 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST] . Tell your doctor or pharmacist if you are taking a "water pill" or if you have a history of mineral imbalance. Ask your doctor or pharmacist whether you should take a nutritional supplement or follow a special diet. Before having surgery or certain procedures on your heart (such as electrical cardioversion), tell your doctor or dentist that you are using this medication. Infants and children may be more sensitive to the effects of this drug, especially the effects on the heartbeat. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. Digoxin passes into breast milk. While there have been no reports of harm to nursing infants, consult your doctor before breast-feeding.The interactions of Lanoxin Oral: See also How to Use section. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Other medications can affect the removal of digoxin from your body, which may affect how digoxin works </s>