{
  "id": "lanoxin-injection",
  "recordTier": "source_traceable_archive",
  "editorial": {
    "reviewedAt": "2026-08-21",
    "status": "published_traceable_archive"
  },
  "names": {
    "brand": "LANOXIN Injection",
    "generic": "地高辛注射液",
    "aliases": [
      "LANOXIN Injection",
      "LANOXIN Pediatric Injection",
      "digoxin injection",
      "地高辛注射液"
    ],
    "marketBrandNames": [],
    "mainlandChinaTradeNameCue": null
  },
  "identity": {
    "therapeuticArea": "心血管",
    "sourceArchiveMarket": "美国当前 LANOXIN 地高辛注射液公开标签（2025-10 修订；DailyMed SPL v10 于 2025-11-17 发布）",
    "dosageFormClass": "地高辛注射液：500 mcg/2 mL（250 mcg/mL）单剂量瓶；LANOXIN Injection Pediatric 100 mcg/mL 单剂量瓶（当前美国标签所列）",
    "dosageFormClassCode": "intravenous_infusion",
    "route": "肌内 / 静脉注射",
    "routeCode": "intravenous",
    "historicalApprovalEntry": "1954（当前美国注射剂标签所列 Initial U.S. Approval）",
    "archiveSponsorText": "Covis Pharma US, Inc. / DailyMed（NLM）当前注射剂公开标签档案"
  },
  "matchPolicy": {
    "contract": "reviewed_name_and_exclusion_cues_v1",
    "exactMatchNames": [],
    "excludedProductCues": [
      "LANOXIN tablet",
      "LANOXIN oral solution",
      "digoxin oral solution",
      "LANOXIN 62.5 mcg tablet",
      "LANOXIN 125 mcg tablet",
      "LANOXIN 250 mcg tablet"
    ],
    "exclusionPrecedence": "before_name_candidate"
  },
  "productPresentations": [
    {
      "id": "us-lanoxin-injection-adult-500mcg-2ml-vial-ndc-70515-261-10",
      "marketCode": "US",
      "labelVersion": {
        "zh": "处方信息 2025-10 修订；DailyMed SPL v10 于 2025-11-17 发布",
        "en": "Prescribing information revised Oct 2025; DailyMed SPL v10 published 17 Nov 2025"
      },
      "dosageForm": {
        "zh": "地高辛单剂量注射液瓶",
        "en": "digoxin single-dose injection vial"
      },
      "route": {
        "zh": "肌内／静脉注射（只作标签身份字段）",
        "en": "intramuscular / intravenous injection (label identity only)"
      },
      "routeCodes": [
        "intramuscular",
        "intravenous"
      ],
      "productCode": "NDC 70515-261-10",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_vial",
      "primaryDisplay": {
        "zh": "500 mcg/2 mL（250 mcg/mL）；10 支单剂量瓶装",
        "en": "500 mcg/2 mL (250 mcg/mL); 10 single-dose vials"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=image-04.jpg&setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "地高辛",
            "en": "digoxin"
          },
          "value": 500,
          "unit": "mcg",
          "basisCode": "per_vial",
          "basisLabel": {
            "zh": "每支单剂量瓶标签总量；不是个人注射量",
            "en": "labelled total per single-dose vial; not an individual's injection amount"
          }
        }
      ],
      "concentration": {
        "basisCode": "micrograms_per_mL",
        "notation": null,
        "numerator": {
          "value": 250,
          "unit": "mcg"
        },
        "denominator": {
          "value": 1,
          "unit": "mL"
        },
        "display": {
          "zh": "250 mcg/mL",
          "en": "250 mcg/mL"
        }
      },
      "container": {
        "typeCode": "single_dose_vial",
        "typeLabel": {
          "zh": "单剂量瓶",
          "en": "single-dose vial"
        },
        "fill": {
          "value": 2,
          "unit": "mL"
        },
        "countPerPackage": 10,
        "countUnit": {
          "zh": "支/盒",
          "en": "vials per carton"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-21",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 10,
        "unit": {
          "zh": "支单剂量瓶/盒",
          "en": "single-dose vials per carton"
        }
      },
      "physicalClues": null,
      "comparisonNotice": null,
      "source": {
        "id": "src_c8f22cc32be8fb37",
        "label": "DailyMed（NLM）：LANOXIN 地高辛注射液当前美国公开标签（Covis Pharma US；2025-10 修订）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-lanoxin-injection-pediatric-100mcg-1ml-vial-ndc-70515-263-10",
      "marketCode": "US",
      "labelVersion": {
        "zh": "处方信息 2025-10 修订；DailyMed SPL v10 于 2025-11-17 发布",
        "en": "Prescribing information revised Oct 2025; DailyMed SPL v10 published 17 Nov 2025"
      },
      "dosageForm": {
        "zh": "LANOXIN Injection Pediatric 地高辛单剂量注射液瓶",
        "en": "LANOXIN Injection Pediatric digoxin single-dose injection vial"
      },
      "route": {
        "zh": "肌内／静脉注射（只作标签身份字段）",
        "en": "intramuscular / intravenous injection (label identity only)"
      },
      "routeCodes": [
        "intramuscular",
        "intravenous"
      ],
      "productCode": "NDC 70515-263-10",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_vial",
      "primaryDisplay": {
        "zh": "100 mcg/mL；1 mL；10 支单剂量瓶装",
        "en": "100 mcg/mL; 1 mL; 10 single-dose vials"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=image-06.jpg&setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "地高辛",
            "en": "digoxin"
          },
          "value": 100,
          "unit": "mcg",
          "basisCode": "per_vial",
          "basisLabel": {
            "zh": "每支 1 mL 单剂量瓶标签量；不是个人注射量",
            "en": "labelled amount in the 1 mL single-dose vial; not an individual's injection amount"
          }
        }
      ],
      "concentration": {
        "basisCode": "micrograms_per_mL",
        "notation": null,
        "numerator": {
          "value": 100,
          "unit": "mcg"
        },
        "denominator": {
          "value": 1,
          "unit": "mL"
        },
        "display": {
          "zh": "100 mcg/mL",
          "en": "100 mcg/mL"
        }
      },
      "container": {
        "typeCode": "single_dose_vial",
        "typeLabel": {
          "zh": "单剂量瓶",
          "en": "single-dose vial"
        },
        "fill": {
          "value": 1,
          "unit": "mL"
        },
        "countPerPackage": 10,
        "countUnit": {
          "zh": "支/盒",
          "en": "vials per carton"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-21",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 10,
        "unit": {
          "zh": "支单剂量瓶/盒",
          "en": "single-dose vials per carton"
        }
      },
      "physicalClues": null,
      "comparisonNotice": null,
      "source": {
        "id": "src_c8f22cc32be8fb37",
        "label": "DailyMed（NLM）：LANOXIN 地高辛注射液当前美国公开标签（Covis Pharma US；2025-10 修订）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    }
  ],
  "comparisonPresentations": [],
  "appearanceReferences": [],
  "visualReference": {
    "presentationId": "us-lanoxin-injection-adult-500mcg-2ml-vial-ndc-70515-261-10",
    "status": "historical_public_label_image_not_product_authentication",
    "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=image-04.jpg&setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707&type=img",
    "alt": "LANOXIN 地高辛注射液当前美国 DailyMed 标签中的 500 mcg/2 mL、NDC 70515-261-10、十支单剂量瓶包装面板",
    "archiveMarket": "美国",
    "labelVersion": "处方信息 2025-10 修订；DailyMed SPL v10 于 2025-11-17 发布",
    "presentation": "LANOXIN 地高辛注射液 500 mcg/2 mL（250 mcg/mL），NDC 70515-261-10，10 支单剂量瓶装",
    "notice": "此图只对应当前美国标签中的成人 500 mcg/2 mL 单剂量瓶。它不代表 Pediatric 100 mcg/mL、已列营销结束日的安瓿、LANOXIN 片剂、generic 地高辛口服液或其他市场；不用于鉴定真伪，也不生成个人注射、输注、换算或换药方案。",
    "source": {
      "id": "src_c8f22cc32be8fb37",
      "label": "DailyMed（NLM）：LANOXIN 地高辛注射液当前美国公开标签（Covis Pharma US；2025-10 修订）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-08-20",
      "reviewedAt": "2026-08-20"
    }
  },
  "visualCoverageNote": null,
  "labelReading": {
    "coverage": "drug_specific_source_review",
    "title": {
      "zh": "LANOXIN 注射液说明书放大阅读：先核对浓度、NDC 与单剂量瓶，不做换算",
      "en": "LANOXIN Injection label reading: check concentration, NDC and single-dose vial first; do not self-convert"
    },
    "summary": {
      "zh": "本模块只帮助区分当前美国标签中的两个单剂量瓶、浓度与 NDC；不生成个人注射量、频率、途径转换、输注操作、片剂/口服液换算、漏用或停用方案。",
      "en": "This module only distinguishes the two single-dose vials, concentrations and NDCs in the current U.S. label; it does not generate individual injection amounts, frequency, route conversion, infusion steps, tablet/oral-solution conversion, missed-use or stopping plans."
    },
    "checks": [
      {
        "zh": "成人瓶为 500 mcg/2 mL（250 mcg/mL），Pediatric 瓶为 100 mcg/mL、1 mL。它们是不同标签 identity；页面不把浓度、瓶内总量或 mL 变成个人注射量或换算器。",
        "en": "The adult vial is 500 mcg/2 mL (250 mcg/mL); the Pediatric vial is 100 mcg/mL and 1 mL. They are different label identities; this page does not turn concentration, vial total or mL into an individual injection amount or converter."
      },
      {
        "zh": "必须继续核对 NDC：成人单剂量瓶为 70515-261-10，Pediatric 单剂量瓶为 70515-263-10。相同品牌、通用名或“注射液”文字不足以互换两种瓶。",
        "en": "Continue by checking the NDC: the adult single-dose vial is 70515-261-10 and the Pediatric single-dose vial is 70515-263-10. A shared brand, generic name or the word “injection” is not enough to exchange the two vials."
      },
      {
        "zh": "当前标签还列有已标明营销结束日的成人及儿科安瓿；本页不把它们当作当前包装，也不据此判断任何实际供应或可获得性。",
        "en": "The current label also lists adult and pediatric ampules with a stated marketing-end date. This page does not present them as current packages or infer any real-world supply or availability."
      },
      {
        "zh": "LANOXIN 片剂、generic 地高辛口服液和本注射剂属于不同的剂型、NDA 或标签链路。不要按 mcg、mL、途径或品牌名称自行换算、替换、叠加或改变使用方式。",
        "en": "LANOXIN tablets, generic digoxin oral solution and this injection belong to different form, NDA or label chains. Do not self-convert, substitute, combine or change use by mcg, mL, route or brand name."
      },
      {
        "zh": "若出现明显心悸、晕厥、意识改变、严重恶心呕吐、视觉异常或疑似误用，应尽快联系当地医生、药师、毒物咨询或紧急医疗支持；不要依据网页自行继续、补用、停用或改量。",
        "en": "With marked palpitations, fainting, confusion, severe nausea/vomiting, visual disturbance or suspected misuse, promptly contact local clinicians, pharmacists, poison-control or emergency support; do not self-continue, make up, stop or change an amount from this page."
      }
    ],
    "source": {
      "id": "src_c8f22cc32be8fb37",
      "label": "DailyMed（NLM）：LANOXIN 地高辛注射液当前美国公开标签（Covis Pharma US；2025-10 修订）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-08-20",
      "reviewedAt": "2026-08-20"
    },
    "scope": "label_literacy_only_no_individual_dosing_or_substitution"
  },
  "mechanismReading": {
    "title": {
      "zh": "地高辛怎样起作用：同一机制不等于不同剂型可以自行换算",
      "en": "How digoxin works: a shared mechanism does not make different forms self-convertible"
    },
    "summary": {
      "zh": "当前注射剂标签描述地高辛对 Na+/K+-ATPase 的抑制及其心脏效应。机制帮助理解为什么准确剂型、浓度、途径、肾功能、相互作用与监测需要专业核对；不预测个人效果或注射量。",
      "en": "The current injection label describes digoxin inhibition of Na+/K+-ATPase and cardiac effects. Mechanism helps explain why exact form, concentration, route, kidney function, interactions and monitoring need professional review; it does not predict an individual's effect or injection amount."
    },
    "checks": [
      {
        "zh": "机制不能从症状或设备读数判断某个人是否应使用地高辛注射剂，也不能决定何时注射、通过何种途径或是否转回口服。",
        "en": "Mechanism cannot determine from symptoms or device readings whether someone should use digoxin injection, when it should be given, by which route, or whether to change back to oral use."
      },
      {
        "zh": "作用于心率/传导不使本注射剂与片剂、口服液或其他心律、心衰、血压产品可自行叠加、轮换、替代或按单位换算。",
        "en": "Effects on rate/conduction do not make this injection self-combinable, alternatable, substitutable or unit-convertible with tablets, oral solution or another rhythm, heart-failure or blood-pressure product."
      },
      {
        "zh": "机制不能处理疑似中毒、明显心悸、晕厥、意识改变或严重胃肠道/视觉症状；有急性严重担忧时应优先使用当地紧急医疗支持。",
        "en": "Mechanism cannot manage suspected toxicity, marked palpitations, fainting, confusion or severe gastrointestinal/visual symptoms; prioritise local urgent medical support for an acute serious concern."
      }
    ],
    "source": {
      "id": "src_c8f22cc32be8fb37",
      "label": "DailyMed（NLM）：LANOXIN 地高辛注射液当前美国公开标签（Covis Pharma US；2025-10 修订；Clinical Pharmacology）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-08-20",
      "reviewedAt": "2026-08-20"
    },
    "scope": "mechanism_literacy_only_no_individual_dosing_or_substitution"
  },
  "pharmacovigilance": {
    "status": "official_routes_only_no_live_alert_inference",
    "reviewedAt": "2026-08-22",
    "identity": {
      "brand": "LANOXIN Injection",
      "generic": "地高辛注射液",
      "dosageFormClass": "地高辛注射液：500 mcg/2 mL（250 mcg/mL）单剂量瓶；LANOXIN Injection Pediatric 100 mcg/mL 单剂量瓶（当前美国标签所列）"
    },
    "labelSource": {
      "id": "src_c8f22cc32be8fb37",
      "label": "DailyMed（NLM）：LANOXIN 地高辛注射液当前美国公开标签（Covis Pharma US；2025-10 修订）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-08-20",
      "reviewedAt": "2026-08-20"
    },
    "productRoutes": [
      {
        "source": {
          "id": "src_c8f22cc32be8fb37",
          "label": "DailyMed（NLM）：LANOXIN 地高辛注射液当前美国公开标签（Covis Pharma US；2025-10 修订）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-20",
          "reviewedAt": "2026-08-20"
        },
        "status": "product_level_public_record_verified",
        "authority": {
          "zh": "美国国家医学图书馆 DailyMed",
          "en": "U.S. National Library of Medicine DailyMed"
        },
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "recordType": {
          "zh": "公开药品标签",
          "en": "Public medicine label"
        },
        "reviewedAt": "2026-08-20",
        "scope": {
          "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
          "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
        }
      }
    ],
    "recordRoute": {
      "status": "product_level_public_record_verified",
      "authority": {
        "zh": "美国国家医学图书馆 DailyMed",
        "en": "U.S. National Library of Medicine DailyMed"
      },
      "market": {
        "zh": "美国",
        "en": "United States"
      },
      "recordType": {
        "zh": "公开药品标签",
        "en": "Public medicine label"
      },
      "reviewedAt": "2026-08-20",
      "scope": {
        "zh": "已逐项核对本档案可公开访问的产品级来源入口。该核对不代表已完成所有国家或地区的实时警示检索，也不代表该药存在或不存在当前风险。",
        "en": "This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk."
      }
    },
    "channels": [
      {
        "id": "china-nmpa-drug-evaluation-centre",
        "authority": "NMPA 药品评价中心",
        "market": {
          "zh": "中国大陆",
          "en": "Mainland China"
        },
        "title": {
          "zh": "药物警戒快讯与安全警示",
          "en": "Drug-vigilance bulletins and safety notices"
        },
        "purpose": {
          "zh": "国家药监局药品评价中心发布的药物警戒快讯、安全警示及药品不良反应监测相关原始入口；具体产品仍须按批准文号、剂型、规格、持有人和公告日期逐项核对。",
          "en": "Primary NMPA Drug Evaluation Centre gateway for drug-vigilance bulletins, safety notices and adverse-reaction monitoring. Exact products still require checking approval number, dosage form, strength, authorisation holder and notice date item by item."
        },
        "source": {
          "id": "src_05ff2860226564d4",
          "label": "国家药监局药品评价中心：药物警戒与安全警示入口",
          "url": "https://www.cdr-adr.org.cn/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CN",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-drug-safety-communications",
        "authority": "FDA",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "药物安全通讯",
          "en": "Drug Safety Communications"
        },
        "purpose": {
          "zh": "监管机构就重要新安全问题、标签变化或风险沟通发布的原始页面。",
          "en": "Primary FDA pages for important new safety issues, labelling changes and risk communications."
        },
        "source": {
          "id": "src_9177df9e1825aa72",
          "label": "FDA：Drug Safety Communications",
          "url": "https://www.fda.gov/drugs/drug-safety-and-availability/drug-safety-communications",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "fda-medwatch",
        "authority": "FDA MedWatch",
        "market": {
          "zh": "美国",
          "en": "United States"
        },
        "title": {
          "zh": "安全信息与严重问题报告",
          "en": "Safety information and serious-problem reporting"
        },
        "purpose": {
          "zh": "美国 MedWatch 的安全信息和报告入口；报告不等同于已证实因果关系。",
          "en": "U.S. MedWatch safety-information and reporting gateway; a report does not itself establish causality."
        },
        "source": {
          "id": "src_e4739cd55d27ab51",
          "label": "FDA：MedWatch 药品安全信息与不良事件报告计划",
          "url": "https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "ema-pharmacovigilance",
        "authority": "EMA",
        "market": {
          "zh": "欧盟/欧洲经济区",
          "en": "European Union / European Economic Area"
        },
        "title": {
          "zh": "药物警戒概览与 EudraVigilance",
          "en": "Pharmacovigilance overview and EudraVigilance"
        },
        "purpose": {
          "zh": "欧盟药物警戒、疑似不良反应报告和 PRAC 安全评估的官方入口。",
          "en": "Official EU gateway for pharmacovigilance, suspected adverse-reaction reports and PRAC safety assessment."
        },
        "source": {
          "id": "src_2ad42a3deae747d1",
          "label": "EMA：Pharmacovigilance overview",
          "url": "https://www.ema.europa.eu/en/human-regulatory-overview/pharmacovigilance-overview",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "EU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "javascript_or_cookie_controls",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mhra-drug-safety-update",
        "authority": "MHRA",
        "market": {
          "zh": "英国",
          "en": "United Kingdom"
        },
        "title": {
          "zh": "Drug Safety Update",
          "en": "Drug Safety Update"
        },
        "purpose": {
          "zh": "英国 MHRA 面向专业人士和公众的药品安全更新原始发布页。",
          "en": "Primary UK MHRA medicine-safety updates for professionals and the public."
        },
        "source": {
          "id": "src_23fdbe67abeafc63",
          "label": "MHRA：Drug Safety Update",
          "url": "https://www.gov.uk/drug-safety-update",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "UK",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "pmda-drug-safety",
        "authority": "PMDA",
        "market": {
          "zh": "日本",
          "en": "Japan"
        },
        "title": {
          "zh": "药品安全信息",
          "en": "Medicine safety information"
        },
        "purpose": {
          "zh": "日本 PMDA 药品安全信息的英文官方入口；具体产品仍应以日文产品页和现行文件复核。",
          "en": "PMDA’s English official safety gateway; exact products still require checking against the Japanese product page and current documents."
        },
        "source": {
          "id": "src_06d6be2880f12024",
          "label": "PMDA：Safety Information Regarding Drugs",
          "url": "https://www.pmda.go.jp/english/safety/info-services/drugs/0001.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "JP",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "mfds-drug-safety-letters",
        "authority": "MFDS",
        "market": {
          "zh": "韩国",
          "en": "Republic of Korea"
        },
        "title": {
          "zh": "药品安全性书信",
          "en": "Medicine safety letters"
        },
        "purpose": {
          "zh": "韩国 MFDS 发布的药品安全性书信原始索引。原文为韩文，须按涉及产品、剂型、市场和日期逐项阅读；它不自动适用于其他市场，也不构成对个人情况的结论。",
          "en": "MFDS’s primary index for medicine safety letters in the Republic of Korea. The original notices are in Korean and must be read against the named product, dosage form, market and date; they do not automatically apply in another market or decide an individual case."
        },
        "source": {
          "id": "src_2d7f5018cd05eff4",
          "label": "MFDS：药品安全性书信（韩文原始资料）",
          "url": "https://www.mfds.go.kr/brd/m_545/list.do",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "KR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "hsa-adverse-events",
        "authority": "HSA",
        "market": {
          "zh": "新加坡",
          "en": "Singapore"
        },
        "title": {
          "zh": "不良反应报告与药物安全信息",
          "en": "Adverse-event reporting and medicine-safety information"
        },
        "purpose": {
          "zh": "新加坡 HSA 面向公众的疑似不良反应报告、药物安全信息与本地监管入口；一份报告不等同于个体因果关系，具体产品仍须按新加坡注册状态、剂型、规格、日期和现行产品资料逐项核对。",
          "en": "HSA’s public Singapore gateway for suspected adverse-event reporting and medicine-safety information. A report does not itself establish individual causality; exact products still require checking Singapore registration status, dosage form, strength, date and current product information."
        },
        "source": {
          "id": "src_9240397d5a8574c1",
          "label": "HSA：Report adverse events",
          "url": "https://www.hsa.gov.sg/adverse-events/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "SG",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "health-canada-medeffect-advisories",
        "authority": "Health Canada",
        "market": {
          "zh": "加拿大",
          "en": "Canada"
        },
        "title": {
          "zh": "MedEffect 加拿大：建议、警告与召回",
          "en": "MedEffect Canada: advisories, warnings and recalls"
        },
        "purpose": {
          "zh": "加拿大政府 Health Canada 的 MedEffect 公开入口，汇集药品及健康产品的建议、警告、召回、报告与安全信息；具体产品仍须按市场、剂型、规格、公告日期和批号逐项核对。",
          "en": "Health Canada’s public MedEffect gateway for medicine and health-product advisories, warnings, recalls, reporting and safety information. Exact products still require checking market, dosage form, strength, notice date and lot item by item."
        },
        "source": {
          "id": "src_212ec921fa6634ad",
          "label": "Health Canada：MedEffect Canada 建议、警告与召回",
          "url": "https://www.canada.ca/en/health-canada/services/drugs-health-products/medeffect-canada/advisories-warnings-recalls.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "CA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "tga-safety-alerts",
        "authority": "TGA",
        "market": {
          "zh": "澳大利亚",
          "en": "Australia"
        },
        "title": {
          "zh": "药品安全警示",
          "en": "Medicine safety alerts"
        },
        "purpose": {
          "zh": "澳大利亚 TGA 的药品安全警示、建议和监测信息原始发布页。",
          "en": "Primary Australian TGA safety alerts, advisories and monitoring information for therapeutic products."
        },
        "source": {
          "id": "src_ffe6142814f88fac",
          "label": "TGA：Safety alerts",
          "url": "https://www.tga.gov.au/safety/safety-monitoring-and-information/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "AU",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "swissmedic-pharmacovigilance",
        "authority": "Swissmedic",
        "market": {
          "zh": "瑞士",
          "en": "Switzerland"
        },
        "title": {
          "zh": "药物警戒与不良反应报告",
          "en": "Pharmacovigilance and suspected adverse-reaction reporting"
        },
        "purpose": {
          "zh": "瑞士 Swissmedic 的药物警戒、信号评估和疑似不良反应官方入口；报告或信号本身不等同于对个体因果关系的确认。",
          "en": "Official Swissmedic gateway for pharmacovigilance, signal assessment and suspected adverse-reaction reporting; a report or signal does not itself confirm individual causality."
        },
        "source": {
          "id": "src_c854f813ce2671df",
          "label": "Swissmedic：Pharmacovigilance",
          "url": "https://www.swissmedic.ch/swissmedic/en/home/humanarzneimittel/market-surveillance/pharmacovigilance.html",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "adverse_event_reporting",
          "market": "CH",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "medsafe-safety-communications",
        "authority": "Medsafe",
        "market": {
          "zh": "新西兰",
          "en": "New Zealand"
        },
        "title": {
          "zh": "药品安全通讯",
          "en": "Medicine safety communications"
        },
        "purpose": {
          "zh": "新西兰 Medsafe 面向公众和专业人士的药品安全通讯与归档入口；旧公告可能已被现行产品资料更新。",
          "en": "New Zealand Medsafe gateway for public and professional medicine safety communications and archives; older notices may have been superseded by current product information."
        },
        "source": {
          "id": "src_3510c1a523ec9769",
          "label": "Medsafe：Safety Communications",
          "url": "https://www.medsafe.govt.nz/safety/SafetyCommunications.asp",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "NZ",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "sahpra-safety-information",
        "authority": "SAHPRA",
        "market": {
          "zh": "南非",
          "en": "South Africa"
        },
        "title": {
          "zh": "药物安全信息、警示与药物警戒",
          "en": "Medicine safety information, alerts and pharmacovigilance"
        },
        "purpose": {
          "zh": "南非 SAHPRA 面向公众和专业人士的药物安全信息、警示与药物警戒入口；官方警示不等同于产品在所有情形下不安全，具体产品仍须按南非注册状态、剂型、规格、公告日期与现行资料逐项核对。",
          "en": "SAHPRA’s safety-information, alerts and pharmacovigilance gateway for the public and professionals in South Africa. An official alert does not itself mean a product is unsafe in every circumstance; exact products still require checking South African registration status, dosage form, strength, notice date and current product information."
        },
        "source": {
          "id": "src_25b0aaefee742163",
          "label": "SAHPRA：Safety Information Updates / Pharmacovigilance",
          "url": "https://www.sahpra.org.za/safety-information-and-updates/",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "ZA",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "who-medicine-safety-alerts",
        "authority": "WHO",
        "market": {
          "zh": "全球",
          "en": "Global"
        },
        "title": {
          "zh": "药品与疫苗安全警示档案",
          "en": "Medicine and vaccine safety-alert archive"
        },
        "purpose": {
          "zh": "WHO 的跨市场安全警示档案；每条历史警示必须按公告日期、涉及产品和市场单独阅读。",
          "en": "WHO’s cross-market safety-alert archive; every historical notice must be read against its date, named product and market."
        },
        "source": {
          "id": "src_9a7dc56ec34c7e1a",
          "label": "WHO：Safety alerts for medicines and vaccines",
          "url": "https://www.who.int/teams/regulation-prequalification/regulation-and-safety/pharmacovigilance/safety-alerts",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "GLOBAL",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      },
      {
        "id": "anvisa-pharmacovigilance",
        "authority": "Anvisa",
        "market": {
          "zh": "巴西",
          "en": "Brazil"
        },
        "title": {
          "zh": "药物警戒、警示与 VigiMed",
          "en": "Pharmacovigilance, alerts and VigiMed"
        },
        "purpose": {
          "zh": "巴西 Anvisa 的药物警戒原始入口，涵盖警示、药物警戒公告、风险沟通和 VigiMed 报告路径；具体产品仍须按巴西批准状态、剂型、规格和公告日期逐项核对。",
          "en": "Anvisa’s primary Brazilian pharmacovigilance gateway for alerts, bulletins, risk communication and VigiMed reporting. Exact products still require checking Brazilian authorisation status, dosage form, strength and notice date item by item."
        },
        "source": {
          "id": "src_5de362c12580111d",
          "label": "Anvisa：Farmacovigilância（药物警戒、警示与 VigiMed）",
          "url": "https://www.gov.br/anvisa/pt-br/assuntos/fiscalizacao-e-monitoramento/farmacovigilancia",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "official_safety_monitoring",
          "documentKind": "regulatory_safety_communication",
          "market": "BR",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-22",
          "reviewedAt": "2026-08-22"
        }
      }
    ],
    "notices": [],
    "boundary": {
      "zh": "本卡将逐药产品级来源与 15 个市场级官方警戒入口放在同一处核验；它不表示已完成该药在所有国家或地区的实时警示检索，也不表示该药存在新的安全警示、召回或风险结论。请先以品牌名、通用名、剂型、规格、所在市场和公告日期逐项匹配；不要仅因看到标题自行停药、换药、加量或减量。",
      "en": "This card brings together the medicine-specific product route and 15 market-level official vigilance gateways. It does not mean real-time alerts for this medicine have been searched in every country or region, or that the medicine has a new alert, recall or risk conclusion. Match brand, generic name, dosage form, strength, market and notice date item by item; do not self-stop, switch, increase or reduce use from a headline."
    },
    "scope": "official_routes_only_no_live_alert_inference"
  },
  "archive": {
    "summary": "DailyMed 的 LANOXIN 地高辛注射液当前美国标签列出成人 500 mcg/2 mL（250 mcg/mL）与 Pediatric 100 mcg/mL 两个单剂量瓶。页面把 NDC、浓度、单剂量瓶与标签所列肌内／静脉途径分开呈现；不生成任何个人注射量、频率、输注安排、途径转换、片剂／口服液换算、漏用或停用方案。",
    "history": "当前注射剂标签对应 NDA 009330，并与 LANOXIN 片剂的 NDA 020405 分开。页面仅展示截至 2026-08-21 在当前标签中列示、且未列出营销结束日的两个小瓶；已列营销结束日的成人与儿科安瓿不作为当前公开 presentation。",
    "sourceDocuments": [
      {
        "id": "src_c8f22cc32be8fb37",
        "label": "DailyMed（NLM）：LANOXIN 地高辛注射液当前美国公开标签（Covis Pharma US；2025-10 修订）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-08-20",
        "reviewedAt": "2026-08-20"
      }
    ],
    "applicationNumber": "NDA 009330",
    "approvalTimeline": [
      {
        "date": "1954",
        "title": {
          "zh": "当前注射剂标签所列美国初始批准年份",
          "en": "Initial U.S. approval year listed in the current injection label"
        },
        "detail": {
          "zh": "当前 LANOXIN 注射剂标签列示 Initial U.S. Approval: 1954；该年份不把片剂、口服液或其他市场并入本档案。",
          "en": "The current LANOXIN injection label lists Initial U.S. Approval: 1954; that year does not merge tablets, oral solution or another market into this dossier."
        },
        "source": {
          "id": "src_c8f22cc32be8fb37",
          "label": "DailyMed: current U.S. LANOXIN digoxin-injection public label",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-20",
          "reviewedAt": "2026-08-20"
        }
      },
      {
        "date": "2025-10-17",
        "title": {
          "zh": "当前标签页面更新/处方信息修订",
          "en": "Current label-page update / prescribing-information revision"
        },
        "detail": {
          "zh": "DailyMed 页面将 Drug Label Information Updated 标为 2025-10-17，正文列示 Revised 10/2025；它与后续 SPL 公开日期分开记录。",
          "en": "DailyMed lists Drug Label Information Updated as 17 Oct 2025 and the text as Revised 10/2025; these remain separate from the subsequent SPL publication date."
        },
        "source": {
          "id": "src_c8f22cc32be8fb37",
          "label": "DailyMed: current U.S. LANOXIN digoxin-injection public label",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-20",
          "reviewedAt": "2026-08-20"
        }
      },
      {
        "date": "2025-11-17",
        "title": {
          "zh": "DailyMed SPL v10 公开",
          "en": "DailyMed SPL v10 published"
        },
        "detail": {
          "zh": "DailyMed 当前版本列表将 v10 标为 current，并列示 2025-11-17 Published。",
          "en": "DailyMed marks v10 as current and lists Published 17 Nov 2025."
        },
        "source": {
          "id": "src_c8f22cc32be8fb37",
          "label": "DailyMed: current U.S. LANOXIN digoxin-injection public label",
          "url": "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9ec84cac-6ecc-43dc-8006-6ccc029e2707",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-08-20",
          "reviewedAt": "2026-08-20"
        }
      }
    ],
    "marketStatus": [
      {
        "market": {
          "zh": "美国注射剂",
          "en": "United States injection"
        },
        "status": {
          "zh": "已链接 NDA 009330 当前公开标签与两个现行标签所列单剂量瓶",
          "en": "Current NDA 009330 public label and two label-listed single-dose vials linked"
        },
        "detail": {
          "zh": "本档案仅展示 NDC 70515-261-10 成人 500 mcg/2 mL 单剂量瓶与 NDC 70515-263-10 Pediatric 100 mcg/mL 单剂量瓶。它不证明实际在售、库存、可获得性，亦不纳入已列营销结束日的安瓿。",
          "en": "This dossier displays only the adult 500 mcg/2 mL single-dose vial, NDC 70515-261-10, and the Pediatric 100 mcg/mL single-dose vial, NDC 70515-263-10. It does not establish actual marketing, stock or availability, and does not include ampules with a stated marketing-end date."
        }
      },
      {
        "market": {
          "zh": "LANOXIN 片剂、generic 地高辛口服液及其他市场",
          "en": "LANOXIN tablets, generic digoxin oral solution and other markets"
        },
        "status": {
          "zh": "明确分开或待建立",
          "en": "Explicitly separate or not established"
        },
        "detail": {
          "zh": "不同 NDA、SPL、剂型、浓度、途径或品牌状态不得并入本注射剂档案。",
          "en": "A different NDA, SPL, form, concentration, route or brand status is not merged into this injection dossier."
        }
      }
    ],
    "frequentlyAskedQuestions": [
      {
        "question": {
          "zh": "500 mcg/2 mL（250 mcg/mL）和 100 mcg/mL 能自己按 mL 换算或替换吗？",
          "en": "Can 500 mcg/2 mL (250 mcg/mL) and 100 mcg/mL be self-converted or substituted by mL?"
        },
        "answer": {
          "zh": "不能。它们是不同的标签包装身份。本页不提供注射或浓度换算器；应带上实际 NDC、单剂量瓶和完整药单，由药师或处方团队核对。",
          "en": "No. They are different labelled package identities. This page provides no injection or concentration converter; take the actual NDC, single-dose vial and complete medicine list to a pharmacist or prescribing team for review."
        }
      },
      {
        "question": {
          "zh": "LANOXIN 注射剂能按同品牌或同通用名转成片剂或口服液吗？",
          "en": "Can LANOXIN Injection be changed to tablets or oral solution because the brand or generic name is shared?"
        },
        "answer": {
          "zh": "不能。片剂、口服液和注射剂的标签链路、剂型、浓度或途径不同。本页不提供任何转换、替换、加减量或联合使用结论。",
          "en": "No. Tablets, oral solution and injection have different label chains, forms, concentrations or routes. This page provides no conversion, substitution, adjustment or combination conclusion."
        }
      }
    ],
    "relatedMedicineChecks": [],
    "relatedArticleSlugs": [
      "medicine-label-for-everyday-questions",
      "dosage-forms-are-part-of-medicine-identity",
      "how-to-read-a-drug-label"
    ]
  },
  "canonicalUrls": {
    "zh": "https://origindrug.com/drugs/lanoxin-injection/",
    "en": "https://origindrug.com/en/drugs/lanoxin-injection/"
  },
  "limitations": [
    "No originator, generic, interchangeability, availability, price, holder, strength or sale-eligibility conclusion is inferred beyond the linked source documents.",
    "Target-market current labels and official records must be checked separately."
  ]
}