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Free Digoxin Concentration in Serum/Plasma

Published: August 9, 2026Updated: August 17, 2026

This test measures the amount of free (unbound) digoxin in your blood, which is the active form that affects your heart. Digoxin is a medication used to manage certain heart conditions.

Quick summary

["Free digoxin levels help doctors monitor how your heart responds to this medication safely."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
3562-6
Short code
Digoxin Free SerPl-mCnc
Synonyms
Digoxin Free SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.5
Ref high
2
Critical range
— – 4 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Matters for Your Health

Digoxin is a heart medication that helps control your heartbeat, but too much can be harmful. Free digoxin levels ensure only the active part of the drug is present in your bloodstream, reducing risks of side effects like irregular heart rhythms.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before your blood draw if instructed by your provider. Wear a loose shirt for easy access to your arm.

How the Test Works

A healthcare professional will draw blood from a vein in your arm. The sample is then analyzed to measure the free (unbound) digoxin concentration using a sensitive lab method.

What the Results Mean

Results are compared to your individual target range, which your doctor determines based on your health, medication dose, and other factors. Abnormal levels may indicate whether your dose needs adjustment.

Reference range

Therapeutic: 0.5-2.0 ng/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Free digoxin levels are critical for preventing toxicity (too much) or insufficient effectiveness (too little). High levels can cause dangerous heart rhythm disturbances, while low levels may mean your medication isn’t working as intended. Regular monitoring helps balance safety and treatment goals.

Short name

Free Digoxin Level

Frequently asked questions

How often should I get this test?
Your doctor will schedule this test based on your medication regimen, heart condition, and how often you take digoxin. Typically, it’s done every few weeks or months to check for stability in your levels.
What does a 'free' digoxin test differ from a total digoxin test?
'Free' digoxin measures only the active part of the drug that circulates in your bloodstream, while 'total' digoxin includes both free and bound (attached to proteins) forms. Free levels are more directly linked to how your heart responds to the medication.
Can I eat or drink before this test?
You may eat normally unless your doctor specifies fasting. Avoid alcohol or caffeine before testing, as they can affect digoxin levels.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy