Corallo C E, Rogers I R
Pharmacy Department, Box Hill Hospital, VIC.
Med J Aust. 1996 Oct 21;165(8):433-4. doi: 10.5694/j.1326-5377.1996.tb138580.x.
A 76-year-old women presented with digoxin toxicity four days after starting a course of roxithromycin. In 10%-15% of the population, digoxin is degraded extensively by bacteria in the gastrointestinal tract, and antibiotic-induced changes in the bacterial flora may lead to digoxin toxicity.