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Digoxin Level (Serum)

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. It helps doctors monitor your dose to avoid harmful levels.

Quick summary

["Digoxin levels help ensure your heart rhythm stays steady while staying safe from overdose effects."]

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

Key facts at a glance

LOINC
14698-5
Short code
Digoxin SerPl-sCnc
Synonyms
Digoxin SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
17
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 this test if you’re taking digoxin (Lanoxin) to treat irregular heartbeats, heart failure, or other heart-related issues. It’s also used to check if your dose is working properly or if you’re developing side effects. Some people get this test regularly to adjust their medication.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm or hand to draw a blood sample. It usually takes a few minutes, and you may feel a brief pinch. If you’re on blood thinners or have a history of bleeding, let your doctor know.

What the Results Mean

Results show how much digoxin is in your blood. Too little may mean your medication isn’t working well, while too much can cause dangerous side effects like nausea, vision changes, or irregular heartbeat. Your doctor will interpret results based on your health and current dose.

Possible Side Effects or Risks

The blood draw itself is generally safe but may cause mild bruising, soreness, or a small bump at the site. Rarely, reactions to the needle or blood loss can occur. If you’re pregnant, breastfeeding, or have kidney disease, discuss this with your doctor before the test.

Reference range

NCBI: NSE 0-17 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.

Digoxin levels are critical for managing heart conditions like atrial fibrillation or congestive heart failure. Therapeutic levels (typically between 0.5–2.0 ng/mL) ensure the drug’s heart-protective effects while minimizing toxicity. Monitoring helps prevent complications like cardiac arrhythmias or digitalis toxicity, which can be life-threatening.

Short name

Digoxin Level

Frequently asked questions

How often should I get this test?
Your doctor will determine how often you need this test based on your medication regimen, heart condition, and overall health. Some people get it weekly or monthly, while others may need it less frequently. Follow their instructions closely.
What happens if my digoxin level is too high?
If your digoxin level is too high, your doctor may adjust your dose downward or temporarily stop the medication to prevent serious side effects like irregular heartbeat, confusion, or vomiting. They’ll work with you to bring the level back into a safe range.
Can I eat or drink before this test?
You can eat and drink normally before this test unless your doctor specifies otherwise. Digoxin is absorbed through the digestive system, so fasting isn’t required unless you’re being tested for other reasons (like kidney function). Always check with your healthcare provider for personalized advice.
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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