Spironolactone as a source of interference in commercial digoxin immunoassays.

Abstract:

:Eight commercial digoxin immunoassay methods were tested in 17 subjects taking spironolactone (but not digoxin) to evaluate cross-reactivity from parent drug and/or metabolites. Four of these methods showed significant (up to 1.9 nmol/L) and variable "apparent digoxin" concentrations, despite the absence of digoxin in the drug regimen. The results suggest that clinical laboratories require a knowledge of their method with respect to spironolactone-related cross-reactivity and should exercise caution when interpreting digoxin results where spironolactone is coadministered. Further, the presence of concurrent renal and/or hepatic impairment could delay clearance of spironolactone metabolites (as well as digoxin metabolites and endogenous substances) and further distort a genuine digoxin result.

journal_name

Ther Drug Monit

authors

Morris RG,Lagnado PY,Lehmann DR,Frewin DB,Glistak ML,Burnet RB

doi

10.1097/00007691-198706000-00014

subject

Has Abstract

pub_date

1987-06-01 00:00:00

pages

208-11

issue

2

eissn

0163-4356

issn

1536-3694

journal_volume

9

pub_type

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