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Two medicines, side by side

Digoxin vs furosemide

Digoxin and furosemide are both labeled for heart failure. Drugs@FDA records approvals of digoxin since 1954 and of furosemide since 1966. Pharmacies paid $0.133 per digoxin 125 mcg tablet and $0.490 per mL (Furosemide 20 mg/2 mL vial) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, digoxin is a cardiac glycoside and furosemide a loop diuretic.

Check it at the source: the digoxin FDA label on DailyMed (effective December 5, 2024); the furosemide FDA label on DailyMed (effective September 30, 2025).

Highlights of the digoxin record

Digoxin (Lanoxin) · label of December 5, 2024

Used for

From the label: indications

LANOXIN is a cardiac glycoside indicated for: Treatment of mild to moderate heart failure in adults. ( 1.1 ) Increasing myocardial contractility in pediatric patients with heart failure. ( 1.2 ) Control of resting ventricular rate in patients with chronic atrial fibrillation in adults. ( 1.3 ) 1.1 Heart Failure in Adults LANOXIN is indicated for the treatment of mild to moderate heart failure in adults. […]

On the market

Earliest approval on file
November 16, 1954
Generic labelers
26 labelers
Pharmacy cost
$0.133 per tablet

Supply and safety

Shortage
No current entry
Recalls
4

Highlights of the furosemide record

Furosemide (Lasix) · label of September 30, 2025

Used for

From the label: indications

Edema LASIX is indicated in adults and pediatric patients for the treatment of edema associated with congestive heart failure, cirrhosis of the liver, and renal disease, including the nephrotic syndrome. LASIX is particularly useful when an agent with greater diuretic potential is desired. […]

On the market

Earliest approval on file
July 1, 1966
Generic labelers
52 labelers
Pharmacy cost
$0.490 per mL

Supply and safety

Shortage
In shortage
Recalls
8

Source: FDA drug labels via openFDA (Digoxin label of December 5, 2024, Furosemide label of September 30, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do digoxin and furosemide differ on the record?

In FDA's classes, digoxin is a cardiac glycoside and furosemide a loop diuretic.

Half-life, in each label's words: Digoxin, “In healthy volunteers with normal renal function, digoxin has a half-life of 1.5-2 days.”; Furosemide, “The terminal half-life of furosemide is approximately 2 hours.”

Generics: digoxin since 1975; furosemide since 1985 (Drugs@FDA).

DigoxinFurosemide
Labeled forHeart failure, Atrial fibrillationHeart failure, High blood pressure, Edema (fluid retention)
Pharmacologic classCardiac GlycosideLoop Diuretic
How it works (label)All of digoxin’s actions are mediated through its effects on Na-K ATPase. This enzyme, the “sodium pump,” is responsible for maintaining the intracellular milieu throughout the body by moving sodium ions out of and potassium ions into …n/a
Half-life (label)In healthy volunteers with normal renal function, digoxin has a half-life of 1.5-2 days.The terminal half-life of furosemide is approximately 2 hours.
Earliest approval on file (Drugs@FDA)November 16, 1954July 1, 1966
First generic approvedOctober 24, 1975September 26, 1985
Generic labelers (NDC)26 labelers52 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.133 per tablet (Digoxin 125 mcg tablet)$0.490 per mL (Furosemide 20 mg/2 mL vial)
12-month price change+20%+31%
Boxed warningNoNo
Shortage nowNo current entryIn shortage
Recalls recorded48
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)71,335398,354
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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