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Digiband binds circulating digoxin, not tissue bound digoxin.
When circulating digoxin comes down tissue bound digoxin is released into blood which is bound by digibind.
So slowly (not immediately) digoxin level in blood level comes down.
Digoxin assay may not show improvement because it measures the digoxin in blood and also the digoxin bound by digibind.
Factors aggravating digoxin toxicity.
Renal dysfunction.
Hypothyroid.
Hypokalemia.
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