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patients with aortic stenosis who are not candidates for surgery and present with pulmonary congestion may be treated with digoxin.

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nonsteroidal anti-inflammatory drugs nsaids eg, ibuprofen, indomethacin because they may decrease furosemide s effectiveness aminoglycosides eg, gentamicin , angiotensin-converting enzyme ace inhibitors eg, captopril , ethacrynic acid, or salicylates eg, aspirin because serious side effects to the kidneys decreased ability to urinate and ears hearing loss may occur chloral hydrate because side effects, such as excessive sweating, rapid heart beat, and changes in blood pressure, may occur digoxin or lithium because the risk of their side effects may be increased by furosemide.

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any arrhythmia in a child treated with digoxin should be considered related to digoxin until otherwise ruled out.


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