Hi Birky-
Yes, Lanoxin can get to toxic levels. Joe has been there from time to time. He has afib which is chronic and he cannot take most of the meds that are prescribed for that problem, so his Lanoxin is very necessary. They keep at a certain level which is probably less than what he actually needs, because his card. doesn't want him to get over the limit for him. Because of the afib, his heart rate is higher than most people. It runs about 100-110. I've tried to get his card. to up the dose, but they tested him, and it cannot go any higher.
He isn't tested all the time, but has been from time to time.
It's a very good drug and has been around for many, many years.