Digoxin generics may be bioequivalent on paper, but small differences in absorption can cause toxicity or treatment failure-especially in older adults. Learn why monitoring and sticking to one brand matter.
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The FDA enforces stricter bioequivalence rules for narrow therapeutic index (NTI) drugs like warfarin and digoxin, requiring tighter limits and special testing to ensure safety. Learn how these standards protect patients and what you need to know if you take one.
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NTI drugs have a tiny margin between effective and toxic doses. Common examples include warfarin, lithium, digoxin, phenytoin, and tacrolimus. These require strict monitoring and careful dosing to avoid serious harm.
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