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Digoxin (Serum) Level

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

This test measures the amount of digoxin, a medication used to treat certain heart conditions, in your blood serum. It helps doctors monitor your dose to avoid harmful levels.

Quick summary

["Digoxin levels help ensure your heart medication is working safely and effectively."]

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

Key facts at a glance

LOINC
110653-3
Short code
Digoxin Msmt SerPl
Synonyms
Digoxin Msmt SerPl
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 Is Done

Your doctor may order a digoxin level test if you’re taking digoxin (Lanoxin) to manage heart rhythm issues like atrial fibrillation or heart failure. It’s also used to check if your dose is too high or too low, especially if you have kidney problems or take other medications that interact with digoxin.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before the test if your lab uses a specific method. Bring a list of all medications you’re taking, including over-the-counter drugs and supplements, as they can affect results.

During the Test

A healthcare provider will draw blood from a vein in your arm. You may feel a slight pinch, but it usually doesn’t cause discomfort. The blood sample is sent to a lab for analysis.

What the Results Mean

Results are reported in nanograms per milliliter (ng/mL) or micrograms per liter (µg/L). Your doctor will interpret the results based on your medical history, symptoms, and other medications. Very high levels can cause toxic side effects, while very low levels may mean your medication isn’t working properly.

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.

◆Associated findings1

Short name

Digoxin Level

Frequently asked questions

How often should I get this test?
Your doctor will determine the frequency based on your treatment plan, health status, and other medications. Some patients need testing weekly or monthly, while others may only need it once every few months.
What happens if my digoxin level is too high?
If your level is elevated, your doctor may adjust your dose, prescribe a different medication, or temporarily stop digoxin. Symptoms of toxicity include blurred vision, confusion, or an irregular heartbeat. Seek medical attention immediately if you experience these.
Can I eat or drink before this test?
Most labs recommend fasting for 8–12 hours before testing, but always follow your doctor’s or lab’s specific instructions. Drinking water is usually allowed unless directed otherwise.
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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