{
  "id": "lanoxin",
  "recordTier": "source_traceable_archive",
  "editorial": {
    "reviewedAt": "2026-08-19",
    "status": "published_traceable_archive"
  },
  "names": {
    "brand": "Lanoxin",
    "generic": "地高辛",
    "aliases": [
      "LANOXIN",
      "digoxin"
    ],
    "marketBrandNames": [],
    "mainlandChinaTradeNameCue": null
  },
  "identity": {
    "therapeuticArea": "心血管",
    "sourceArchiveMarket": "美国当前 LANOXIN 地高辛片公开标签（2024-12 修订；DailyMed SPL v12 于 2025-01-09 发布）",
    "dosageFormClass": "口服片：62.5 mcg、125 mcg、250 mcg（当前美国片剂标签所列）",
    "dosageFormClassCode": "oral_solid",
    "route": "口服",
    "routeCode": "oral",
    "historicalApprovalEntry": "1954（当前美国片剂标签所列 Initial U.S. Approval）",
    "archiveSponsorText": "Advanz Pharma (US) Corp. / DailyMed（NLM）当前片剂公开标签档案"
  },
  "matchPolicy": {
    "contract": "reviewed_name_and_exclusion_cues_v1",
    "exactMatchNames": [],
    "excludedProductCues": [
      "LANOXIN injection",
      "LANOXIN oral solution",
      "digoxin injection",
      "digoxin oral solution",
      "LANOXIN pediatric injection"
    ],
    "exclusionPrecedence": "before_name_candidate"
  },
  "productPresentations": [
    {
      "id": "us-lanoxin-62-5mcg-bottle-ndc-59212-240-55",
      "marketCode": "US",
      "labelVersion": {
        "zh": "处方信息 2024-12 修订；DailyMed SPL v12 于 2025-01-09 发布",
        "en": "Prescribing information revised Dec 2024; DailyMed SPL v12 published 9 Jan 2025"
      },
      "dosageForm": {
        "zh": "地高辛口服片",
        "en": "digoxin oral tablet"
      },
      "route": {
        "zh": "口服",
        "en": "oral"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "NDC 59212-240-55",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片 62.5 mcg；100 片瓶装",
        "en": "62.5 mcg per tablet; 100-tablet bottle"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=62-5mcgbottle.jpg&setid=d91e3646-4c63-4512-ab22-db39c085c4dc&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "地高辛",
            "en": "digoxin"
          },
          "value": 62.5,
          "unit": "mcg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片标示量",
            "en": "labelled amount per tablet"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "bottle",
        "typeLabel": {
          "zh": "100 片瓶装",
          "en": "100-tablet bottle"
        },
        "fill": null,
        "countPerPackage": 100,
        "countUnit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-19",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 100,
        "unit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "桃橙色",
          "en": "peach/orange"
        },
        "shape": {
          "zh": "5 mm 圆片",
          "en": "5 mm round tablet"
        },
        "imprint": "LANOXIN / U3A",
        "scoreStatus": "unscored",
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_821b4ed2b7f909c6",
        "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-05",
        "reviewedAt": "2026-09-05"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-lanoxin-125mcg-bottle-ndc-59212-242-55",
      "marketCode": "US",
      "labelVersion": {
        "zh": "处方信息 2024-12 修订；DailyMed SPL v12 于 2025-01-09 发布",
        "en": "Prescribing information revised Dec 2024; DailyMed SPL v12 published 9 Jan 2025"
      },
      "dosageForm": {
        "zh": "地高辛口服片",
        "en": "digoxin oral tablet"
      },
      "route": {
        "zh": "口服",
        "en": "oral"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "NDC 59212-242-55",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片 125 mcg；100 片瓶装",
        "en": "125 mcg per tablet; 100-tablet bottle"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=125mcgbottle.jpg&setid=d91e3646-4c63-4512-ab22-db39c085c4dc&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "地高辛",
            "en": "digoxin"
          },
          "value": 125,
          "unit": "mcg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片标示量",
            "en": "labelled amount per tablet"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "bottle",
        "typeLabel": {
          "zh": "100 片瓶装",
          "en": "100-tablet bottle"
        },
        "fill": null,
        "countPerPackage": 100,
        "countUnit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-19",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 100,
        "unit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "黄色",
          "en": "yellow"
        },
        "shape": {
          "zh": "6 mm 圆片",
          "en": "6 mm round tablet"
        },
        "imprint": "LANOXIN / Y3B",
        "scoreStatus": "scored",
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_821b4ed2b7f909c6",
        "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-05",
        "reviewedAt": "2026-09-05"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-lanoxin-125mcg-unit-dose-ndc-59212-242-56",
      "marketCode": "US",
      "labelVersion": {
        "zh": "处方信息 2024-12 修订；DailyMed SPL v12 于 2025-01-09 发布",
        "en": "Prescribing information revised Dec 2024; DailyMed SPL v12 published 9 Jan 2025"
      },
      "dosageForm": {
        "zh": "地高辛口服片",
        "en": "digoxin oral tablet"
      },
      "route": {
        "zh": "口服",
        "en": "oral"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "NDC 59212-242-56",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片 125 mcg；院内单位剂量装（10 板×10 片）",
        "en": "125 mcg per tablet; institutional unit-dose pack (10 blisters × 10 tablets)"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=cn-120891-01-lanoxin-125-mcg-tablet-100s-v1thumb.jpg&setid=d91e3646-4c63-4512-ab22-db39c085c4dc&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "地高辛",
            "en": "digoxin"
          },
          "value": 125,
          "unit": "mcg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片标示量",
            "en": "labelled amount per tablet"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "unit_dose_blister",
        "typeLabel": {
          "zh": "院内单位剂量装（10 板×10 片）",
          "en": "institutional unit-dose pack (10 blisters × 10 tablets)"
        },
        "fill": null,
        "countPerPackage": 100,
        "countUnit": {
          "zh": "片/单位剂量盒",
          "en": "tablets per unit-dose carton"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-19",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 100,
        "unit": {
          "zh": "片/单位剂量盒",
          "en": "tablets per unit-dose carton"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "黄色",
          "en": "yellow"
        },
        "shape": {
          "zh": "6 mm 圆片",
          "en": "6 mm round tablet"
        },
        "imprint": "LANOXIN / Y3B",
        "scoreStatus": "scored",
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_821b4ed2b7f909c6",
        "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-05",
        "reviewedAt": "2026-09-05"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    },
    {
      "id": "us-lanoxin-250mcg-bottle-ndc-59212-249-55",
      "marketCode": "US",
      "labelVersion": {
        "zh": "处方信息 2024-12 修订；DailyMed SPL v12 于 2025-01-09 发布",
        "en": "Prescribing information revised Dec 2024; DailyMed SPL v12 published 9 Jan 2025"
      },
      "dosageForm": {
        "zh": "地高辛口服片",
        "en": "digoxin oral tablet"
      },
      "route": {
        "zh": "口服",
        "en": "oral"
      },
      "routeCodes": [
        "oral"
      ],
      "productCode": "NDC 59212-249-55",
      "pouchCode": null,
      "applicationNumber": null,
      "presentationRole": null,
      "primaryStrengthBasisCode": "per_tablet",
      "primaryDisplay": {
        "zh": "每片 250 mcg；100 片瓶装",
        "en": "250 mcg per tablet; 100-tablet bottle"
      },
      "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=250mcgbottle.jpg&setid=d91e3646-4c63-4512-ab22-db39c085c4dc&type=img",
      "visualStatus": "exact_public_label_package_image",
      "labeledQuantities": [
        {
          "ingredient": {
            "zh": "地高辛",
            "en": "digoxin"
          },
          "value": 250,
          "unit": "mcg",
          "basisCode": "per_tablet",
          "basisLabel": {
            "zh": "每片标示量",
            "en": "labelled amount per tablet"
          }
        }
      ],
      "concentration": null,
      "container": {
        "typeCode": "bottle",
        "typeLabel": {
          "zh": "100 片瓶装",
          "en": "100-tablet bottle"
        },
        "fill": null,
        "countPerPackage": 100,
        "countUnit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "deliveryDevice": null,
      "compatibleReusableDevice": null,
      "listingStatus": {
        "reviewedAt": "2026-08-19",
        "currentLabelDisplayed": true,
        "ndcDirectoryListed": true,
        "marketAvailability": "not_established",
        "marketingStartDate": null,
        "marketingEndDate": null,
        "purpleBookPresentationStatus": null,
        "statusConflictRequiresManualReview": false
      },
      "package": {
        "count": 100,
        "unit": {
          "zh": "片/瓶",
          "en": "tablets per bottle"
        }
      },
      "physicalClues": {
        "color": {
          "zh": "白色",
          "en": "white"
        },
        "shape": {
          "zh": "7 mm 圆片",
          "en": "7 mm round tablet"
        },
        "imprint": "LANOXIN / X3A",
        "scoreStatus": "scored",
        "patchAreaCm2": null
      },
      "comparisonNotice": null,
      "source": {
        "id": "src_821b4ed2b7f909c6",
        "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-05",
        "reviewedAt": "2026-09-05"
      },
      "scope": "package_and_label_identity_only_not_personal_dosing_or_conversion"
    }
  ],
  "comparisonPresentations": [],
  "appearanceReferences": [],
  "visualReference": {
    "presentationId": "us-lanoxin-125mcg-bottle-ndc-59212-242-55",
    "status": "historical_public_label_image_not_product_authentication",
    "imageUrl": "https://dailymed.nlm.nih.gov/dailymed/image.cfm?name=125mcgbottle.jpg&setid=d91e3646-4c63-4512-ab22-db39c085c4dc&type=img",
    "alt": "LANOXIN 地高辛当前美国 DailyMed 标签中的 125 mcg、NDC 59212-242-55、100 片瓶装包装面板",
    "archiveMarket": "美国",
    "labelVersion": "处方信息 2024-12 修订；DailyMed SPL v12 于 2025-01-09 发布",
    "presentation": "LANOXIN 地高辛片 125 mcg，NDC 59212-242-55，100 片瓶装",
    "notice": "此图只对应美国当前片剂标签中的 125 mcg 瓶装。它不代表 62.5 mcg、250 mcg、院内单位剂量装、LANOXIN 注射剂、generic 地高辛口服液或其他市场；不用于鉴定真伪，也不生成个人片数、分片、血药浓度或转换方案。",
    "source": {
      "id": "src_821b4ed2b7f909c6",
      "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-05",
      "reviewedAt": "2026-09-05"
    }
  },
  "visualCoverageNote": null,
  "labelReading": {
    "coverage": "drug_specific_source_review",
    "title": {
      "zh": "LANOXIN 说明书放大阅读：mcg 与 mg 相差一千倍，剂型也必须分开",
      "en": "LANOXIN label reading: mcg and mg differ by a thousand-fold, and dosage form must remain separate"
    },
    "summary": {
      "zh": "本模块只帮助核对片剂商品名、每片 mcg、NDC、刻痕与包装；不生成片数、分片、血药浓度目标、漏用、转换或停药。",
      "en": "This module only helps check the tablet brand, mcg per tablet, NDC, score and pack; it does not generate tablet counts, splitting, serum targets, missed-use, conversion or stopping."
    },
    "checks": [
      {
        "zh": "1 mg = 1000 mcg。62.5/125/250 mcg 分别只等于 0.0625/0.125/0.25 mg；“125 mg”不是“125 mcg”，而是后一数值的一千倍。这个关系用于防止单位误读，不是个人剂量换算器。",
        "en": "1 mg = 1000 mcg. The 62.5/125/250 mcg labels equal 0.0625/0.125/0.25 mg respectively; 125 mg is not 125 mcg but a thousand-fold larger. This relationship prevents unit misreading; it is not a personal dose converter."
      },
      {
        "zh": "125 mcg 同时有 100 片瓶装和院内单位剂量装，必须继续核对 NDC 与包装。包装不同不自动改变每片标示量，也不能据此判断个人应拿几片。",
        "en": "The 125 mcg tablet appears in both a 100-tablet bottle and an institutional unit-dose pack, so NDC and pack still matter. A different pack does not automatically change the amount per tablet or determine an individual's tablet count."
      },
      {
        "zh": "62.5 mcg 无刻痕；125 mcg 与 250 mcg 标签列有刻痕。刻痕是准确 presentation 的外观线索，不代表网页可以决定任何人能否分片或怎样分。",
        "en": "The 62.5 mcg tablet is unscored; the 125 mcg and 250 mcg tablets are labelled as scored. A score is an appearance clue for an exact presentation, not permission for a webpage to decide whether or how someone splits a tablet."
      },
      {
        "zh": "LANOXIN 注射剂是另一 NDA、SPL、途径与浓度表达；generic 地高辛口服液也不是本页片剂。相同品牌或通用名不支持按 mcg、mL 或途径自行换算。",
        "en": "LANOXIN injection has a different NDA, SPL, route and concentration expression; generic digoxin oral solution is also not this tablet record. A shared brand or generic name does not support self-conversion by mcg, mL or route."
      },
      {
        "zh": "恶心呕吐、持续腹泻、明显乏力或意识改变、视物异常、心悸/晕厥或疑似误用时，应及时联系当地医生、药师、毒物咨询或紧急医疗支持；不要依据网页自行补服、停用或改量。",
        "en": "With nausea/vomiting, persistent diarrhoea, marked weakness or confusion, visual disturbance, palpitations/fainting or suspected misuse, promptly contact local clinicians, pharmacists, poison-control or emergency support; do not self-make-up, stop or change an amount from this page."
      }
    ],
    "source": {
      "id": "src_821b4ed2b7f909c6",
      "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-05",
      "reviewedAt": "2026-09-05"
    },
    "scope": "label_literacy_only_no_individual_dosing_or_substitution"
  },
  "mechanismReading": {
    "title": {
      "zh": "地高辛怎样起作用：标签描述对 Na+/K+-ATPase 的抑制及其心脏效应",
      "en": "How digoxin works: the label describes Na+/K+-ATPase inhibition and cardiac effects"
    },
    "summary": {
      "zh": "当前片剂标签描述地高辛抑制 Na+/K+-ATPase，并由此影响细胞内离子与心肌收缩。机制用于理解为何单位、肾功能、相互作用、心率/节律和监测都需要专业复核；不预测个人效果或给药量。",
      "en": "The current tablet label describes digoxin inhibition of Na+/K+-ATPase and resulting effects on intracellular ions and myocardial contraction. This helps explain why units, kidney function, interactions, rate/rhythm and monitoring need professional review; it does not predict an individual's effect or amount."
    },
    "checks": [
      {
        "zh": "机制不能从症状或手表读数判断某个人是否需要地高辛，也不能解释一次血药浓度是否应调整；诊断、监测时点与结果必须由专业人员结合准确产品和临床背景判断。",
        "en": "Mechanism cannot determine from symptoms or a watch reading whether someone needs digoxin or whether one serum result warrants a change. Diagnosis, sampling time and interpretation need professionals with the exact product and clinical context."
      },
      {
        "zh": "作用于心率/传导并不使 LANOXIN 与其他心律、心衰或血压产品可自行叠加、轮换、替代或按 mg 换算；完整药单、肾功能和电解质背景都要核对。",
        "en": "Effects on rate/conduction do not make LANOXIN self-combinable, alternatable, substitutable or milligram-convertible with another rhythm, heart-failure or blood-pressure product. The complete medicine list, kidney function and electrolyte context all need review."
      },
      {
        "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；出现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_821b4ed2b7f909c6",
      "label": "DailyMed（NLM）：LANOXIN 当前美国片剂标签（Clinical Pharmacology）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-05",
      "reviewedAt": "2026-09-05"
    },
    "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",
      "generic": "地高辛",
      "dosageFormClass": "口服片：62.5 mcg、125 mcg、250 mcg（当前美国片剂标签所列）"
    },
    "labelSource": {
      "id": "src_821b4ed2b7f909c6",
      "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
      "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
      "audience": "public",
      "reviewStatus": "approved",
      "publish": true,
      "documentStatus": "current_regulatory_record",
      "documentKind": "product_label",
      "market": "US",
      "accessStatus": "public_access_confirmed",
      "accessMode": "public_web_page",
      "accessVerifiedAt": "2026-09-05",
      "reviewedAt": "2026-09-05"
    },
    "productRoutes": [
      {
        "source": {
          "id": "src_821b4ed2b7f909c6",
          "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-05",
          "reviewedAt": "2026-09-05"
        },
        "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": "2026-09-05",
        "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": "2026-09-05",
      "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（digoxin）当前美国片剂标签列出 62.5 mcg、125 mcg 与 250 mcg。页面始终保留 mcg，并把 125 mcg 的瓶装与院内单位剂量装分开；它不把 mcg 静默改成同数字 mg，也不生成个人片数、血药浓度目标、漏用、加减量、分片、注射—口服转换或停药方案。",
    "history": "当前片剂标签列示美国初始批准年份为 1954，NDA 020405。LANOXIN 注射剂现属 NDA 009330 和独立标签；generic digoxin oral solution 也不是本品牌片剂 presentation，因此均不并入本页当前四个包装。",
    "sourceDocuments": [
      {
        "id": "src_821b4ed2b7f909c6",
        "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（Advanz Pharma；2024-12 修订）",
        "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
        "audience": "public",
        "reviewStatus": "approved",
        "publish": true,
        "documentStatus": "current_regulatory_record",
        "documentKind": "product_label",
        "market": "US",
        "accessStatus": "public_access_confirmed",
        "accessMode": "public_web_page",
        "accessVerifiedAt": "2026-09-05",
        "reviewedAt": "2026-09-05"
      }
    ],
    "applicationNumber": "NDA 020405",
    "approvalTimeline": [
      {
        "date": "1954",
        "title": {
          "zh": "标签所列美国初始批准年份",
          "en": "Initial U.S. approval year listed in the label"
        },
        "detail": {
          "zh": "当前 LANOXIN 片剂标签列示 Initial U.S. Approval: 1954；该年份不自动说明其他市场状态。",
          "en": "The current LANOXIN tablet label lists Initial U.S. Approval: 1954; that year does not establish status in another market."
        },
        "source": {
          "id": "src_821b4ed2b7f909c6",
          "label": "DailyMed: current LANOXIN tablet public label",
          "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-05",
          "reviewedAt": "2026-09-05"
        }
      },
      {
        "date": "2024-12-05",
        "title": {
          "zh": "当前处方信息更新/修订",
          "en": "Current prescribing-information update/revision"
        },
        "detail": {
          "zh": "DailyMed 页面将 Drug Label Information Updated 标为 2024-12-05，正文列示 Revised 12/2024。",
          "en": "DailyMed lists Drug Label Information Updated as 5 Dec 2024 and the prescribing information as Revised 12/2024."
        },
        "source": {
          "id": "src_821b4ed2b7f909c6",
          "label": "DailyMed: current LANOXIN tablet public label",
          "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-05",
          "reviewedAt": "2026-09-05"
        }
      },
      {
        "date": "2025-01-09",
        "title": {
          "zh": "DailyMed SPL v12 公开",
          "en": "DailyMed SPL v12 published"
        },
        "detail": {
          "zh": "DailyMed 当前版本列表将 v12 标为 current，并列示 2025-01-09 Published；该日期与正文修订月分开。",
          "en": "DailyMed marks v12 as current and lists Published 9 Jan 2025; this remains separate from the prescribing-information revision month."
        },
        "source": {
          "id": "src_821b4ed2b7f909c6",
          "label": "DailyMed: current LANOXIN tablet public label",
          "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-05",
          "reviewedAt": "2026-09-05"
        }
      }
    ],
    "marketStatus": [
      {
        "market": {
          "zh": "美国片剂",
          "en": "United States tablets"
        },
        "status": {
          "zh": "已链接 NDA 020405 当前公开标签",
          "en": "Current NDA 020405 public label linked"
        },
        "detail": {
          "zh": "四个 presentation 仅对应 Advanz 当前片剂标签中的有效包装。",
          "en": "The four presentations correspond only to active packs in the current Advanz tablet label."
        }
      },
      {
        "market": {
          "zh": "LANOXIN 注射剂、generic 地高辛口服液及其他市场",
          "en": "LANOXIN injection, 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、途径或品牌状态不得并入本片剂档案。",
          "en": "A different NDA, SPL, form, route or brand status is not merged into this tablet dossier."
        }
      }
    ],
    "frequentlyAskedQuestions": [
      {
        "question": {
          "zh": "125 mcg 是不是 125 mg？",
          "en": "Is 125 mcg the same as 125 mg?"
        },
        "answer": {
          "zh": "不是。1 mg = 1000 mcg，因此 125 mcg = 0.125 mg。该换算只用于防止单位误读，不决定任何人的片数或用量。",
          "en": "No. 1 mg = 1000 mcg, so 125 mcg = 0.125 mg. This equivalence only prevents unit misreading and does not determine anyone's tablet count or amount."
        }
      },
      {
        "question": {
          "zh": "药单里同时有地高辛和胺碘酮，可以按原来的方法继续吃吗？",
          "en": "If digoxin and amiodarone are both on the medicine list, can the previous routine simply continue?"
        },
        "answer": {
          "zh": "网页不能确认。当前官方标签同时提示地高辛浓度升高及心率／传导方面的联用风险线索；应尽快由开方团队或药师核对两盒实际药、完整药单、肾功能、电解质、心率／心电及既有监测结果。不要自行停用、错开、掰片、补服或调整任何一种药。",
          "en": "A webpage cannot confirm that. Current official labels flag both increased digoxin concentration and rate/conduction concerns with this combination. Promptly have the prescribing team or pharmacist review both actual packs, the complete medicine list, kidney function, electrolytes, heart-rate/ECG information and existing monitoring results. Do not self-stop, separate, split, catch up or adjust either medicine."
        }
      },
      {
        "question": {
          "zh": "老人一直吃同样的地高辛，为什么还要看肾功能和新加的药？",
          "en": "Why should an older adult on the same digoxin routine still review kidney function and newly added medicines?"
        },
        "answer": {
          "zh": "当前 LANOXIN 标签说明高龄、低体重、肾功能受损和电解质异常会增加地高辛毒性风险；地高辛主要经肾脏排泄，联用药也可能改变其浓度或心率／传导效应。是否需要改变方案必须由专业人员结合准确产品、检查与监测判断，网页不能给出减量或停药结论。",
          "en": "The current LANOXIN label identifies advanced age, low body weight, impaired renal function and electrolyte abnormalities as toxicity risk factors. Digoxin is mainly excreted by the kidneys, and co-medications may alter its concentration or rate/conduction effects. Any change requires professional interpretation of the exact product, tests and monitoring; this page provides no reduction or stopping decision."
        }
      },
      {
        "question": {
          "zh": "服地高辛时出现恶心、视物异常、明显乏力、心悸或晕厥怎么办？",
          "en": "What should someone do if nausea, visual changes, marked weakness, palpitations or fainting occurs while taking digoxin?"
        },
        "answer": {
          "zh": "这些可能是需要及时评估的警讯，但网页不能判断原因。应立即联系负责团队；若症状严重、出现晕厥、明显意识改变、胸部严重不适或其他急性危险表现，应使用当地紧急医疗渠道。不要等待网页答复，也不要自行补服、停用或换药。",
          "en": "These can be warning signs requiring prompt assessment, but a webpage cannot determine the cause. Contact the responsible team immediately; severe symptoms, fainting, marked altered awareness, serious chest discomfort or another acute danger sign requires local emergency care. Do not wait for a web answer or self-catch-up, stop or switch."
        }
      }
    ],
    "relatedMedicineChecks": [
      {
        "target": {
          "id": "amiodarone-cordarone",
          "brand": "CORDARONE",
          "generic": "胺碘酮",
          "canonicalUrls": {
            "zh": "https://origindrug.com/drugs/amiodarone-cordarone/",
            "en": "https://origindrug.com/en/drugs/amiodarone-cordarone/"
          }
        },
        "title": {
          "zh": "与 CORDARONE／胺碘酮同在药单上时：地高辛浓度与心率／传导都要专业核对",
          "en": "When CORDARONE / amiodarone is on the same list: digoxin concentration and rate/conduction need professional review"
        },
        "summary": {
          "zh": "当前美国 LANOXIN 片剂标签说明：地高辛的中毒浓度只略高于治疗浓度，选择方案时要考虑年龄、体重、肾功能和联用药；其相互作用表还列出胺碘酮会升高地高辛血清浓度。当前胺碘酮通用名标签同时把地高辛列为可增强心动过缓、窦性停搏和房室传导阻滞风险线索的负性变时药。本卡只要求尽快把两种实际药盒、完整药单、近期肾功能／电解质、心率或心电记录及既有地高辛监测结果交给开方团队或药师核对；它不判断能否同用，不提供浓度目标、减量比例、给药间隔、停药或换药方案，也不建议自行错开、掰片、漏服补用或调整任何一种药。CORDARONE 页面属于历史品牌档案；当前通用名标签不证明该品牌当前供应。",
          "en": "The current U.S. LANOXIN tablet label says toxic digoxin concentrations are only slightly higher than therapeutic concentrations, and that age, body weight, renal function and concomitant medicines matter when a regimen is selected; its interaction table also lists increased serum digoxin concentration with amiodarone. A current U.S. generic amiodarone label separately lists digoxin as a negative chronotrope that can add to bradycardia, sinus arrest and AV block. This card only calls for prompt review of both actual packs, the complete medicine list, recent kidney-function/electrolyte information, heart-rate or ECG records and any existing digoxin-monitoring results by the prescribing team or pharmacist. It does not decide co-use or provide a concentration target, reduction percentage, timing interval, stop or switch plan, and does not advise self-separation, tablet splitting, catch-up use or adjustment of either medicine. The CORDARONE page is a historical brand archive; a current generic label does not establish current brand supply."
        },
        "source": {
          "id": "src_821b4ed2b7f909c6",
          "label": "DailyMed（NLM）：LANOXIN 地高辛片当前美国公开标签（胺碘酮相互作用、治疗窗与老人／肾功能核对）",
          "url": "https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d91e3646-4c63-4512-ab22-db39c085c4dc",
          "audience": "public",
          "reviewStatus": "approved",
          "publish": true,
          "documentStatus": "current_regulatory_record",
          "documentKind": "product_label",
          "market": "US",
          "accessStatus": "public_access_confirmed",
          "accessMode": "public_web_page",
          "accessVerifiedAt": "2026-09-05",
          "reviewedAt": "2026-09-05"
        },
        "scope": "review_complete_medicine_list_no_self_directed_change"
      }
    ],
    "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/",
    "en": "https://origindrug.com/en/drugs/lanoxin/"
  },
  "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."
  ]
}