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The rate and or rhythm can be controlled long-term with oral beta-blockers, calcium channel blockers, amiodarone, or digoxin.

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It may be desirable to reduce the dose of or discontinue lanoxin for 1-2 days prior to electrical cardioversion of atrial fibrillation to avoid the induction of ventricular arrhythmias, but physicians must consider the consequences of increasing the ventricular response if digoxin is decreased or withdrawn.

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It s very important to take your digoxin exactly as your doctor tells you.

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