adenosine vs digoxin

PlainMeds reviewed this comparison against our methodology in August 2026. It places FDA and CMS record fields side by side, without recommending either medication.

Side-by-side comparison of adenosine and digoxin. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
adenosine Endogenous Nucleoside (Antiarrhythmic)
digoxin Cardiac Glycoside
Type
adenosine Prescription
digoxin Prescription
Summary
adenosine

Adenosine (Adenocard) is a medicine used to treat certain types of irregular heartbeats. It belongs to a class of drugs called antiarrhythmics.

digoxin

Digoxin (Lanoxin) is a medicine that helps your heart pump better. It is used to treat heart failure and control irregular heartbeats.

What It Treats
adenosine

Adenosine is used to treat a very fast heart rate in the upper chambers of your heart. This condition is called supraventricular tachycardia (SVT). Adenosine helps to slow down your heart rate to a normal rhythm.

digoxin

Digoxin is used to treat mild to moderate heart failure in adults. It helps the heart pump more blood with each beat. Digoxin is also used in children with heart failure to help their heart work better. In adults, it can control a fast and irregular heartbeat called atrial fibrillation.

How It Works
adenosine

Adenosine works by slowing down the electrical signals in your heart. This helps to interrupt the fast heart rhythm and restore a normal heartbeat. It does this by acting on specific receptors in the heart tissue.

digoxin

Digoxin belongs to a class of drugs called cardiac glycosides. It works by making the heart muscle contract more strongly. It also slows down the electrical signals in the heart, which can help control irregular heartbeats.

Common Side Effects
adenosine

No common side effects listed.

digoxin
  • Nausea
  • Vomiting
  • Diarrhea
  • Dizziness
  • Headache
FAERS Reports
adenosine
  • Supraventricular Tachycardia 94
  • Hypotension 86
  • Cardiac Arrest 78
  • Dyspnoea 74
  • Pain 67
digoxin
  • Dyspnoea 6,065
  • Nausea 4,754
  • Dizziness 4,439
  • Fatigue 4,175
  • Atrial Fibrillation 3,974
Serious Warnings
adenosine

Since this medication is administered by a healthcare provider in a monitored setting, there are no specific at-home warnings.

digoxin

Digoxin can cause serious side effects, including dangerous heart rhythms. You are at higher risk if you have certain heart conditions or kidney problems. Tell your doctor right away if you have nausea, vomiting, vision changes, or an irregular heartbeat.

Pregnancy
adenosine

It is not known if adenosine can harm an unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if adenosine passes into breast milk, so discuss this with your doctor if you are breastfeeding.

digoxin

It is not known if digoxin can harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. The medicine passes into breast milk, but it is unlikely to harm the baby.

How to Read This adenosine vs digoxin Comparison

adenosine is classified in the Endogenous Nucleoside (Antiarrhythmic) drug class, while digoxin sits within the Cardiac Glycoside class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, adenosine has 399 submissions while digoxin has 23,407. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for adenosine or digoxin.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.