical cardioversion of atrial fibrillation to avoid the induction of ventricular arrhythmiasbut physicians must consider the consequences of increasing the ventricular response if digoxin is decreased or withdrawnIf digitalis toxicity is suspectedelective cardioversion should be delayedIf it is not prudent to delay cardioversionthe lowest possible energy level should be selected to avoid provoking ventricular arrhythmias.

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