Levofloxacin and Digoxin Interaction

Drug interaction information between Levofloxacin and Digoxin.

Levofloxacin and Digoxin have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Levofloxacin and Digoxin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Levofloxacin

Fluoroquinolone Antibiotic

Drug B

Digoxin

Cardiac Glycoside

How They Interact

These two drugs do not interfere with each other's levels in the blood or how the body handles them.

FDA Label Information

7.7 Digoxin No significant effect of levofloxacin on the peak plasma concentrations, AUC, and other disposition parameters for digoxin was detected in a clinical study involving healthy volunteers. Levofloxacin absorption and disposition kinetics were similar in the presence or absence of digoxin. Therefore, no dosage adjustment for levofloxacin or digoxin is required when administered concomitantly.

Frequently Asked Questions

What SPL severity band is on file for Levofloxacin + Digoxin?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Digoxin has 120 labeled pairs on file vs Levofloxacin's 8. In the minor band specifically: Levofloxacin has 5 (also Warfarin, Cyclosporine, Sucralfate, Zinc Sulfate); Digoxin has 105 (also Metformin, Omeprazole, Ibuprofen, Diclofenac).

What mechanism field is on file for Levofloxacin and Digoxin?

These two drugs do not interfere with each other's levels in the blood or how the body handles them.

Digoxin's labeled portfolio outnumbers Levofloxacin

SPL source-record counts only. This page's band is minor · classes on file: Levofloxacin (Fluoroquinolone Antibiotic); Digoxin (Cardiac Glycoside).

Levofloxacin

2 major · 1 moderate · 5 minor · 8 total

Digoxin

2 major · 13 moderate · 105 minor · 120 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.