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Digoxin

地高辛

Mechanism of action:

Digoxin 是一種強心苷(cardiac glycoside),來源於狹葉毛地黃(Digitalis lanata)的葉片。Digoxin 會與心肌細胞膜的鈉鉀幫浦(Na⁺/K⁺-ATPase)結合,阻斷鈉離子排出細胞。在細胞內鈉離子濃度高的情況下,會抑制鈉鈣交換體(sodium-calcium exchanger)的運作,之後鈣離子在細胞內累積,增加肌漿網鈣離子的儲存量,當心肌收縮時能釋放更多鈣離子,促進心肌收縮。

​Reference(s):

1. Thompson DF et al. (1993). Drug-induced gynecomastia. Pharmacotherapy. 


2. Doering W et al. (1977). Digitalis intoxication: specificity and significance of cardiac and extracardiac symptoms. Z Kardiol.

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