Respected Sir,
What is the role of Digoxin in patients with compromised EF and why is it advised for 5 days a week? Do we have any alternative to that drug??
Besides fluid restrictions,what precautions have to be taken while treating a patient with low ef?
Good afternoon Dr Shraddha ,
Digoxin is cardiotonic that means it increases the force of contraction of heart muscles,
this drug acts by increasing Ca concentration inside heart muscles.
but the bad thing about this drug is it is associated with some serious side effects that is called digoxin toxicity, ( nausea , vomiting, weakness, bradycardia, conduction block )
this drug has a long half-life hence it can accumulate in blood if consumed in long run, hence this drug is advised 5 days in week.
about replacement to this drug in Ayurveda yes we do have strong cardiotonic like arjuna which is there in HFRT treatment and our cardiac range of prescription.
you can refer to this paper for further details.
http://www.iosrjournals.org/iosr-jdms/papers/Vol7-issue2/M0724851.pdf
about precautions other than a fluid restriction
yes we need to consider the following points too
monitor steps per day
monitor abdominal girth
if you follow all these guidelines properly then you can easily improve patients of heart failure with our therapy.
Thank you Sir 🙏🏼