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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.

Quick summary

["Digoxin levels help ensure your medication dose is safe and effective."]

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

Key facts at a glance

LOINC
75863-1
Short code
HEDIS 2015-18 Digoxin Level
Synonyms
HEDIS 2015-18 Digoxin Level
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 healthcare provider may order this test if you’re taking digoxin to manage heart rhythm issues, heart failure, or other cardiac conditions. It helps monitor whether your dose is keeping your heart healthy without causing harmful side effects like low heart rate or nausea.

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, including over-the-counter drugs and supplements, to share with your provider.

How the Test Is Done

A blood sample is drawn from a vein in your arm by a healthcare professional. The sample is sent to a lab for analysis using an immunoassay method to detect digoxin levels.

What the Results Mean

Results are typically reported in nanograms per milliliter (ng/mL). Your provider will interpret the result based on your medical history, symptoms, and current medications. Too-high or too-low levels can affect how your heart functions.

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.

Digoxin levels are critical for managing heart conditions like atrial fibrillation or congestive heart failure. Too much digoxin can cause toxic symptoms such as irregular heartbeat, vision changes, or fatigue, while too little may mean the medication isn’t working properly. Regular monitoring helps balance safety and effectiveness.

Short name

Digoxin

Frequently asked questions

How often should I get this test?
Your provider will determine the frequency based on your treatment plan, but it may be done every few weeks or months to adjust your dose if needed.
What are the possible side effects of digoxin?
Common side effects of digoxin include nausea, vomiting, or mild dizziness. Rarely, very high levels can cause serious symptoms like heart palpitations or confusion. Always report any unusual symptoms to your doctor.
Can I eat or drink before this test?
Most labs do not require fasting, but check with your provider or lab for specific instructions, especially if you have diabetes or take other medications that affect blood sugar.
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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