Digoxin nmol/L → ng/mL

Convert digoxin from nmol/L to ng/mL

Sources last checked: 2026-11-03

Digoxin nmol/L → ng/mL

Convert digoxin from nmol/L to ng/mL

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Converts units only; reference ranges depend on the laboratory, the assay and the patient.

Source: AMA Manual of Style, 11th ed. (Oxford Academic) — Units of measure converter, Table 2: Selected laboratory tests and conversion factors.Open

What is the Digoxin nmol/L → ng/mL?

This converter turns a serum digoxin concentration from nmol/L, used by some SI-reporting laboratories and parts of the literature, into ng/mL (identical to µg/L), the unit most laboratories and guidelines use. It divides by 1.281 (equivalent to multiplying by about 0.7806), derived from the molar mass of digoxin, 780.9 g/mol.

When to use it

  • Reading a digoxin level in nmol/L from an SI-reporting letter or study
  • Comparing a result with a target or toxicity statement written in ng/mL or µg/L
  • Continuing therapeutic drug monitoring after a patient moves between laboratories

When not to use it

  • Digitoxin results — a different drug with a different molar mass
  • Samples drawn during the distribution phase, which cannot be interpreted regardless of unit
  • Interpreting the value: target ranges depend on the indication, the guideline and the clinical context

How it is calculated

Digoxin (ng/mL) = digoxin (nmol/L) ÷ 1.281

Clinical pearls and limitations

  • Converts units only; reference ranges depend on the laboratory, the assay and the patient.
  • Dividing by 1.281 is the same as multiplying by 0.7806; the ng/mL value is roughly three quarters of the nmol/L value.
  • The sampling time relative to the last dose should be recorded with every level; without it the number is hard to use.
  • Free digoxin assays are needed to monitor after antibody fragment treatment, because routine immunoassays measure fragment-bound drug as well.
  • Amiodarone, verapamil, some macrolides and other P-glycoprotein inhibitors can raise digoxin levels; a new interaction is a common reason for an unexpected rise.

Frequently asked questions

How do I convert digoxin from nmol/L to ng/mL?

Divide by 1.281. For example, 1.9 nmol/L ÷ 1.281 = 1.48 ng/mL.

What is 1 nmol/L digoxin in ng/mL?

1 nmol/L is 0.78 ng/mL (1 ÷ 1.281 = 0.7806).

Why is the timing of a digoxin sample so important?

Digoxin distributes slowly from blood into tissue. A sample taken before distribution is complete overestimates the concentration at the site of action, so most monitoring advice asks for a sample after the distribution phase and at steady state.

Evidence and guidelines

  1. Primary source: AMA Manual of Style, 11th ed. (Oxford Academic) — Units of measure converter, Table 2: Selected laboratory tests and conversion factors.
  2. PubChem compound summary: digoxin (CID 2724385), molecular weight 780.9 g/mol.

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For healthcare professionals and medical students. These tools support, and do not replace, clinical judgement. Always check results against the original source and your local protocols.